Resale Certificate Request Form


Resale Certificate Request Form

To obtain a Resale Certificate with copies of required documents, please complete the following information. The cost is $400.00 and expedite fee is an additional $200.00.


Property Address Line 1: *
Property Address Line 2: *
Property City: *
Property State: *
Property Zip: *
Tentative Closing Date:
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*
Company Name: *
Nature of Business: *
Contact Person: *
Address Line 1: *
Address Line 2:
City: *
State: *
Zip: *
Phone Number: *
Fax Number: *
Email Address: *
Web Site Address (if any):