[HQ/DS][CO] RESALE CERTIFICATE - Maxim Integrated



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Blanket Exemption/Resale Certificate

If you intend this to be a Single Purchase Certificate rather than a Blanket Certificate, please check this box □

Name of Company: __________________________________________________________________________________________

Company address: __________________________________________________________________________________________

City and State: ______________________________________________________________________________________________

Permit or Registration Number: _______________________________________________

If no Permit or Registration Number, provide the reason one is not required: ____________________________________________

___________________________________________________________________________________________________________

The purchaser named above, claims an exemption from payment of sales and use taxes for the purchase of

the items described below.

Seller: Maxim Integrated

Address: 14460 Maxim Drive, Dallas, TX 75244-3292

Description of items to be purchased: Integrated Circuits

Description of the type of business activity generally engaged in or type of items normally sold by the purchaser:

Reason items purchased are non-taxable:

Purchased for resale*

Will become an ingredient or component part of tangible personal property manufactured

for ultimate sale.

Other (describe)

I certify that if any property or service so purchased tax free is used or consumed by the firm as to make it subject to Sales or Use Tax we will pay the tax due directly to the proper taxing authority when state law so provides or inform the seller for added tax billing. I further understand that it is a criminal offense to give an exemption/resale certificate to the seller for taxable items that I know, at the time of purchase, will be used in

a manner other than that expressed in this certificate.

Signature of Purchaser:

Title:

Date:

* To qualify in Texas, items purchased for resale must be resold within the geographical limits of the United States, its territories, possessions or Mexico.

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Doc 18-2365RevF

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