2022 Catalog

UNIFORM SALES & USE TAX CERTIFICATE – MULTIJURISDICTION

The below-listed states have indicated that this form of certificate is acceptable. The issuer and the recipient have the responsibility of determining the proper use of this certificate under applicable laws in each state, as these may change from time to time.

Issued to Seller:

Holiday House Distributing

Address:

5528 Land O Lakes Blvd., Land O Lakes, FL 34639

I certify that: Name of Firm (Buyer): ___________________________________________________________ Address: ______________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________

Is engaged as a registered Wholesaler Retailer Manufacturer

Seller (California) Lessor Other (specify) __________

and is registered with the below listed states and cities within which your firm would deliver purchases to us and that any such purchases are for wholesale, resale, ingredients, or components of a new product or service to be resold, leased, or rented in the normal course of business. We are in the business of wholesaling, retailing, manufacturing, leasing (renting) the following: Description of business: ______________________________________________________________________________________ General description of the tangible property or taxable services to be purchased from the seller: ____________________________ __________________________________________________________________________________________________________

State State Registration Seller’s Permit or ID Number of Purchaser

State State Registration Seller’s Permit or ID Number of Purchaser

AL 1 ___________________________________ MO 16 ___________________________________ AR ___________________________________ NE 17 ___________________________________ AZ 2 ___________________________________ NV ___________________________________ CA 3 ___________________________________ NJ ___________________________________ CO 4 ___________________________________ NM 4,18 ___________________________________ CT 5 ___________________________________ NC 19 ___________________________________ FL 6 ___________________________________ ND ___________________________________ GA 7 ___________________________________ OH 20 ___________________________________ HI 4,8 ___________________________________ OK 21 ___________________________________ ID ___________________________________ PA 22 ___________________________________ IL 4,9 ___________________________________ RI 23 ___________________________________ IA ___________________________________ SC ___________________________________ KS ___________________________________ SD 24 ___________________________________ KY 10 ___________________________________ TN ___________________________________ ME 11 ___________________________________ TX 25 ___________________________________ MD 12 ___________________________________ UT ___________________________________ MI 13 ___________________________________ VT ___________________________________ MN 14 ___________________________________ WA 26 ___________________________________ ___________________________________ WI 27 ___________________________________

I further certify that if any property or service so purchased tax free is used or consumed by the firm as to make it subject to a Sale or use Tax we will pay the tax due directly to the proper taxing authority when state law so provides or inform the seller of an added tax billing. This certificate shall be a part of each order which we may hereafter give to you, unless otherwise specified, and shall be valid until canceled by us in writing or revoked by the city or state. Under penalty of perjury, I swear or affirm that the information on this form is true and correct as to every material matter. Authorized Signature: _______________________________________________________ (Owner, Partner, or Corporate Officer) Title: _____________________________________________________________________

Date: ______________________________________________________________________ Revised 03/13/2019