Rev 2/16
Blanket Resale & Exemption Certicate for all states except New York
The undersigned vendee hereby certies that it is a regularly licensed retailer under the Law(s) of the state(s) indicated on the reverse side of this form holding the sales tax
license or permit number(s) there enumerated and that all the tangible personal property purchased from:
Is exempt from sales and use tax for the following reason: (Check applicable reason below)
NAME____________________________________________________________________
ADDRESS_________________________________________________________________
CITY___________________________________ STATE____________ ZIP_____________
Product that you will purchase:___________________________________________________________________________________________________________________
Primary type of business:________________________________________________________________________________________________________________________
Check
______ Resale, in the regular course of business, in the form of tangible personal property.
______ Incorporating the same, as a material, ingredient or component part, into tangible personal property produced for sale.
______ Other authorized exemption (described).
This certicate shall be considered a part of each order given by vendee from and after the eective date herof, unless such order shall otherwise specify.
This certicate shall continue in full force and eect unless and until revoked in writing by the vendee.
The vendee understands and agrees that if it uses any property purchased tax-free under this certicate in any manner which would not exempt the sale from tax, it be-
comes the user or consumer of such property, and as such assumes liability for and undertakes to pay the tax and interest and penalty thereon, if any.
Date as of the _____________day of _________________________, 20 _______.
PLEASE INCLUDE YOUR SIGNATURE, TITLE
AND RESALE CERTIFICATE NUMBER.
Name of Purchaser (print or type)
Address Signature of Purchaser or Agent
City, State, Zip Title of Authorized Agent
State Exempt In (See reversed side if more than one state.) Resale Certicate Number
If you are exempt in more than one state, please ll in the appropriate blank on the reverse side.
If you are exempt in the state of New York you must complete the ST-120 instead of this form.
Oce File #:________________________________
RETURN TO: Ennis Customer Finance
2441 Presidential Pkwy.
Midlothian, Texas 76065
Fax 972.775.9196
contactupdate@ennis.com
CUSTOMER NUMBER
ENNIS, INC. AND ALL OF ITS SUBSIDIARIES AS LISTED ON PAGE 2
Rev 12/2017
THIS SIGNED FORM MUST BE RETURNED WITH YOUR
SIGNED CUSTOMER APPLICATION.