(PRINT NAME OF PURCHASER)
(PRINT NAME OF RETAILER CONSUMER)
am purchasing from
amount equal to 75 percent of the sales price of gross receipts from the sale of the mobilehome to the retailer
and agree that if the property purchased under authority of this certificate is used for any other purpose I shall
be liable for payment of tax measured by the entire sales price or gross receipts from the sale to me less an
BOE 47 (2 08) STATE OF CALIFORNIA
CAPACITY
CERTIFICATION
CERTIFICATION OF EXEMPTION
CERTIFICATION OF EXEMPTION FOR MOBILEHOME BOARD OF EQUALIZATION
DATE CERTIFICATE GIVEN
DESCRIPTION OF PROPERTY
I hereby certify that the mobilehome that I
If a purchaser issues such certification to a dealer and subsequently uses the property for other than a residence
is being purchased for occupancy as a residence and that it will only be used for this purpose I further certify
RESIDENCE PURCHASE
SIGNATURE OF PURCHASER
the mobilehome less 75 percent of the sales price paid by the dealer to the supplier for the mobilehome
the purchaser shall be liable for payment of tax measured by the purchaser s entire purchase price of
time of the sale that the mobilehome will be installed for occupancy as a residence
To qualify for this special tax treatment the dealer is required to secure and retain written certification at the
