Application For Occupational License And Sales Tax Registration - City Of Baton Rouge

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APPLICATION FOR OCCUPATIONAL LICENSE AND SALES TAX REGISTRATION
City of Baton Rouge - Parish of East Baton Rouge
Department of Finance - Revenue Division
P. O. Box 2590
Baton Rouge, LA 70821-2590
Phone: (225) 389-3084
Fax: (225) 389-5369
OLT Registration Fee: $50.00 for businesses that open January 1 - June 30. $25.00 for businesses that open July 1 - December 31.
PLEASE PRINT WHEN COMPLETING THIS FORM AND USE INK
If your business is located in the City limits of Baton Rouge or the Unincorporated Parish of East Baton Rouge, you must purchase
an occupational license.
My Business is Located in: [ ] City Limits of Baton Rouge
[
] City Limits of Central
[ ] Unincorporated Parish of East Baton Rouge
[
] City Limits of Baker
[ ] City Limits of Zachary
[
] Out-of-town (No License Required)
(Does Not Apply to Contractors)
[ ] If this is a new business, check the block and enter the opening date in E.B.R.P.:
/
/
Year
Month
Day
Have you ever registered with this office?
[ ] Yes [ ] No Did you purchase an existing business?
[ ] Yes
[ ] No
****If yes to either, please furnish this information:
Former Owner:
Former Business Name:
Registration #:
Closed Business:
/
/
Year
Month
Day
1. BUSINESS NAME, ADDRESS, PHONE (All applicants must attach a copy of their drivers’ license.)
Business “Trade” Name:
(everyday name)
Mailing Address:
-
City
State
Zip Code
Business Phone:
(
)
2. LOCATION OF YOUR BUSINESS (Please do not use your P.O. Box as the location of your business.)
Location Zip Code:
-
City/State:
Street Number:
Street Name:
IDENTIFY BUSINESS ACTIVITY
(Or Type of Business/Service/Occupation)
FOR OFFICE USE ONLY
Distribution Area:
If a sales tax registration or occupational license is not needed, please explain below:
Prefix Code:
License Tax Due:
$
Total Amount Paid:
$
Security Deposit Due? [
] Yes [
] No
THIS BUSINESS WILL BE ACTIVATED FOR THE FOLLOWING CLASSES:
Amount:
$
[ ] Sales/Use Tax
[ ] Occupational License - Reg.
[ ] Hotel/Motel Tax
[ ] Occupational License - Rooms
[ ] Insurance Premium Tax
[ ] Alcohol Beverage Control
[ ] Clear
[ ] Delinquent
REGISTRATION/LICENSE/ACCOUNT # __ __ - __ __ __ __ __ - __ __ __
Initial
3. FOR OCCUPATIONAL LICENSE ONLY:
If Business Operated During Entire Previous Year, Enter Your Gross Sales
or Receipts for the Preceding Year $_______________
License for Year
If Business Commenced During the Previous Year, Enter Date Business
Registration Date
Commenced ___________________.
Gross Sales for the Remainder of the Calendar Year:
$_______________
Divided by the Number of Days Left in the Year Equals:
$_______________
Which Multiplied by 365 Amounts to:
$_______________
Base Tax:$_______________
Penalty: $_______________
Interest: $_______________
Total Due:$_______________

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