Form R-1368 - Certification Of The Purchase Of Motor Boats In Louisiana That Are To Be Registered In Another State And Are Made By A Nonresident - State Of Louisiana Department Of Revenue

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State of Louisiana
R-1368 (1/00)
Department of Revenue
Certification of the Purchase of Motor Boats in Louisiana that are to
be Registered in Another State and are Made by a Nonresident
I, the purchaser, certify that I am not a resident of Louisiana and do not intend to register this motor boat in Louisiana. I understand
that this information will be forwarded to the Louisiana Department of Revenue and will be shared with my resident state.
Description of Property
Make ___________________________________________
Model ______________________________________________
Year ____________________________________________
Serial number _______________________________________
Net sales price ___________________________________
The property described above will be registered in the State of ___________________________________________________ .
Signature of Purchaser
Date
Drivers License Number
Purchaser’s Name (Please print.)
Address
City, State, ZIP
Telephone
Signature of Seller
Trade Name of Business
Seller’s Sales Tax Account Number
Note: This form should be executed in triplicate. Two copies of this form must be sent to the Louisiana Department of Revenue, Sales Tax Division
at P.O. Box 201, Baton Rouge, LA 70821-0201. A copy of the certification form should be kept by the seller for compliance purposes.

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