Form R-1324 - Sales Tax Exemption Certificate - Louisiana Habitat For Humanity Affiliates

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R-1324 (7/07)
Sales Tax Exemption Certificate
for Sales of Construction Materials to
Louisiana Habitat for Humanity Affiliates
Revised Statute 47:305.59
Taxpayer Services Division
Louisiana Department of Revenue
P.O. Box 201
Baton Rouge, LA 70821-0201
(225) 219-7356 • (225) 231-6236 (Fax)
PLEASE PRINT OR TYPE.
Authorized Purchaser Name
Telephone Number
Habitat for Humanity Affiliate Name
Address
City
State
ZIP
Revised Statute 47:305.59 provides a sales tax exemption for sales of construction materials to Habitat for Humanity
affi liates located in Louisiana, effective October 1, 2007.
The authorized person for the Habitat for Humanity affi liate certifi es the following:
❏
The Habitat for Humanity affi liate is located in the state.
❏
The construction materials will be used in constructing new residential dwellings in the state.
PLEASE PRINT OR TYPE.
Authorized person completing the application for the Habitat for Humanity Affiliate.
Name
Title
Signature
Date (mm/dd/yyyy)
X

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