Form R-1334 - Commercial Fishermen Louisiana Sales Tax Exemption Application

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R-1334 (10/09)

Commercial Fishermen

Louisiana Sales Tax Exemption Application

Louisiana R.S. 47:305.20

Louisiana Department of Revenue

Special Programs Division

P.O. Box 66362

Baton Rouge, LA 70896 - 6362

Telephone: (225) 219-7356 • (TDD): (225) 219-2114

NOTE: A separate application must be submitted for each vessel for which exemption is requested.

This application must be accompanied by copies of a current vessel license, proof of vessel ownership, commercial fishing license, and

a complete copy of the most current federal income tax return. Proof of vessel ownership may be a copy of the boat registration, or a

copy of the U.S. Coast Guard documentation. The vessel license, owner of vessel, fishing license, and federal income tax return must

be in the same individual or corporation name.

PLEASE PriNT Or TyPE.

Vessel registration/document number

Issued by:

Social Security Number

(Federal ID Number if a corporation)

 W & F

 U.S.C.G.

Name

Name of vessel

Mailing Address

Louisiana vessel license number

Year

City

State

ZIP

Telephone

I, a commercial fisherman, do hereby apply for a certificate of exemption from Louisiana state sales and use taxes under Louisiana

Revised Statute 47:305.20 and make the following statements:

Louisiana resident since (yyyy)

Most recent income tax year

Total income

(include wages, salaries tips & net income from sale-employment). For corporations, use total net income. ..............

Commercial fishing income ...........................................................................................................................................

I certify that my catch is for human consumption. I further certify that the vessel listed above is used primarily and principally for

commercial fishing. I understand that exemption from state sales taxes is valid only as long as I am a commercial fisherman and meet

all of the requirements for the exemption.

I understand that if I knowingly use this certificate for a purpose other than that authorized by R.S. 47:305.20, I may be subject to a fine

of not less than $100 per offense, nor more than $1,000 per offense, and imprisonment without hard labor for not less than one day, nor

more than three months.

I understand that the exemption certificate issued by the Louisiana Department of Revenue may not be transferred to any other owner

or person.

________________________________________________

Signature

Date

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