Form Lgst 9-D - Exemption Certificate (Foreign Purchasers) Under Louisiana General Sales Tax Law R.s. 47:305.10 - Department Of Revenue Of State Of Louisiana
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1R-1096 (8/00)
State of Louisiana
LGST 9-D
Department of Revenue
Exemption Certificate
(Foreign Purchasers)
under Louisiana General Sales Tax Law
R.S. 47:305.10
Date ___________________
Purchaser’s name __________________________________________________________________________________________________________
Address (principal office) ____________________________________________________________________________________________________
City
County
State
Address (state of use) ______________________________________________________________________________________________________
City
County
State
Sales Tax Number ________________________________________________________________ State of use _____________________________
If first use is offshore area, describe as follows:
Area
Block number
Lease number
Louisiana use tax number
If transportation is made by buyer’s own vehicle, describe as follows:
Make
Model
License number
State
This certifies that all tangible personal property purchased by the purchaser named above from:
Name and address of dealer making sale
is purchased for first use in the designated area above and is exempt from Louisiana sales tax under the provisions of Revised Statute 47:305.10.
(
)
Signature
Title
Telephone
Any purchaser and/or agent who fraudulently signs this certificate without intent to use the property purchased as stated above is subject to all the penalties
provided for by Title 47 of the Louisiana Revised Statutes of 1950.
R-1096 (8/00)
State of Louisiana
LGST 9-D
Department of Revenue
Exemption Certificate
(Foreign Purchasers)
under Louisiana General Sales Tax Law
R.S. 47:305.10
Date ___________________
Purchaser’s name __________________________________________________________________________________________________________
Address (principal office) ____________________________________________________________________________________________________
City
County
State
Address (state of use) _______________________________________________________________________________________________________
City
County
State
Sales Tax Number ________________________________________________________________ State of use _____________________________
If first use is offshore area, describe as follows:
Area
Block number
Lease number
Louisiana use tax number
If transportation is made by buyer’s own vehicle, describe as follows:
Make
Model
License number
State
This certifies that all tangible personal property purchased by the purchaser named above from:
Name and address of dealer making sale
is purchased for first use in the designated area above and is exempt from Louisiana sales tax under the provisions of Revised Statute 47:305.10.
(
)
Signature
Title
Telephone
Any purchaser and/or agent who fraudulently signs this certificate without intent to use the property purchased as stated above is subject to all the penalties
provided for by Title 47 of the Louisiana Revised Statutes of 1950.
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