Form Ldr R-1318 - Application For Exemption From The Payment Of Advance State Sales Tax On Resale Inventory - "W" Number Form
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1R-1318 (1/08)
Application for Exemption
from the Payment of Advance State
Sales Tax on Resale Inventory -
“W” Number
PLEASE PRINT OR TYPE.
l
–
Check one:
New
Renewa
1
Louisiana sales tax account number
2
Owner name
3
Trade name
4
Mailing address
5
Location address
Description of business, including major product lines:
6
Part A – Qualifications for Wholesale Dealers
Gross sales of tangible personal property made from this account for the most current two-month period ended
7
______/______/______: $_____________________________. (Businesses must sell tangible personal property to qualify for exemption
from the payment of advance state sales tax.)
8 Based upon the types of property sold:
a
a
Sales of vehicles (must include copy of La. Permit)
b
b
Sales of all-terrain vehicles (must include copy of La. Permit)
c
c
Sales of marine products sales (must include copy of La. Permit)
d
d
Sales of lumber materials
e
e
Sales of farm implements
f
Sales of motorized earth moving and construction equipment
f
g
Total of Lines 8a through 8f
g
If Line 8g is 50% or less of Line 7, continue to Line 9. If Line 8g is greater than 50% of Line 7, please submit this form for approval.
9
Based upon the types of customers (Do not include sales listed on Lines 8a through 8f.) :
a
Sales to contractors (taxable)
a
b
Sales to industrial users (taxable)
b
c
Sales to retail dealers for resale (taxable and exempt sales)
c
d
Sales to registered wholesalers (exempt)
d
e
e
Sales to direct pay account holders (exempt)
f
f
Sales for first and exclusive use offshore (exempt)
g
g
Sales to government entities (exempt)
h
h
Sales delivered directly to customers outside of Louisiana (exempt)
i
i
Sales to other exempt entities (explain:
j
Total of Lines 9a through 9i
j
If Line 9j is 50% or less of Line 7, your business does not qualify for exemption from the payment of advance state sales tax. If Line 9j is greater than
50% of Line 7, please submit this form for approval.
Part B – Qualifications for Certain Retail Dealers:
La. R.S. 47:306(B)(10) allows a retailer dealer to be exempt from the payment of advance state sales tax provided the dealer:
a
has been registered with the Louisiana Department of Revenue for a sales tax account for one year;
b
has filed timely all sales tax returns for at least 12 consecutive months; and
has gross sales (as reported on line 1 of the business’ state sales tax returns) of at least $500,000 during the most recent 12
c
month period. Indicate 12-month period: ______/______/______
Each location must independently qualify for the exemption from advance state sales taxes. Please list the address, account
10
number, and gross sales of each qualifying location below (attach a separate sheet if necessary):
Gross Sales for a
Street Address
City and Zip Code
Sales Tax Account Number
12-month period
Under the penalties of perjury, I declare that I have examined this application and to the best of my knowledge and belief, it is true,
correct, and complete.
Signature of Applicant/Title
Date (mm/dd/yyyy)
Telephone
X
Please return the completed application and supporting documentation to: Louisiana Department of Revenue, Taxpayer Services
Division, Sales Tax Section, P. O. Box 3863, Baton Rouge, LA 70821. For assistance, please call (225) 219-7356.
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