R-1331 (8/15)
Boat registration Tax
Louisiana Department of Revenue
payment Certification
Louisiana Department of Wildlife and Fisheries
pleaSe prInT or Type.
Failure to complete this certificate as required will result in refusal of registration.
Buyer
Last Name
First Name
MI
Company Name
SSN
(if applicable)
Mailing Address
Daytime Telephone
City
State
ZIP
Buyer’s Signature
Date
(mm/dd/yyyy)
X
Boat Identification
Net Sales Price
Hull ID Number
State or U.S. Coast Guard Registration Number
(if available)
(if available)
■
■
New
Used
Boat Make
Boat Model
Boat Year
Boat Serial Number
■
■
■
■
■
■
Construction:
Wood
Aluminum
Steel
Fiberglass
Plastic
Other ___________________________
Motor Make
Motor Model/Horsepower
Motor Year
Motor Serial Number
■
■
■
■
■
■
Power:
Inboard
Outboard
Other_____________________
Fuel:
Gasoline
Diesel
Other___________
Required Attachments:
Bill of Sale or Invoice
■
Copy of prior owner’s registration (if purchased from an individual)
■
Payment for any state sales taxes due
■
Seller
£
Dealer
£
Builder
£
Individual
Name
Seller’s Louisiana Sales Tax Registration Number (if Applicable)
Street Address
City
State
ZIP
Signature of Seller
Date
(mm/dd/yyyy)
To Be CompleTed By louISIana deparTmenT oF revenue and parISh TaXIng auThorITy
Total
If no invoice or bill of sale is available:
Sales
Boat Fmv ________________ + motor Fmv ________________ =
$
price
leSS: Trade-in (Registration number __________________________________________ )
(
)
Taxable amount
$
louisiana sales tax due (Taxable amount X .04)
$
leSS: Tax credit from another state (State ____________________________________ )
(
)
louisiana sales tax paid
$
municipal, school board, and/or parish sales taxes paid
$
Signature of Louisiana tax officer
Date
Signature of parish tax collecting agent
Date
(mm/dd/yyyy)
(mm/dd/yyyy)