Looking for a Louisiana Tax Forms And Templates? Download it for free!

R-1048 (4/99)

Louisiana Department of Revenue

PO Box 201 Baton Rouge LA 70821-0201

Application for Exemption from Collection of Louisiana Sales Taxes

at Certain Fund-Raising Activities

(Louisiana Revised Statute 47:305.14)

This form is for use by any nonprofit domestic, civic, educational, historical,

to be denied. Applications should be submitted as far in advance as possible,

charitable, fraternal, or religious organization when applying for exemption

but no later than two weeks prior to the event.

from the collection of state sales tax on parking fees, admissions to, or sales

Return the completed form to any of the Department’s regional offices listed

by the organization at fund-raising events. Approval of the application does not

on the back of this application or to the main office: Department of Revenue,

authorize the nonprofit organization to be exempted from taxes required by law

Sales Tax Division, 330 North Ardenwood Drive, PO Box 201, Baton Rouge,

to be paid on the organization’s purchases.

LA 70821-0201, Telephone (225) 925-7356.

Answers to the questions below should be as full and complete as possible.

Incomplete answers will cause the processing to be delayed or the exemption

1. Name of nonprofit organization _________________________________________________________________________________________________

2. Represented by _____________________________________________________________________________________________________________

3. Address ___________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

(

)

Daytime telephone number ____________________________________________________________________________________________________

4. Purpose of organization ______________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

5. Does this organization endorse candidates for political office? Yes

Explain “yes” answers. _____________________________________

Is the organization otherwise involved in political activities?

Yes

_______________________________________________________

6. Describe the event for which exemption is sought. __________________________________________________________________________________

_________________________________________________________________________________________________________________________

7. Location and dates of event ___________________________________________________________________________________________________

8. How will the proceeds, after the payment of direct necessary expenses, be used? If the proceeds are to be donated to a nonprofit organization, explain

how the organization will use the funds.

_________________________________________________________________________________________________________________________

9. Will the event potentially yield a profit to any promoter, individual, or business which has contracted to provide services or equipment for the event?

_________________________________________________________________________________________________________________________

10. Does any profit-seeking business enterprise, operating in the trade area where this event will be held, sell products or services that are identical or similar

to the products or services that will be sold by this organization during the fund-raising event? If yes, please give full details.

_________________________________________________________________________________________________________________________

I hereby certify that the above-named organization is a bona fide domestic,

religious, or historical restoration purpose stated above. The answers to the

civic, educational, historical, charitable, fraternal, or religious organization; that

above questions are correct and complete, to the best of my knowledge and

the organization is the actual sponsor of the event described; and that all the

belief. I also understand that any organization that fraudulently seeks exemption

proceeds from the event, after necessary direct expenses, will be used to

under R.S. 47:305.14 shall be subject to the civil and criminal penalties

further the organization’s own purpose or for the educational, charitable,

provided for in the statutes.