Form Dce-Ap - Application For Sales Tax Exemption / Credits On Purchases Of Digital Television Or Digital Radio Conversion Equipment Pursuant To Act 61 Of The 2002 Regular Legislative Session And Act 243 Of The 2005 Regular Legislative Session

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R-1034 (10/05)
FORM DCE-AP
P.O. Box 91009
Baton Rouge, LA 70821-3138
(225) 219-2200
An Equal Opportunity Employer
APPLICATION FOR SALES TAX EXEMPTION / CREDITS ON PURCHASES OF DIGITAL TELEVISION
OR DIGITAL RADIO CONVERSION EQUIPMENT PURSUANT TO ACT 61 OF THE 2002 REGULAR
LEGISLATIVE SESSION AND ACT 243 OF THE 2005 REGULAR LEGISLATIVE SESSION
Name of Licensee
Address
City, State & Zip
Station Call Sign
La. Sales Tax Account Number
TELEVISION STATIONS - Check one or both:
❒
❒
Credit for purchases made 1-1-99 to 6-25-02
Exemption for purchases on or after 6-25-02
RADIO STATIONS - Check one or both:
❒
❒
Credit for purchases made 1-1-99 to 6-29-05
Exemption for purchases on or after 6-29-05
This form is for use by qualified FCC License holders who plan to or already have purchased any of the qualified items
of digital television or digital radio conversion equipment, as provided by for Act 61 of the 2002 Regular Session and Act
243 of the 2005 Regular Session of the Louisiana Legislature. The applicant must attach a copy of the FCC License and
a schedule of purchases showing each item for which credit is sought.
Signature of Officer
Date
Title

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