Form R-1061-L - Application For Authority To Remit Lease/rental Sales Taxes Directly To The Louisiana Department Of Revenue

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State of Louisiana
R-1061-L (9/99)
Department of Revenue
Sales Tax Division
P. O. Box 201
Baton Rouge, LA 70821-0201
Application for Authority to Remit Lease/Rental Sales Taxes Directly
to the Louisiana Department of Revenue
(In accordance with Regulation LAC 61:I.4303.B.2.d)
Owner’s name ____________________________________________________________________________________
Trade name ______________________________________________________________________________________
Location address _________________________________________________________________________________
City, State, ZIP ___________________________________________________________________________________
Mailing address ___________________________________________________________________________________
City, State, ZIP ___________________________________________________________________________________
(
)
(
)
Telephone _______________________________________
Fax _________________________________________
Louisiana Sales Tax Registration Number
General description of business ______________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Description of activity that involves the use of leased/rented property in:
1.
the offshore area, beyond Louisiana borders, or
2.
wholly or partly outside the State of Louisiana, or
3.
in bona fide interstate commerce, whereby the leased/rented property will be used to transport persons or property
for hire between states during more than 10 percent of its operational time or mileage while in the lessee’s
possession.
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Signature of applicant
Title
Date
General Information
This application form is to be completed and submitted to the Department of Revenue, Sales Tax Division, at the address
shown above. If approved, the applicant will be provided with a validated exemption certificate, with name and account
number pre-entered. The exemption certificate may then be reproduced as necessary for claiming exemption when leasing/
renting property for use in the offshore area outside Louisiana boundaries, in other states or countries, or in bona fide
interstate commerce within and without Louisiana.

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