State of Louisiana
R-9009-L (7/97)
Department of Revenue
Severance Tax Division
P.O. Box 201
Baton Rouge, LA 70821-0201
Summary of Open Market Timber Purchases
Name ___________________________________________________________________________________________
Address _________________________________________________________________________________________
City, State, ZIP ___________________________________________________________________________________
Account number __________________________________________________________________________________
Taxable period _________________________________________________
Month
Year
parish and product code, tons purchased, and total stumpage value,
Please summarize below, by
the timber/
pulpwood purchased on the open market only. Do not include inter- or intra-company transactions, or long-term con-
tracts (three years or longer). For any transactions where the stumpage value is not known, list the vendors on the reverse
side of this form. Purchasers must attach this schedule to the monthly timber report.
Product Codes:
01 - Pine Logs
05 - Chip-&-Saw
02 - Hardwoods & Cypress Logs
06 - OSB (Wafer Board) Pine
03 - Pulpwood Pine
07 - OSB (Wafer Board) Hardwood
04 - Pulpwood Hardwood
08 - Poles & Pilings
Parish
Parish
Product
Total
Total
where purchased
code
code
tons purchased
stumpage value
Under the penalties of perjury, I declare that I have examined this return, including all accompanying documents, and to the
best of my knowledge and belief, it is true, correct, and complete. If the report is prepared by a person other than the taxpayer,
his declaration is based on all information relating to the matters required to be reported.
This return is due on or before the last day of the month following the taxable period and becomes delinquent on the first
day thereafter. If the due date falls on a weekend or holiday, the return is due the next business day and becomes delinquent
the first day thereafter.
Telephone
Signature