Form Lgst-30 - Exemption Certificate For Purchases Of Materials, Supplies, Equipment, Fuel, Bait, And Related Items (Other Than Vessels) Used In The Production Or Harvesting Of Crawfish Or Catfish, Pursuant To Revised Statute 47:305(A) - Louisiana Departm

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R-1319 (9/97)
State of Louisiana
LGST-30
Department of Revenue
Exemption Certificate
for purchases of materials, supplies, equipment, fuel, bait, and related items (other than
vessels) used in the production or harvesting of crawfish or catfish, pursuant to Revised Statute 47:305(A)
Purchaser name ___________________________________________________________________________________________________________
Address _________________________________________________________________________________________________________________
City, State, ZIP ____________________________________________________________________________________________________________
The undersigned hereby certifies that the following items that are purchased from:
________________________________________________________________________________________________________________________
Vendor
________________________________________________________________________________________________________________________
Address
City, State, ZIP
are to be used exclusively in the production or harvesting of crawfish and/or catfish, in either private or public waters. It is further agreed and understood that
if articles purchased tax-free through the use of this certificate are used for purposes other than that stated herein, the purchaser will be subject to the tax,
interest, and penalties provided by law. These purchases are taxable at the rate of 3% for the period of July 1, 1997 through June 30, 1998.
Check all that apply.
Description
Materials
___________________________________________________________________________________________________________
Supplies
___________________________________________________________________________________________________________
Equipment
___________________________________________________________________________________________________________
Fuel
___________________________________________________________________________________________________________
Bait
___________________________________________________________________________________________________________
Related items
(other than vessels) _____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Signature of purchaser
Date

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