Form R-1344 - Purchases Of Tangible Personal Property For Rent Or Lease, Other Than Motor Vehicles - Sales Tax Exemption Certificate

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R-1344 (9/16)
Purchases of Tangible Personal Property for Rent or Lease,
Other than Motor Vehicles
Sales Tax Exemption Certificate
Louisiana R.S. 47:301(10)(a)(iii)
PLEASE PRINT OR TYPE.
Purchaser Information
Business Name
Louisiana Sales Tax Account No.
Mailing Address
City
State
ZIP
Location Address
City
State
ZIP
This certifies that the tangible personal property purchased by the above named purchaser is to be offered for rent or lease in an arm’s
length transaction. This also certifies that the gross proceeds received from the rent or lease of the property will be subject to all applicable
rental tax that must be remitted. It is understood that any use of the property for purposes other than rent or lease in an arm’s length
transaction will subject the property to a sales/use tax liability on its cost of fair market value at the time of such use.
Property Purchased for Rent or Lease
Qualifying purchases are subject to state sales tax at rates as shown in the box below.
Applicable State Sales Tax Rates
From
To
Rate
4/1/2016
6/30/2016
4%
7/1/2016
6/30/2018
2%
7/1/2018
3/31/2019
0%
Notice to Dealer: Report this sale under exemption code 1030.
Seller Information
Seller’s Name
Address
City
State
ZIP
Under penalty of perjury, I declare that I have examined this exemption certificate and accompanying documents, and to the
best of my knowledge and belief, it is true, correct, and complete.
Signature of Authorized Agent
Name
Title
Signature
Date
(mm/dd/yyyy)
Questions about the completion of this form should be sent to
Sales.Inquiries@la.gov.

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