Form R-1331 - Tax Payment Certification For Boat Registration - 1998
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1R-1331 (5/98)
State of Louisiana
Department of Wildlife and Fisheries • Department of Revenue
Tax Payment Certification for Boat Registration
Boat identification
New
Used
Manufacturer _____________________________
Model year
19 _____
HIN ____________________________________
Construction
Wood
Aluminum
Steel
Fiberglass or plastic
Other
Power
Inboard
Outboard
Other
Fuel
Gasoline
Diesel
Other
Individual from whom purchased
Dealer
Builder
Prior user
Name
____________________________________________________________________
Street address ____________________________________________________________________
City, state, ZIP ____________________________________________________________________
Dealer’s Louisiana sales tax registration number ......................... ______________________________
Total sales price ............................................................................ $ ______________________________
Less trade-in (Registration number ____________________) .... $ ______________________________
Amount subject to tax.................................................................... $ ______________________________
Louisiana sales tax paid ................................................................ $ ______________________________
Municipal, school board, and/or parish sales taxes paid ............... $ ______________________________
Purchaser:
Name
____________________________________________________________________
Street address ____________________________________________________________________
City, state, ZIP ____________________________________________________________________
_________________________________________________
_____________________________
Signature of purchaser
Date
_________________________________________________
_____________________________
Signature of parish tax collecting agent
Date
_________________________________________________
_____________________________
Signature of Louisiana tax officer
Date
_________________________________________________
_____________________________
Signature of Louisiana dealer
Date
Failure to complete this certificate as required will result in refusal of registration.
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