Form R-1022 - Application For Offshore Registration Number

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R-1022 (7/98)
State of Louisiana
Department of Revenue
Application for
Offshore Registration Number
Please mark appropriate box.
New application
Renewal
Please print or type.
1. Owner name ___________________________________________________________________________________
2. Trade name __________________________________________________________________________________
3. Mailing address of principal office _________________________________________________________________
____________________________________________________________________________________________
4. Location address of storage of tax-free property ______________________________________________________
____________________________________________________________________________________________
5. Louisiana Sales Tax Account Number ______________________________________________________________
6. Please provide a detailed description of all business activities. __________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
7. Please provide a description of business conducted in the offshore area. __________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
8. Is tangible personal property used or consumed in the offshore area beyond the territorial limits of Louisiana or
any state on a regular basis during the normal course of business?
Yes
No
9. If yes, list the types of property normally used or consumed beyond the offshore boundary. ____________________
____________________________________________________________________________________________
____________________________________________________________________________________________
10. Are accounting records maintained that will accurately record and identify the actual location of ultimate use of all
property that is to be purchased tax free under the provisions of Louisiana Revised Statute 47:305.10C(2)?
Yes
No
11. Briefly describe the accounting system used to control inventories. _______________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
12. Where are these records kept? ___________________________________________________________________
____________________________________________________________________________________________
Signature of applicant
Type or print applicant’s name
Title
(
)
Telephone
Mail to:
State of Louisiana
Department of Revenue
Sales Tax Division
P. O. Box 201
Baton Rouge, LA 70821-0201

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