Form R-1010 - Sales Tax Exemption Certificate

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R-1010 (10/09)

Materials, Supplies, Laundry Services or Repair

Services Purchased by Ships, Barges, or Vessels

Operating Exclusively in Foreign or Interstate

Coastwise Commerce

Sales Tax Exemption Certificate

(formerly LGST 51-B)

La. RS 47:305.1(B)

Louisiana R.S. 47:305.1(B) provides an exemption from sales tax on certain purchases and services used or consumed in the operation

and maintenance of qualifying ships, barges or vessels operating in foreign or interstate commerce.

PLEASE PRINT OR TYPE.

Ship/Barge/Vessel Name

Ship/Barge/Vessel Home Port

Date

(mm/dd/yyyy)

Owner/Operator of ship/barge/vessel

Address

City

State

ZIP

This certifies that the (check all that apply):

■

materials and supplies

■

laundry services

■

repair services performed upon the above referenced ship/barge/vessel

materials and supplies used in repairs that enter into and become component parts of above referenced ship/barge/vessel as

■

defined in RS 47:305.1(C)(3)

are for use or consumption solely in the operation or maintenance of the above referenced ship/barge/vessel in foreign or

interstate commerce.

This further certifies that the above referenced ship, barge or vessel is operating exclusively in foreign or interstate coastwise commerce

as defined under La. R.S. 47:305.1(C).

Any intrastate activity in Louisiana or in any other state during the current voyage will invalidate the ship/barge/vessel’s eligibility for this

exemption. Misuse of this certificate by either the seller or the purchaser will subject either party to all penalties provided by law.

The exemptions under La. R.S. 47:305.1 applies only to ships, barges or vessels used in interstate coastwise commerce. It does not apply

to supplies, fuel or lubricants, repair materials, laundry services, or repair services purchased for use in Louisiana territorial waters aboard

vessels used for such non-interstate commerce activities as mineral exploration, drilling, or production.

AUTHORIZATION

Under penalties of perjury, I declare that I have examined this exemption certificate and to the best of my knowledge and belief, it is true, correct and

complete.

Owner/Operator of ship/barge/vessel

Title

Signature

Date

(mm/dd/yyyy)

The seller must retain this exemption certificate for compliance purposes. A single completed certificate may be used to

document exemption for additional transactions which coincide with verifiable interstate coastwise activities.