Form R -1303 - Application For Sales Tax Exemption Certificate For Nonprofit Organizations That Provide Funding And Training To Blind Persons-Revised Statute 47:305.15(B)

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R -1303 (3/07)
Application For Sales Tax Exemption
Certificate For Nonprofit Organizations That
Provide Funding and Training To Blind
Persons-Revised Statute 47:305.15(B)
Taxpayer Services Division
P.O. Box 201
Baton Rouge, LA 70821-0201
(225) 219-7356
(225) 231-6236 (Fax)
PLEASE PRINT OR TYPE.
Nonprofit Organization Name
Telephone Number
Home Address
City
State
ZIP
Mailing Address
City
State
ZIP
The above organization hereby applies for the state and local sales tax exemption allowed by Revised Statute 47:305.15
(B) for purchases made by certain nonprofit organizations.
The sales tax exemption does not apply to sales made by the organization.
In applying for the sales tax exemption, the organization certifies the following:
• The nonprofit organization uses public funds for at least 75 percent of its operational funding; and
• The nonprofit organization primarily operates to provide funding for and training to blind persons.
Please Print or Type
Officer completing the application for the organization.
Name
Title
Signature
Date (mm/dd/yyyy)
X X
FOR OFFICIAL USE
Signature of Department Representative
Date (mm/dd/yyyy)
Approved
Disapproved

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