Form R -1313 - Application For Sales Tax Exclusion For Purchases Of Toys By Nonprofit Organizations For Donation To Minors

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R -1313 (6/06)
Application for Sales Tax Exclusion for
Purchases of Toys by Nonprofit
Organizations for Donation to Minors
Taxpayer Services Division
P.O. Box 201
Baton Rouge, LA 70821-0201
(225) 219-7356
(225) 219-2065 (Fax)
Please Print or Type
1. Nonprofit Organization Name
2. Home Address
City
State
ZIP
3. Mailing Address
City
State
ZIP
4. Telephone Number
The above nonprofit organization hereby applies for the state and local sales tax exclusion allowed by Revised Statute
47:301(10)(aa) and (18)(m) to exempt the purchase of toys to be donated to minors. In applying for the sales tax exclusion,
the organization certifies the following:
1. The organization is a bona fide nonprofit organization exempt from federal taxation pursuant to Section 501(c)(3) of the
Internal Revenue Code;
2. The toys will be purchased only to be donated to minors; and
3. No promoter or contractor of the organization will earn a profit by the purchase of toys.
5. Name and title of officer entitled to make purchases on behalf of the organization.
Name
Title
6. Officer of the organization completing the application.
Print/Type Name
Title
Signature
Date
For Official Use
Approved
Disapproved
Signature of Department Representative
Date

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