Form R-1323 - Sales Tax Exemption Certificate For Purchases Of Food Items By Certain Nonpublic Schools Or Nonprofit Organizations

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R-1323 (7/07)
Sales Tax Exemption Certificate
for Purchases of Food Items by Certain
Nonpublic Schools or Nonprofit Organizations
Revised Statute 47:301(10)(dd)
Taxpayer Services Division
Louisiana Department of Revenue
P.O. Box 201
Baton Rouge, LA 70821-0201
(225) 219-7356 • (225) 231-6236 (Fax)
PLEASE PRINT OR TYPE.
Authorized Purchaser Name
Telephone Number
Nonpublic School or Nonprofit Organization Name
Address
City
State
ZIP
Revised Statute 47:301(10)(dd) provides a sales tax exclusion for purchases of food items for school lunch or breakfast
programs effective October 1, 2007.
The authorized person certifies their qualification for the exemption as one of the following:
●
A nonpublic elementary or secondary school that participates in the National School Lunch and School Breakfast
programs.
●
A nonprofit corporation that serves students in nonpublic elementary or secondary schools that participate in the
National School Lunch and School Breakfast programs.
The sales tax exemption certificate may only be used for the purchase of food items to be used for National School Lunch
and School Breakfast programs.
PLEASE PRINT OR TYPE.
Authorized person completing the application for the nonpublic school or nonprofit organization.
Name
Title
Signature
Date (mm/dd/yyyy)
X

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