Form R-8323 - Request For Sales Tax Refund On Motor Vehicles
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R-8323 (5/08)
Request for Sales Tax
Refund on Motor Vehicles
Office of Motor Vehicles
P.O. Box 64886
Baton Rouge, LA 70896-4886
Louisiana Revised Statute 47:315 allows for a sales tax refund when sales tax is paid on a motor vehicle purchase and the
purchase is later rescinded by the dealer/manufacturer and the motor vehicle is returned to the dealer by the purchaser.
PLEASE PRINT OR TYPE.
Vehicle Owner’s Name
Telephone Number
Driver’s License Number
Address
City
State
ZIP
Make of Vehicle
Year
Vehicle Identification Number
Vehicle Plate Number
Vehicle Purchase Date (mm/dd/yyyy)
Vehicle Purchase Price
State Sales Tax Paid
Vehicle Return Date (mm/dd/yyyy)
Purchase Price Refunded
Sales Tax To Be Refunded
Interest and Penalties to be refunded
(Only applies if the total sales rescinded with no usage allowance)
Total sales tax, interest, and penalties to be refunded
State of
Parish of
Assignment of Motor Vehicle Sales Tax Refund
__________________________________________________________, hereinafter known as “Assignor” residing at
Vehicle Purchaser Name
_____________________________________________________________________________________________
Address
City
State
Zip
does hereby transfer and assign to _______________________________________________, hereinafter known as
Assignee Name
the “Assignee” who resides at ______________________________________________________________________,
Address
City
State
Zip
all of the Assignor’s interest in and claim to any refund of Louisiana sales taxes, penalties, and interest paid on the
registration of the vehicle described above.
Print assignor name
Print assignee name
Signature of assignor
Signature of assignee
X
Thus Sworn to and Subscribed Before Me, Notary, in the presence of the undersigned two witnesses, who personally came
and appeared on this __________ day of ____________________, 20_______.
Signature of witness
Print witness name
Signature of witness
Print witness name
Signature of Notary
Print name of Notary
Notary Number
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