Form R-1059 - Sales Tax Exemption Certificate For Boys State Of Louisiana, Inc. And Girls State Of Louisiana, Inc.

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R -1059 (3/07)
Sales Tax Exemption Certificate for Boys State of
Louisiana, Inc. and Girls State of Louisiana, Inc.
Revised Statutes 47:301(7)(g), (10)(r), and (18)(f)
Taxpayer Services Division
P.O. Box 201
Baton Rouge, LA 70821-0201
(225) 219-7356
(225) 231-6236 (Fax)
Please Print or Type
Organization Name
Local Address
City
State
ZIP
Mailing Address
City
State
ZIP
Telephone
•
Revised Statutes 47:301(7)(g), (10)(r), and (18)(f) provides sales tax exclusions for Boys State of Louisiana, Inc.
and Girls State of Louisiana, Inc.
•
The sales tax exclusion is for leases or rentals and purchases for the organization's educational and public
service programs for youth.
Please Print or Type
Authorized representative of the organization.
Name
Title
Signature
Date (mm/dd/yyyy)
X X

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