Form R-1344 - Exemption Certificate printable pdf download

LGST-61

State of Louisiana

R-1344 (6/99)

Department of Revenue

Exemption Certificate

covering purchases of tangible personal property for rent or lease, other than motor vehicles,

under Louisiana Revised Statute 47:301(10)

This certifies that the tangible personal property purchased from _______________________________________________________________

Seller/vendor

is to be offered for rent or lease in an arm’s length transaction. This also certifies that the gross proceeds received from the rent or lease of the property

will be subject to all applicable rental tax that must be remitted. It is understood that any use of the property for purposes other than rent or lease in

an arm’s length transaction will subject the property to a sales/use tax liability on its cost or fair market value at the time of such other use.

Type of property purchased for rent or lease _______________________________________________________________________________

_____________________________________________________

_________________________________________________________

Purchaser

Signature of authorized agent

_____________________________________________________

_________________________________________________________

Address

Title

_____________________________________________________

_________________________________________________________

City, State, ZIP

Date

_________________________________________

Louisiana sales tax account number

This certificate exempts only the Louisiana general sales tax. The vendor/dealer must collect and remit any applicable local sales tax.

State of Louisiana

LGST-61

R-1344 (6/99)

Department of Revenue

Exemption Certificate

covering purchases of tangible personal property for rent or lease, other than motor vehicles,

under Louisiana Revised Statute 47:301(10)

This certifies that the tangible personal property purchased from _______________________________________________________________

Seller/vendor

is to be offered for rent or lease in an arm’s length transaction. This also certifies that the gross proceeds received from the rent or lease of the property

will be subject to all applicable rental tax that must be remitted. It is understood that any use of the property for purposes other than rent or lease in

an arm’s length transaction will subject the property to a sales/use tax liability on its cost or fair market value at the time of such other use.

Type of property purchased for rent or lease _______________________________________________________________________________

_____________________________________________________

_________________________________________________________

Purchaser

Signature of authorized agent

_____________________________________________________

_________________________________________________________

Address

Title

_____________________________________________________

_________________________________________________________