Form R-1048 - Annual Application For Exemption From Collection Of Louisiana Sales Taxes At Certain Fund-Raising Activities

Download a blank fillable Form R-1048 - Annual Application For Exemption From Collection Of Louisiana Sales Taxes At Certain Fund-Raising Activities in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form R-1048 - Annual Application For Exemption From Collection Of Louisiana Sales Taxes At Certain Fund-Raising Activities with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

R-1048 (1/17)

Page 1of 2

Louisiana Department of Revenue

Annual Application for Exemption from

P.O. Box 3278

Collection of Louisiana Sales Taxes at Certain

Baton Rouge, LA 70821-3278

Telephone: (855) 307-3893

Fund-Raising Activities

Fax Number: (225) 952-2406

Louisiana Revised Statute 47:305.14

Email:

non.profit@la.gov

This form is for use by any nonprofit domestic, civic, educational, historical, charitable, fraternal, or religious organization when applying for exemption

from the collection of state sales tax on parking fees, admissions to, or sales of tangible personal property by the organization at fund-raising events.

Approval of the application does not exempt the applicant from taxes required by law to be paid on the applicant’s purchases.

Answers to the questions below should be as full and complete as possible. Incomplete answers will cause the processing to be delayed or the exemption

to be denied. Applications should be submitted as far in advance as possible, but no later than thirty days prior to the event. If this is a supplemental

request adding or changing the fund-raising event(s), please include a copy of the original request.

Completed forms may be emailed to the Louisiana Department of Revenue at non.profit@la.gov. It may also be faxed to (225) 952-2406 or mailed to

the Louisiana Department of Revenue, P.O. Box 3278, Baton Rouge, LA 70821-3278. For questions concerning the completion of this form, please call

(855) 307-3893.

December 31, 2017

Exemption Expiration Date

Nonprofit Organization Name

Represented by

Daytime Telephone Number

Address

City

State

ZIP

Purpose of Organization

Yes

Does this organization endorse candidates for political office or is it otherwise involved in political activities?



How many fund-raising events does this application cover? _______ If more than one fund-raising event, please attach supplemental sheet provided to list information.

EVENT

Description of Event

Location of Event

City

State

ZIP

Dates of Event

How will the proceeds, after the payment of direct necessary expenses, be used? If the proceeds are to be donated to a nonprofit organization, explain

how the organization will use the funds.

Does this event have an agreement with a promoter, individual or business that allows the promoter/individual/business to share in the proceeds from the event?

Yes

If “Yes” explain:



Does any profit-seeking business enterprise, operating in the trade area where this event will be held, sell products or services that are identical or similar

to the products or services that will be sold by this organization during the fund-raising event(s)?

Yes

If “Yes” explain:



If approved, the nonprofit organization must inform vendors participating in the nonprofit event that state sales tax must be collected and remitted on all taxable

transactions that occur during the event.

I hereby certify that the above-named organization is a bona fide domestic, civic, educational, historical, charitable, fraternal, or religious organization; that the organization

is the actual sponsor of the event described; and that all the proceeds from the event, after necessary direct expenses, will be used to further the organization’s own purpose

or for the educational, charitable, religious, or historical restoration purpose stated above. The answers to the above questions are correct and complete, to the best of my

knowledge and belief. I also understand that any organization that fraudulently seeks exemption under R.S. 47:305.14 shall be subject to the civil and criminal penalties

provided for in the statutes.

Representative

Signature

(Please print)

Date

(mm/dd/yyyy)

OFFICE USE ONLY

Approved: ________________________ (date)

LDR Representative Signature ___________________________________________________________________

Disapproved: ______________________ (date)

Sales Tax Return Code: 5046

Sales Tax Rate: 0% (1/1/2017 - 12/31/2017)