Sales and Use Tax Registration Application Form

To send an application form to one or more parishes, check the box next to the name of the parish. If you choose to submit the application form by email, all of the parishes that you marked will receive the application form by email. To submit this form by email, simply click the “Submit” button at the bottom of the form after all fields have been completed.

To retain a copy of this application form for your records, or to mail the application form, simply click the “Print” button at the bottom of the form after all fields have been completed.

NOTE: A separate application is required for each location.

Failure to complete ALL applicable lines will delay the processing of this application, the assigning of your tax number, and the issuance of the applicable certificate. Instructions can be found at the end of the form. Please do not send an application form to parishes that have already opened an account and/or assigned an account number to your business location.

To send an application form to one or more parishes, check the box next to the name of the parish:

















 

Check all that apply:  

1. Reason for Applying (?)





2. State and Federal Information (?)
A. State Tax ID:  
B. Federal Identification Number  
C. Federal Standard Industrial Code:  
Lookup NAICS or if unknown, please leave blank.
D. How many other locations in this Parish?
 


3. Legal Name and Trade Name (?)
A. Legal name(s): Individual, partners, or corporation:  
B. Trade name of business:


4. Business Location Information (?)
A. Business location address (street, not PO Box):  
B. City and State:  
C. Zip:    
D. Phone Number:    


5. Mailing Address Information (?)

A. Address for receiving tax forms and correspondence:
B. City and State:
C. Zip:  


6. Contact Information (?)
A. Contact Person:  
B. Contact Phone Number:    
C. Fax Number:  
D. Email Address:    
E. Web Address:
F. Location of accounting records:  


7. Type of Organization (?)





8. If sole owner (individual): (?)
A. Name:
B. SSN:  
C. Home address:
D. Phone number:  


9. If Corporation, LLC, LLP, or Partnership: name, title, social security #,
home address, and telephone # of officers, members, managers, or partners (?)
Name: Title: SSN:  
Address:
City: State: Zip:  
Phone Number:  


Name: Title: SSN:  
Address:
City: State: Zip:  
Phone Number:  


10. Agent for service of process: name, physical address, and phone number (?)  


11. Dates (?)
A. First date sales will be made from this location: (01/01/2010)    
B. Date business first started operations: (01/01/2010)    


12. Nature of Business (?)

Describe in detail your business: Type of sales, activity, or service you perform:
 


13. Requested reporting frequency and filing status (?)

This is only a request. Reporting frequency and filing status will be determined by the Administrator according to parish policy. Businesses with a location within a parish will automatically be registered to file on a monthly basis. Occasional/irregular filers are intended for those businesses (1) that do not have a location within the parish and do not intend on doing business within the parish on a regular basis; and/or (2) business that perform services that are not taxable.



14. Anticipated Taxable Transactions (?)  


 



Applicant Signature: Title:  
Preparer Signature: Date: (01/01/2010)    
   


 


To submit the form electronically, click the Submit button first.
You will be able to print a copy for your records after you have submitted.


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Top of Form

Sales and Use Tax Registration Application Instructions

Section 1. Reason for Applying. - back to section

  • A. Self-explanatory.
  • B. If buying an existing business, have you received verification from the taxing authority that all tax liabilities have been paid? (LA R.S. 47:308 – see below)
  • C. Self-explanatory.
  • D. List all the business names that created the merger.
  • E. Self-explanatory.
  • F. Indicate if this is a change in business structure or if acquired by gift, trust, etc.

Section 2. State and Federal Information - back to section

  • A. Self-explanatory. (If you have none, mark the box.)
  • B. Self-explanatory. (If you have none, mark the box.)
  • C. Self-explanatory.
  • D. List the number of business locations in the Parish. Each location requires a separate application and account number. If the location is located outside the parish or outside the state, indicate that there are 0 locations in the parish.

Section 3. Legal Name and Trade Name - back to section

  • A. Legal Name - The person(s) or corporation under whose name this business is to be registered. If corporate, give true corporate name.
  • B. Trade Name - The name under which this business will operate – the dba name. If you have no trade name, leave this line blank.

Section 4. Business Location Information - back to section

  • A.B.C. Location Address - This address is the street address or other meaningful address, the city, town, or village, and the zip code, in which your business is geographically located, irrespective of where you receive your mail.
  • D. Telephone number at the business location.
  • E. If business is located in LA, list the parish where it is located.

Section 5. Mailing Address Information - back to section

  • A.B.C. Mailing Address - ALL tax returns, permits, and other related communications will be mailed to this address.

Section 6. Contact Information - back to section

  • A. The name of the person responsible for the sales tax return.
  • B. The telephone number of the person responsible for the sales tax return.
  • C. The fax number at the mailing address.
  • D. The e-mail address of the person responsible for the sales tax return.
  • E. The web address of the company.
  • F. Where the accounting records are kept.

Section 7. Type of Organization - back to section

  • A. Self-explanatory.
  • B. Self-explanatory.
  • C. Self-explanatory.
  • D. Self-explanatory.
  • E. Self-explanatory.
  • F. Indicate on line provided if parish, school district, or related entity such as hospital or library.
  • G. Non-profit generally must conform to Federal IRS regulations for determining a nonprofit organization. Indicate on line provided if organized for religious, scientific, humane, fraternal, or other purpose.
  • H. If not A through G, check this box & explain.

Section 8. Sole Owner (Individual) Information - back to section

  • A. Self-explanatory.

Section 9. Corporation, LLC, LLP, or Partnership Information - back to section

  • A. Self-explanatory.

Section 10. Agent for Service of Process - back to section

  • A. The person responsible for accepting notices on behalf of the legal entity that applies to due process requirements.

Section 11. Dates - back to section

  • A. Indicate date that first sales will be made from this location (as entered in Section 4).
  • B. Indicate date the business started.

Section 12. Nature of Business - back to section

  • A. Check one box.
  • B. Describe the kind of business to be carried on at this location.

Section 13. Requested Reporting Status - back to section

  • A. Check the filing frequency you are requesting. Please remember, all new sales and use tax accounts are registered to file on a monthly basis unless otherwise determined and assigned on a parish basis.

Section 14. Anticipated Taxable Transactions - back to section

  • A. Self-explanatory.

§308. Termination or transfer of business Current through all 2001Regular and Second Extraordinary Session Acts

  • A. If any dealer liable for any tax, interest, or penalty levied hereunder sells his business or stock of goods or quits the business; he shall make a final return and payment within fifteen days after the date of selling or quitting the business. His successor, successors, or assigns, if any, shall withhold sufficient of the purchase money to cover the amount of such taxes, interest, and penalties due and unpaid until such time as the former owner shall produce a receipt from the secretary showing that they have been paid, or a certificate stating that no taxes, interest, or penalties are due. If the purchaser of a business or stock of goods fails to withhold purchase money as above provided, he shall be personally liable for the payment of the taxes, interest, and penalties accrued and unpaid on account of the operation of the business by any former owner, owners, or assigns.
  • B. In the case of a dealer who has quit a business, and who subsequently opens another similar business under the same ownership, whether that ownership is individual, partnership, corporation, or other, that dealer shall be liable for any tax. interest, or penalty owned by the original business.