Form R-1355 Purchases for Resale by a Blind Person in the Conduct of a Business - Louisiana

Form R-1355 is a Louisiana Department of Revenue form also known as the "Purchases For Resale By A Blind Person In The Conduct Of A Business". The latest edition of the form was released in August 1, 2017 and is available for digital filing.

Download a fillable PDF version of the Form R-1355 down below or find it on Louisiana Department of Revenue Forms website.

ADVERTISEMENT
R-1355 (8/17)
Purchases for Resale by a Blind Person in
Louisiana Department of Revenue
Revenue Processing Center
the Conduct of a Business
P. O. Box 4998
Exemption Certificate
Baton Rouge, LA 70821-4998
Phone: (855) 307-3893
Louisiana R.S.47:305.15(A)
PLEASE PRINT OR TYPE
Qualifying Blind Person
Address
City
State
ZIP
This certifies that the purchaser is a blind person who is making purchases for resale in the conduct of a business that is
exempt from license taxes by R.S. 23:3032 through 23:3033.
The blind person certifies the following:
• The purchases are made in the conduct of a business which is exempt from license taxes by R.S. 23:3032 through 3033;
• The items purchased are for resale and sales tax will not be charged to customers upon resale of the merchandise;
• The business is conducted by the blind person exclusively for his own support or for the support of his family;
• The value of the business’s stock of goods on hand, or equipment or capital stock never exceeds $2,000;
The purchaser acknowledges the privileges granted by this exemption shall not extend to dealing in the sale, trade, or traffic
of deadly weapons, to the operation of Jenny Linds, pool tables, or other like contrivances for amusement; or to the opera-
tion of any business, or the sale, trade, or traffic of any article presently prohibited, or which may be hereafter prohibited
by law. The undersigned purchaser further agrees that should the sale later be held subject to the sales tax, the purchaser
assumes full liability for payment of the tax, penalty, and interest.
Qualifying purchases are subject to state sales tax at rates as shown in the box below.
Applicable State Sales Tax Rates
From
To
Rate
4/1/2016
6/30/2016
5%
7/1/2016
3/31/2019
0%
Notice to Dealer: Report this sale under exemption code 5052.
Under penalty of perjury, I declare that I have examined this exemption certificate and to the best of my knowledge and belief,
it is true, correct, and complete.
Qualifying blind person or authorized representative completing this exemption certificate.
Name
Title
Signature
Date
(mm/dd/yyyy)
Any purchaser who fraudulently signs this certificate without intent to use the property as above stated shall be subject to all
penalties provided by Title 47 of the Louisiana Revised Statutes.
Questions about the completion of this form should be sent to Sales.Inquiries@la.gov.
R-1355 (8/17)
Purchases for Resale by a Blind Person in
Louisiana Department of Revenue
Revenue Processing Center
the Conduct of a Business
P. O. Box 4998
Exemption Certificate
Baton Rouge, LA 70821-4998
Phone: (855) 307-3893
Louisiana R.S.47:305.15(A)
PLEASE PRINT OR TYPE
Qualifying Blind Person
Address
City
State
ZIP
This certifies that the purchaser is a blind person who is making purchases for resale in the conduct of a business that is
exempt from license taxes by R.S. 23:3032 through 23:3033.
The blind person certifies the following:
• The purchases are made in the conduct of a business which is exempt from license taxes by R.S. 23:3032 through 3033;
• The items purchased are for resale and sales tax will not be charged to customers upon resale of the merchandise;
• The business is conducted by the blind person exclusively for his own support or for the support of his family;
• The value of the business’s stock of goods on hand, or equipment or capital stock never exceeds $2,000;
The purchaser acknowledges the privileges granted by this exemption shall not extend to dealing in the sale, trade, or traffic
of deadly weapons, to the operation of Jenny Linds, pool tables, or other like contrivances for amusement; or to the opera-
tion of any business, or the sale, trade, or traffic of any article presently prohibited, or which may be hereafter prohibited
by law. The undersigned purchaser further agrees that should the sale later be held subject to the sales tax, the purchaser
assumes full liability for payment of the tax, penalty, and interest.
Qualifying purchases are subject to state sales tax at rates as shown in the box below.
Applicable State Sales Tax Rates
From
To
Rate
4/1/2016
6/30/2016
5%
7/1/2016
3/31/2019
0%
Notice to Dealer: Report this sale under exemption code 5052.
Under penalty of perjury, I declare that I have examined this exemption certificate and to the best of my knowledge and belief,
it is true, correct, and complete.
Qualifying blind person or authorized representative completing this exemption certificate.
Name
Title
Signature
Date
(mm/dd/yyyy)
Any purchaser who fraudulently signs this certificate without intent to use the property as above stated shall be subject to all
penalties provided by Title 47 of the Louisiana Revised Statutes.
Questions about the completion of this form should be sent to Sales.Inquiries@la.gov.

Download Form R-1355 Purchases for Resale by a Blind Person in the Conduct of a Business - Louisiana

719 times
Rate
4.4(4.4 / 5) 36 votes
ADVERTISEMENT

Related forms