Form R-8324 "Certification for Free or Reduced Copy Fee" - Louisiana

What Is Form R-8324?

This is a legal form that was released by the Louisiana Department of Revenue - a government authority operating within Louisiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2009;
  • The latest edition provided by the Louisiana Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form R-8324 by clicking the link below or browse more documents and templates provided by the Louisiana Department of Revenue.

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Download Form R-8324 "Certification for Free or Reduced Copy Fee" - Louisiana

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R-8324 (7/09)
Certification for Free or Reduced Copy Fee
IMPORTANT: Free and reduced copy fees are given only under the following conditions: to citizens of the State of Louisiana who are
indigent and lack the means to pay the regular fee, use of the copies requested will be limited to a public purpose (including but not limited
to use in a hearing before any government regulatory commission), the information request is not to be used for personal or proprietary
use. IF THE ABOVE CIRCUMSTANCES APPLY TO YOUR REQUEST, PLEASE COMPLETE THE FORM BELOW.
PRINT and COMPLETE ALL information and submit with Public Records Request. Sign, date, and submit to:
Custodian of Records
Louisiana Department of Revenue
617 North 3rd Street
P.O. Box 44098
Baton Rouge, LA 70804-4098
FAX: (225) 219-2759
I, _________________________________________________, of _____________________________________________________,
Name
Organization/Company
__________________________________________________, _____________________________ _________ ________________,
Address
City
State
ZIP
_____________________________, _____________________________, _______________________________________________,
Telephone Number
FAX Number
E-Mail Address
do hereby certify ONE of the following:
Certification for Reduced Copy Fee
(Check one.)
I am a citizen of the State of Louisiana who is indigent and lacks the means to pay the regular copy fee.
The use of copies requested will be limited to a public purpose (including but not limited to use in a hearing before any
government regulatory commission). I further certify that the information is not to be used for personal or proprietary use. I
understand that if, in the future, the Louisiana Department of Revenue determines my use of these documents to be different
than represented here, the Department reserves the right to recover cost for copying at the normal rate. (Local, city, or parish
government entities may qualify for reduced fees under these criteria.)
The copies requested are solely for use by the federal agency named above.
Certification for Free Copies
The copies requested are solely for use by the Louisiana State Government Agency named above. (Does not include local,
city, or parish government entities.)
Signature of Requestor
Date
(mm/dd/yyyy)
X
If you have any questions, please contact us at (225) 219-2780.
FOR OFFICE USE ONLY
Approved
By: ________________________________________________________________ Date: _________________________________
R-8324 (7/09)
Certification for Free or Reduced Copy Fee
IMPORTANT: Free and reduced copy fees are given only under the following conditions: to citizens of the State of Louisiana who are
indigent and lack the means to pay the regular fee, use of the copies requested will be limited to a public purpose (including but not limited
to use in a hearing before any government regulatory commission), the information request is not to be used for personal or proprietary
use. IF THE ABOVE CIRCUMSTANCES APPLY TO YOUR REQUEST, PLEASE COMPLETE THE FORM BELOW.
PRINT and COMPLETE ALL information and submit with Public Records Request. Sign, date, and submit to:
Custodian of Records
Louisiana Department of Revenue
617 North 3rd Street
P.O. Box 44098
Baton Rouge, LA 70804-4098
FAX: (225) 219-2759
I, _________________________________________________, of _____________________________________________________,
Name
Organization/Company
__________________________________________________, _____________________________ _________ ________________,
Address
City
State
ZIP
_____________________________, _____________________________, _______________________________________________,
Telephone Number
FAX Number
E-Mail Address
do hereby certify ONE of the following:
Certification for Reduced Copy Fee
(Check one.)
I am a citizen of the State of Louisiana who is indigent and lacks the means to pay the regular copy fee.
The use of copies requested will be limited to a public purpose (including but not limited to use in a hearing before any
government regulatory commission). I further certify that the information is not to be used for personal or proprietary use. I
understand that if, in the future, the Louisiana Department of Revenue determines my use of these documents to be different
than represented here, the Department reserves the right to recover cost for copying at the normal rate. (Local, city, or parish
government entities may qualify for reduced fees under these criteria.)
The copies requested are solely for use by the federal agency named above.
Certification for Free Copies
The copies requested are solely for use by the Louisiana State Government Agency named above. (Does not include local,
city, or parish government entities.)
Signature of Requestor
Date
(mm/dd/yyyy)
X
If you have any questions, please contact us at (225) 219-2780.
FOR OFFICE USE ONLY
Approved
By: ________________________________________________________________ Date: _________________________________