Form R-1018 Sales Tax Exemption Certificate
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1R-1018 (7/02)
State of Louisiana
LGST-200-2
Department of Revenue
Sales Tax Exemption Certificate
for use by dealers in mobile homes in making tax-free
purchases of mobile homes, parts and accessories
for mobile homes, and for the resale of mobile homes
Purchaser
Address
City, state, Zip
This certifies that this business is a dealer in mobile homes and has been issued Permit Number________________ by
the State Fire Marshal’s Office of the Louisiana Department of Public Safety.
All purchases from
Supplier Name
Address
City, state, Zip
will be mobile homes, or will be of tangible personal property that will become component and integral parts of mobile
homes held by the business for resale, or will be an accessory that will be taxed as part of the mobile home at the time of
registration and titling in Louisiana. The individual mobile home on which the property will be installed, or to which the serv-
ice will be rendered, will be identified to the seller at the time of purchase, as required by the Department of Revenue and
Taxation. I am claiming exemption from the payment of state sales and use taxes on my purchases from you under Revised
Statute 47:301 et seq . of the sales tax law. I agree that if my purchases from you are later held subject to the sales or use
tax, I assume full liability therefor. This certificate will remain in effect until the scheduled expiration date of my current deal-
er permit on December 31, 20_________, unless the permit expires, is revoked, or the business closes operation sooner.
Authorized signature
Date
General Information
1. This exemption form should be retained by the seller. The form expires December 31 of the calendar year in which it
is issued.
2.
Mobile homes on which parts and services are to be used must be identified to the seller by complete description of
make, year, model, and vehicle identification number, or by reference to the purchaser-dealer’s stock number. The
mobile home identification information must be recorded in the seller’s records.
3. The dealer in mobile homes must maintain complete records to show the individual mobile homes on which the parts
were used, or to which services were rendered.
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