Form R-1331-L - Tax Payment Cerification For Boat Registration - Louisiana Department Of Revenue - 2002

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R-1331-L (8/02)

Tax Payment Cerification for Boat Registration

Louisiana Department of Revenue

Louisiana Department of Wildlife and Fisheries

£ New

£ Used

Boat identification:

Manufacturer ____________________________________

Model year _________

HIN _____________________________________________

£ Wood

£ Aluminum

£ Steel

£ Fiberglass or plastic

£ Other

Construction:

£ Inboard

£ Outboard

£ Other

Power:

£ Gasoline

£ Diesel

£ Other

Fuel:

£ Dealer

£ Builder

£ Prior user

Individual from whom purchased:

Name _________________________________________________________________________________________

Street address __________________________________________________________________________________

City ______________________________________________ State _____________ ZIP _______________________

Dealer’s Louisiana sales tax registration number .......................................................... ____________________________

Total sales price .............................................................................................................$ ____________________________

Less trade-in (Registration number ____________________) ......................................$ ____________________________

Amount subject to tax .....................................................................................................$ ____________________________

Louisiana sales tax paid .................................................................................................$ ____________________________

Municipal, school board, and/or parish sales taxes paid ...............................................$ ____________________________

Purchaser:

Name _________________________________________________________________________________________

Street address __________________________________________________________________________________

City ______________________________________________ State _____________ ZIP _______________________

_______________________________________________________________________

___________________

Signature of purchaser

Date

_______________________________________________________________________

___________________

Signature of parish tax collecting agent