Liquor License Renewal Notice/inventory/property Tax Certification Form (Page 2 of 2) in pdf

Liquor License Renewal Notice/inventory/property Tax Certification Form Page 2

CALCASIEU PARISH SHERIFF'S OFFICE

TONY MANCUSO, S H E R I F F

Tax Collector Division

P. 0. Box 1787

1011 Lakeshore Dr. Ste. 100

Lake

Charles,

Louisiana 70602

Phone:

(337) 491-3680

Fax: (337) 721-1517 or (337) 433-3820

INVENTORY/PROPERTY TAX CERTIFICATION FORM

The signing and dating of this form below certifies that the individual or business as

described herein

owes no back inventory/property taxes

to the Calcasieu Parish Sheriffs

Office.

Please

print the following requested information:

Owner's name:

Owner's

Address:

Telephone No.:

•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••

Business Name:

Business Mailing

Address:

Business

Phone No.:

Business Physical

Address: - -

- - - - - - -

- - -

Applicant's

Signature:

- - - - - - -

- - -

- -

On the

day of

20_

Deputy

checked

CPSO records and found no

information

that indicated the above person or business is delinquent

in the

payment

of either inventory or property taxes.

It is important

remember, that the

was done based on the information provided.

the information

above is

incorrect

or insufficient,

taxes

may

still

be owed.

Deputy-----

- - -

Liquor License Renewal Notice/inventory/property Tax Certification Form Page 2

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