Form R-10610 - Schedule Of Ad Valorem Tax Credit Claimed By Manufacturers, Distributors And Retailers For Ad Valorem Tax Paid On Inventory Or Natural Gas

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R -10610 (1/16)

Schedule of Ad Valorem Tax Credit Claimed by

Manufacturers, Distributors and Retailers for Ad

Valorem Tax Paid on Inventory or Natural Gas

Louisiana Revised Statute 47:6006

PLEASE PRINT OR TYPE.

Taxpayer Name

LDR Account ID

Filing Period

Parish

Assessment

Total

Inventory

Ratio

Total Assessed

Qualified Inventory

Check

Number

Assessment

Tax Paid

Tax Credit Claimed on

Number

Date

Amount

Name of Louisiana

Inventory

Current Year Return

Parish that issued the

Assessment/

Qualified Inventory

assessment

Total

held by manufacturers,

List actual tax paid or

suppliers or retailers

Assessment

apply ratio

Use only if

method to determine eligible

using ratio

tax credit

method to

determine

eligible

tax credit *

* See RIB 06-036 for instructions and additional information. Complete page 2 only if the Inventory Tax or Ad Valorem Natural Gas credit is $10,000 or more.