Form R-1009 - Certificate Of Exemption For Shipbuilders Of Vessels Over 50 Tons

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State of Louisiana
R-1009 (4/98)
Department of Revenue
Certificate of Exemption for Shipbuilders of Vessels Over 50 Tons
Under Louisiana Revised Statute 47:305.1
State of Louisiana
Parish of ____________________________________________________ Date __________________________________
Year
This certifies that all materials, equipment, and machinery purchased by the undersigned from________________________
__________________________________________________________________________________________________
whose address is ____________________________________________________________________________________
City
State
ZIP
will enter into and become a component part of ships, vessels, including commercial fishing vessels, drilling ships, or drilling
barges, of over 50 ton load displacement under construction, or will be added as an additional (not a replacement) compo-
nent of an existing such vessel.
Name of purchaser
__________________________________________________________________________________
Signature of purchaser or authorized agent ________________________________________________________________
This certificate may not be used on purchases of repair or maintenance parts for 50 ton vessels, nor may it be used to pur-
chase repair service work.

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