Form R-1357 - Sales Tax Exemption For State And Federal Credit Unions

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R-1357 (11/06)
Sales Tax Exemption for
State and Federal Credit Unions
Taxpayer Services Division
Contributing to a better quality of life.
P.O. Box 201
Baton Rouge, LA 70821-0201
(225) 219-7356
(225) 231-6236 (Fax)
PLEASE PRINT OR TYPE.
Name of Credit Union
Local Address
City
State ZIP
Mailing Address
City
State ZIP
Telephone Number
This credit union certifies that it is exempt from the state sales tax as follows:
❐
A state credit union exempt from the state sales tax by La. Revised Statute 47:301(8)(C)
❐
A federal credit union exempt from sales tax by 12 U.S.C. § 1768 and La. Revised Statute 6:662
PLEASE PRINT OR TYPE.
Representative of the Credit Union completing the exemption certificate
Name (Print or Type)
Title
Signature
Date (mm/dd/yyyy)

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