Form R-9030-L - Timber Severance Tax

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T-1B
Form Sev.
This form is to be completed when severance taxes are
Type or print complete name of reporting company
Revenue Account Number
State of Louisiana
R-9030-L (9/03)
due by others on timber severed or purchased. In order to
Department of Revenue
avoid penalties, this form must be filed on or before the
Street address or rural route, city, state, ZIP
Taxable Period
Timber Severance Tax
last day of the month following the month in which the
P.O. Box 201, Baton Rouge, LA 70821-0201
Name of plant or mill for which this report is filed
timber was severed. If the due date falls on a weekend or
File original of this return only.
holiday, the return is due the next business day.
Schedule B–Timber products purchased or sold on which others are to pay severance tax.
Purchaser/ Seller
Seller=S
Revenue Account
Purchaser=P
Name of seller/purchaser
Complete address of seller/purchaser
Parish Product
Total Timber
Number
code
code
tons

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