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Parish & School Board Sales & Use Tax Form

2. Name Under Which Business Is to Be Conducted

4. Owner

5. Email Address

7. Location of Business

9. City or Town

10. Zip Code

11. Phone Number

13. Mailing Address

    If different than location

15. City or Town

16. Zip Code

17. Phone Number

19. Nature of Business

    State whether grocery, dry goods, hardware, department store, manufacturing, wholesale, hotel, tourist court, parking lot, printing, laundry, dry cleaning, repairs, amusements, storage, lease and rentals, etc.

21. Type of Ownership

    State whether it is a corporation, partnership, individual.

23. Names of All Partners or Principal Officers

    If a corporation

25. How many places of business do you operate within the Parish of Plaquemines?

    If you operate more than one place of business, separate and complete Sales Tax registrations must be made for each location.

27. What sales records do you keep?

29. Date Business Started or Expected to Start at This Location
    Date Business Started or Expected to Start at This Location

31. Parish Occupational License Number

33. State of Louisiana-Sales Tax Registration Number

35. Name

36. Registration Application Received By

38. Title

Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field