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

    This field is not part of the form submission.

42. Submit

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