R -1356  (7/07)
                          Sales Tax Exemption Certificate For
                          Purchases By The Federal Government
                          Authorized by the U.S. Constitution
                          Taxpayer Services Division
                          P.O. Box 201
                          Baton Rouge, LA 70821-0201
                          (225) 219-7356           (225) 231-6736 (Fax)

Federal agencies, departments, and instrumentalities are exempt from state sales taxes under the Supremacy
Clause of the U.S. Constitution. 

                                                                                      PLEASE PRINT OR TYPE.
Authorized Purchaser Name                                              Telephone Number
                                                                       (             )
Federal agency, department, or instrumentality name

Location Address

City                                                                   State ZIP

Mailing Address

City                                                                   State ZIP

The authorized person below certifies that the above entity is a bona fide federal agency, department, or
instrumentality and is qualified for the sales tax exemption. If sales tax is later found to be due, the entity will
be responsible for any tax liabilities.

                          Authorized person completing the certificate.
Name                                                Title

Signature                                           Date (mm/dd/yyyy)
X