R-1319 (10/09)
                       Crawfish Production or Harvesting 
                       Sales Tax Exemption Certificate
                         Louisiana R.S. 47:305(A)(5)
                       Louisiana Department of Revenue
                       Special Programs Division
                       P.O. Box 66362
                       Baton Rouge, LA 70896-6362
                       Telephone: (225) 219-7356 • (TDD): (225) 219-2114

Louisiana R.S. 47:305(A)(5)(a) exempts the purchase or use of materials, supplies, equipment, fuel and related items other than vessels 
when used in crawfish production or harvesting. Louisiana R.S. 47:305(A)(5)(b) also provides an exemption from state sales tax on the 
purchase or use of bait and feed used in the production or harvesting of crawfish.

                                                                                             PLEASE PRINT OR TYPE.
Purchaser Name

Address                                         City                                         State ZIP

I, the purchaser named above, hereby certifies that the following items purchased from:

Vendor

Address                                         City                                         State ZIP

are to be used exclusively in the production or harvesting of crawfish, in either private or public waters. It is further agreed and understood 
that if items purchased tax-free through the use of this certificate are used for purposes other than that stated herein, the purchaser will 
be subject to the tax, interest, and penalties provided by law.

          Item         State Tax Rate                                             Description
■ Bait                 0%

■ Feed                 0%

■ Equipment            1%

■ Fuel                 1%

■ Materials            1%

■ Supplies             1%

■ Related items        1%
  (other than vessels)

                                                               Authorization
Signature of Purchaser                                         Date (mm/dd/yyyy)
X