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Bossier City - Parish
PO Box 71313 • Bossier City, LA 71171-1313 • Phone (318) 741-8549 • Fax (318) 741-8997
Tax RR eg istration Application
NOTE: A separate application is required for each location Please see instructions on reverse side before completing this form
Check all that apply: Sales Tax Hotel/Motel Occupational License Chain Store
1. Reason for applying
A. Started new business C. Opening additional location
B. Purchased ongoing business: D. Merger
1. Name of previous owner
2.Trade name of previous owner E. Change of Name
3. Previous Owner Bossier Parish account number F. Other
2. A. LA Sales and Use Tax Number n Applied For None
B. Federal Identification Number n Applied For None
C. Federal Standard Industrial Code
D. How many other business locations in this Parish
3. A. Legal name - Individual, Partners, or Corporation
B. Trade name of business
4. Business location address City and State
(Streetaddress- Donot enterPO Box)
Zip code Telephone ( ) Parish in LA
5. Mailing Address for receiving tax forms and correspondence
(If same as location, write "Same")
City and State Zip code

6. Contact Person Contact Phone number ( )
Fax number E-mail Address Website Address
Location of accounting records
7. Type of organization Individual Partnership Corporation LLC LLP
Governmental Non-profit Other (Specify)
8. If sole owner- List Individual Name SSN
Home address Telephone ( )
9. If Corporation, LLC, LLP, or Partnership: List Name, Title, Social Security Number, Home address, and Telephone number
of officers, members, managers, or partners (Attach continuation sheet if needed)

Name Title SSN

Address City State Zip Phone Number
Name Title SSN
Address City State Zip Phone Number
10. Agent for service of process
Name Physical address Telephone number
11. First date sales will be made from this location Date business first started operations
12. A. Nature of business: Retail Sales Repair Service Retail Service Wholesale Contractor
Manufacturing/Fabricating Other
B. Describe in detail your business
Type of sales, activity, or service
13. Requested Reporting Status: Monthly Quarterly Occasional/Irregular
Reporting frequency - All new accounts are required to file parish sales/use tax returns on a regular monthly basis unless sales tax receipts average less than
$ 500.00 per month. Occasional/irregular filers are for businesses (1) that do not transact business within BossierCity/Parish on a regular basis, or (2) that perform
services that are exempt from taxation.

14. Have you registered with the Louisiana Secretary of State as a foreign corporation? Yes No No

I affirm that the information given on this application is true and correct. 15. For Office Use Only

n
Signature of Applicant Title
License Number
Signature of Preparer (if different from above) Date n n
Visit us at www.bossiercity.org Visit us at www.laota.com Sales Tax Account Number Own/Loc/Mail Group

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8/2001 Instructions for Tax Registration Application for Bossier City - Parish

Please review these instructions carefully. Failure to complete ALL applicable lines 1. Reason for applying.
will delay the processing of this application, the assigning of your tax number, and
the issuance of the applicable certificate. Please type or use only a black or blue ink A. Self-explanatory.
pen to fill out this form. B. If buying an existing business, have you received verification from
the taxing authority that all tax liabilities have been paid?
(LA R.S. 47:308 - see below).
Who must file - Each person pursuing any trade, profession, vocation, calling or C. Self-explanatory.
business should complete this form. Each person is required to keep reasonable D. List all the business names that created the merger.
records. Separate records are required for each place of business. For assistance call E. Self-explanatory
(318) 741-8551. F. Indicate if this is a change in business structure or if acquired by
gift, trust, etc.
Sales and use tax - Any individual, firm, corporation, trust, co-partnership, joint 2. A. Self-explanatory. (If you have none, mark the box.)
venture, association, or LLC/LLP is required to file and remit the appropriate B. Self-explanatory. (If you have none, mark the box.)
sales taxes by the twentieth (20th) day following the close of each reporting C. Self-explanatory.
period for any of the following transactions listed below that are taxable under D. List the number of business locations in Bossier City/Parish.
the Sales and UseTax Statutes and Ordinances: Each location requires a separate application and account number.
3. A. Legal Name - The person(s) or corporation under whose name this
1. The sale of tangible personal property at retail in this parish; business is to be registered. If corporate, give true corporate name.
2. The use, consumption, distribution, or storage for use or consumption, in this B. Trade Name - The name under which this business will operate - the
parish of any tangible personal property; dba name. If you have no trade name, leave this line blank.
3. The lease or rental within this parish of any item or article of tangible personal
property; 4. Location Address - This address is the street address or other
4. The sale of services as defined in the statutes. These services include the meaningful address, the city, town, or village, and the ZIP Code, in
furnishing of rooms by hotels; the sale of admissions to places of amusement which your business is geographically located, irrespective of where
and to athletic and recreational events, and the furnishing of the privilege of you receive your mail.
access to amusement, entertainment, athletic, or recreational facilities; the Telephone number at the business location.
furnishing of storage or parking privileges by auto hotels and parking lots; the If business is located in LA, list the parish where it is located.
furnishing of printing or overprinting; the furnishing of laundry cleaning,
pressing, and dyeing services; the furnishing of cold storage space and the 5. Mailing Address - ALL tax returns, licenses, and other related
preparation of property for such storage; and, the furnishing of repairs to communications will be mailed to this address.
tangible personal property.
6. The name of the person responsible for the sales tax return.
Any person who leases or rents tangible personal property in the parish, who Telephone number of the person responsible for the sales tax return.
furnishes services taxable under the statue s and ordinance s,who holds property in the The fax number at the mailing address.
parish for resale, who maintains a business location in the parish, or who solicits The e-mail address of the person responsible for the sales tax return.
orders, or otherwise operates in the parish through full-time or part-time resident or The web address of the company.
nonresident salesmen or agents, is required to obtain a sales tax certificate, collect Where the accounting records are kept.
the proper taxes from customers, and file returns with the Bossier City - Parish
Sales and Use Tax Division. For local sales tax purposes, only retail transactions 7. Type of organization, mark only one.
are taxable. Therefore, a resale certificate should be used on wholesale purchases. Self-explanatory.
Self-explanatory.
A person who purchases, imports, or receives property and services subject to tax, Self-explanatory.
or is the lessee or rentee of tangible personal property on which the proper taxes Self-explanatory.
were not collected by vendors, is himself liable for the payment of taxes directly to Self-explanatory.
the Bossier City - Parish Sales and Use Tax Division . Government - i ndicate on line provided if parish, school district,
or related entity such as hospital or library.
Non-profit -generally must conform to Federal IRS regulations for
determining a nonprofit organization. Indicate on line provided if
organized for religious, scientific, humane, fraternal, or other
purpose.
Other - If applicable mark this box & explain.
8. Self-explanatory.
9. Self-explanatory.
10. The person responsible for accepting notices on behalf of the legal
entity that apply to due process requirements.
11. Indicate date that first sales will be made from this location.
Indicate date the business started.
12. A. Choose one.
B. Describe the kind of business to be carried on at this location.
13. Check the filing frequency you are requesting.
14. Self-explanatory.

Note: You must sign and date your application. If your application was prepared by someone else, they must also sign in the appropriate space. Mail the
application to PO Box 71313 • Bossier City, LA 71171-1313 • (318) 741-8549 or visit us at www.bossiercity.org

LA R.S 47:308. Termination or transfer of business stating that no taxes, interest, or penalties are due. If the purchaser of a business
or stock of goods fails to withhold purchase money as above provided, he shall
be personally liable for the payment of the taxes, interest, and penalties accrued
A. If any dealer liable for any tax, interest, or penalty levied hereunder sells his and unpaid on account of the operation of the business by any former owner,
business or stock of goods or quits the business; he shall make a final return and owners, or assigns.
payment within fifteen days after the date of selling or quitting the business. His
successor, successors, or assigns, if any, shall withhold sufficient of the B. In the case of a dealer who has quit a business, and who subsequently opens
purchase money to cover the amount of such taxes, interest, and penalties due another similar business under the same ownership, whether that ownership is
and unpaid until such time as the former owner shall produce a individual, partnership, corporation, or other, that dealer shall be liable for any
receipt from the secretary showing that they have been paid, or a certificate tax ,interest, or penalty owned by the original business.

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