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APPLICATION FOR TAXPAYER NUMBER
PARISH OF RAPIDES
5606 Coliseum Blvd * Alexandria, Louisiana * 71303
Phone (318) 445-0296 * Fax (318) 449-4532 * Email: info@rpst.org * www.laota.com
Reason for Applying
Started new business ___________________ Opening additional location Change of name
Date business began
Purchased ongoing business Merger Other
__________________________________________ __________________________________________
Previous owner or merger name Trade name of previous owner
Parish account number:
Louisiana Sales Tax Number ______________________________________ Applied For None
Federal Identification Number _____________________________________ Applied For None
Federal Standard Industrial Code __________________ if unknown, please leave blank
How many other locations in Rapides Parish Total locations under same ownership
Legal Name(s) (individual, partners or corporation)
Trade name of business
Within Alexandria City Corp Limits Within Town of Ball Corp Limits Within Town of Cheneyville Corp Limits
Within Pineville City Corp Limits Within Town of Boyce Corp Limits Within Village of Forest Hill Corp Limits
Within Town of Glenmora Corp Limits Within Town of Woodworth Corp Limits Within Village of McNary Corp Limits
Within Town of Lecompte Corp Limits Within Rapides Parish Outside Rapides Parish
Business Location (Street, route or highway – NOT P.O. Box) City State Zip Telephone
( )
Address for receiving tax forms & correspondence (If same location, write “same”) City State Zip Telephone
( )
Contact Person Phone Number Fax Number e-mail address Web Site Address
Location of Accounting Records City State Zip Telephone
( )
Type of Organization
Individual Partnership Corporation LLC LLP Governmental Non-Profit Other_____________
Owner Information
_________________________________________________ _____ _____ _____ - _____ _____- _____ _____ _____ _____
Name Social Security Number
_________________________________________________________________________________(_____)___________________
Home Address City State Zip Telephone
If Corporation, LLC, LLP, or Partnership, please attach the following: name, title, social security number, home address and
telephone number of officers, members, managers or partners and Articles of Incorporation or Organization
_________________________________________________________________________________(_____)____________________
Agent for service or process: name physical address City State Zip Telephone
Nature of Business
Retail Sales Wholesale ____________________ Repair Service Manufacturing/Fabrications
Retail Service Contractor provide W # Other _______________
Date of first sale within Rapides Parish or date business started at this location ____________________________________________
___________________________________________________________________________________________________________
Describe in detail your business: type of sales, activity or service you perform
Requested reporting status Monthly Quarterly Occasional/Irregular
Reporting frequency and filing status will be determined by the Administrator according to parish policy. Businesses with a location within the parish will automatically be registered to file on a monthly basis.
Occasional/irregular filers are intended for those businesses (1) that do not have a location within the parish and do not intend on doing business on a regular basis or (2) businesses that performs services that are not taxable.
OLT Only OLT & Sales Tax Sales Tax Only
I affirm that the information given on this application is true and correct.
_____________________________________________ ____________________________________________ _________________
Signature of Applicant or Preparer Title Date
Revised 2/18
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