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                            PARISH OF RAPIDES 
                            SALES AND USE TAX DEPARTMENT 
                            5606 COLISEUM BLVD.          ALEXANDRIA, LA  71303 
                            P.O. BOX 671          ALEXANDRIA, LA  71309-0671 
 
DONNA J. ANDRIES, CPA, CTA                                                           Phone (318) 445-0296 
Tax Administrator                                                                     Fax (318) 449-4532 
                                                                                      Email info@rpst.org 
                            Voluntary Disclosure Agreement 
 
In exchange for the acceptance and execution of this agreement by the Parish, Taxpayer hereby agrees to the 
following terms and facts: 
 
1. Taxpayer will identify itself and properly register for the collection of local sales tax with the Parish by 
   filing all applications for Sales Tax registration and if applicable Occupational License Tax within 90 
   days of acceptance of this correspondence. 
 
2. At the time of registration, Taxpayer will provide documentation detailing local tax due by month and 
   year. 
 
3. Remit the full amount of local tax due for the period                            to  the  current  period  for 
   taxes owed to the Parish.  Remit the full amount of tax due for period              to  the 
   current period for taxes collected and not remitted and owed to the Parish.   
 
4. Remit interest, at the rate as provided by the Parish Tax Ordinances (15% per annum) on the total of 
   local tax due. 
 
5. Except for discussions concerning this agreement, the Taxpayer has not been contacted by the Parish 
   relating to an audit or any other sales tax procedure. 
 
6. The Taxpayer agrees to enter into this Voluntary Disclosure Agreement in good faith, absent fraud, or 
   material  misrepresentation  and  any  misrepresentation  of  the  facts  will  result  in  the  agreement  being 
   void. 
 
In consideration of the above listed items, the Parish will offer the following: 
 
Abate any civil or criminal penalties against the Taxpayer or its officers or employees for failure to register for 
   the collection of local tax, or for failure to timely remit local tax for periods covered in the agreement. 
 
Maintain the confidentiality of all information obtained relating to the Taxpayer. 
 
Enter the Voluntary Disclosure Agreement in good faith. 
 
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This agreement is hereby agreed to and accepted by the Taxpayer & the Tax Administrator 
 
Taxpayer: 
 
Authorized Signature                                                                     
 
Printed Name                                                                             
 
Signer’s Title                                                                           
           
Legal Name of Business                                                                   
           
Date                                                                                     
 
Tax Administrator: 
 
Authorized Signature                                                                     
 
Printed Name                                                                             
 
Signer’s Title                                                                           
           
Legal Name of Business                                                                   
           
Date                                                                                     

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