RESALE CERTIFICATE APPLICATION

           ST. JAMES PARISH SCHOOL BOARD SALES & USE TAX DEPARTMENT
   P.O. Box 368 Lutcher, LA 70071  Phone (225) 258-4500 ext. 4551                                Fax (225) 869-8845

                        PLEASE LEGIBLY PRINT OR TYPE ALL REQUESTED INFORMATION

1. REASON FOR APPLYING (PLEASE CHECK ONE):
   Currently Registered Business / Need Resale Certificate
   Started New Business
   Purchased Ongoing Business:
           1. Legal Name(s): Individual, Partners, or Corporation Name of Previous Owner _________________________________
           2. Previous Owner Trade Name of Business _____________________________________________________________
   Opening Additional Location
   Merger: ___________________________________________and_________________________________________________
   Change of Business Name

2. PARISH / STATE / FEDERAL INFORMATION:
   a.      St. James Parish Sales Tax ID Number _________________________________________
   b.      Louisiana Dept. of Revenue Sales Tax ID Number ________________________________                  Applied For           None
   c.      Federal Tax Identification Number _____________________________________________                  Applied For           None
   d.      NAICS Group Code Number ___________________________________ (See Reverse Side. If Unsure, Leave Blank.)
   e.      How Many Other Locations in this Parish ____________________ (A separate application is required for each location)

3. LEGAL ENTITY BUSINESS INFORMATION:
   a.      Type of Organization (Please Check One):       Partnership Corporation   LLC            LLP
   b.      Legal Name(s): Individual, Partners, or Corporation _______________________________________________________
   c.      Trade Name of Business (D/B/A) ______________________________________________________________________
   d.      Business Location Address __________________________________________________________________________
                                                          (Street Address – Not P.O. Box)
           City and State_______________________________________        Zip Code ___________________________________
   e.      Business Mailing Address ___________________________________________________________________________
                                                          (For Receiving Forms and Correspondence)
           City and State_______________________________________        Zip Code ___________________________________
   f.      Business Contact Person Name _______________________________________________________________________
   g.      Business Telephone Number (_____)____________________        Business Fax Number (______)_________________
   h.      Business Website Address ____________________________      Email Address _________________________________
   i.      Location of Accounting Records _______________________________________________________________________
   j.      If Partnership, Corporation, LLC, or LLP: Give name, title, social security number, home address and telephone number of
           all officers, members, managers or partners. Please attach a separate list if necessary.

   ____________________________________________________________________________________________________
   Name                                                   Title                                             Social Security Number

   Address                                                City, State Zip Code                              Phone Number
   ____________________________________________________________________________________________________
   Name                                                   Title                                             Social Security Number

   Address                                                City, State Zip Code                              Phone Number

4. INDIVIDUAL / SOLE PROPRIETORSHIP BUSINESS INFORMATION:
   a.      Social Security Number of Individual _______________________         Individual Date of Birth______________________
   b.      Legal Name(s) of Individual __________________________________________________________________________
   c.      Trade Name of Business (D/B/A) ______________________________________________________________________
   d.      Business Location Address __________________________________________________________________________
                                                          (Street Address – Not P.O. Box)
           City and State_______________________________________        Zip Code ___________________________________
   e.      Business Mailing Address ___________________________________________________________________________
                                                          (For Receiving Forms and Correspondence)
           City and State_______________________________________        Zip Code ___________________________________
   f.      Business Telephone Number (_____)____________________        Business Fax Number (______)_________________
   g.      Business Website Address ____________________________      Email Address _________________________________
   h.      Individual’s Home Address ___________________________________________________________________________
           City and State_______________________________________        Zip Code ___________________________________
           Home Telephone Number (_____)_______________________         Cell Phone Number (_____)____________________
   i.      Location of Accounting Records _______________________________________________________________________
                                                                        City, State                         Zip Code
5. AGENT OR SERVICE OF PROCESS: _________________________________________________________________________
                                         First Name                   Middle Name or Initial                Last Name
   ________________________________________________________________________________________________________
   Address                                                City, State, Zip Code                             Phone Number

6. NATURE OF BUSINESS:                   Wholesale Dealer Retail Dealer                      Retail Service          Other

   Describe in Detail Your Business (Type of Sales, Activity or Service You Perform): ______________________________________

   ________________________________________________________________________________________________________

                              Printed Name of Applicant                                      Title
I AFFIRM THAT THE INFORMATION
GIVEN ON THIS APPLICATION IS
   TRUE AND CORRECT.          Signature of Applicant                                         Date

St. James Parish School Board Sales & Use Tax Department
Resale Certificate Application – 06/01/09

North American Industry Classification System (NAICS) Group Codes As Used by the St. James Parish School Board Sales & Use Tax Dept.

NAICS                                               NAICS
GROUP           BUSINESS DESCRIPTION                GROUP        BUSINESS DESCRIPTION
111   CROP PRODUCTION                               483   WATER TRANSPORTATION
112   ANIMAL PRODUCTION                             484   TRUCK TRANSPORTATION
                                                          TRANSIT & GROUND PASSENGER
113   FORESTRY & LOGGING                            485   TRANSPORTATION
114   FISHING, HUNTING & TRAPPING                   486   PIPELINE TRANSPORTATION
115   SUPPORT ACTIVITIES FOR AGRICULTURE & FORESTRY 487   SCENIC & SIGHTSEEING TRANSPORATION
                                                          SUPPORT ACTIVITES FOR
211   OIL & GAS EXTRACTION                          488   TRANSPORATION
212   MINING (EXCEPT OIL & GAS)                     491   POSTAL SERVICE
213   SUPPORT ACTIVITIES FOR MINING                 492   COURIERS & MESSENGERS
221   UTILITIES                                     493   WAREHOUSING & STORAGE
                                                          PUBLISHING INDUSTRIES (EXCEPT
236   CONSTRUCTION OF BUILDINGS                     511   INTERNET)
                                                          MOTION PICTURE & SOUND RECORDING
237   HEAVY & CIVIL ENGINEERING CONSTRUCTION        512   INDUSTRIES
238   SPECIALTY TRADE CONTRACTORS                   515   BROADCASTING (EXCEPT INTERNET)
311   FOOD MANUFACTURING                            516   INTERNET PUBLISHING & BROADCASTING
312   BEVERAGE & TOBACCO PRODUCT MANUFACTURING      517   TELECOMMUNICATIONS
                                                          INTERNET SERVICE PROVIDERS, WEB
                                                          SEARCH PORTALS, & DATA PROCESSING
313   TEXTILE MILLS                                 518   SERVICES
314   TEXTILE PRODUCT MILLS                         519   OTHER INFORMATION SERVICES
315   APPAREL MANUFACTURING                         521   MONETARY AUTHORITIES - CENTRAL BANK
                                                          CREDIT INTERMEDIATION & RELATED
316   LEATHER & ALLIED PRODUCT MANUFACTURING        522   SERVICES
                                                          SECURITIES, COMMODITY CONTRACTS, &
                                                          OTHER FINANCIAL INVESTMENTS &
321   WOOD PRODUCT MANUFACTURING                    523   RELATED ACTIVITIES
                                                          INSURANCE CARRIERS & RELATED
322   PAPER MANUFACTURING                           524   ACTIVITIES
                                                          FUNDS, TRUSTS, & OTHER FINANCIAL
323   PRINTING & RELATED SUPPORT ACTIVITIES         525   VEHICLES
324   PETROLEUM & COAL PRODUCTS MANUFACTURING       531   REAL ESTATE
325   CHEMICAL MANUFACTURING                        532   RENTAL & LEASING SERVICES
                                                          LESSORS OF NONFINANCIAL INTANGIBLE
326   PLASTICS & RUBBER PRODUCTS MANUFACTURING      533   ASSETS (EXCEPT COPYRIGHTED WORKS)
                                                          PROFESSIONAL, SCIENTIFIC, & TECHNICAL
327   NONMETALLIC MINERAL PRODUCT                   541   SERVICES
                                                          MANAGEMENT OF COMPANIES &
331   PRIMARY METAL MANUFACTURING                   551   ENTERPRISES
332   FABRICATED METAL PRODUCT MANUFACTURING        561   ADMINISTRATIVE & SUPPORT SERVICES
                                                          WASTE MANAGEMENT & REMEDIATION
333   MACHINERY MANUFACTURING                       562   SERVICES
      COMPUTER & ELECTRONIC PRODUCT
334   MANUFACTURING                                 611   EDUCATIONAL SERVICES
      ELECTRICAL EQUIPMENT, APPLIANCE & COMPONENT
335   MANUFACTURING                                 621   AMBULATORY HEALTH CARE SERVICES
336   TRANSPORTATION EQUIPMENT MANUFACTURING        622   HOSPITALS
337   FURNITURE & RELATED PRODUCT MANUFACTURING     623   NURSING & RESIDENTIAL CARE FACILITIES
339   MISCELLANEOUS MANUFACTURING                   624   SOCIAL ASSISTANCE
                                                          PERFORMING ARTS, SPECTATOR SPORTS,
423   MERCHANT WHOLESALERS, DURABLE GOODS           711   & RELATED INDUSTRIES
                                                          MUSEUMS, HISTORICAL SITES, & SIMILAR
424   MERCHANT WHOLESALERS, NONDURABLE GOODS        712   INSTITUTIONS
      WHOLESALE ELECTRONIC MARKETS & AGENTS /             AMUSEMENT, GAMBLING, & RECREATION
425   BROKERS                                       713   INDUSTRIES
441   MOTOR VEHICLE AND PARTS DEALERS               721   ACCOMMODATION
442   FURNITURE & HOME FURNISHING STORES            722   FOOD SERVICES & DRINKING PLACES
443   ELECTRONIC & APPLIANCE STORES                 811   REPAIR & MAINTENANCE
      BUILDING MATERIAL AND GARDEN EQUIPMENT &
444   SUPPLIES DEALERS                              812   PERSONAL & LAUNDRY SERVICES
                                                          RELIGIOUS, GRANTMAKING, CIVIC,
                                                          PROFESSIONAL, & SIMILAR
445   FOOD & BEVERAGE STORES                        813   ORGANIZATIONS
446   HEALTH & PERSONAL CARE STORES                 814   PRIVATE HOUSEHOLDS
                                                          EXECUTIVE, LEGISLATIVE, & OTHER
447   GASOLINE STATIONS                             921   GENERAL GOVERNMENT SUPPORT
                                                          JUSTICE, PUBLIC ORDER, & SAFETY
448   CLOTHING & CLOTHING ACCESSORIES STORES        922   ACTIVITIES
                                                          ADMINISTRATION OF HUMAN RESOURCE
451   SPORTING GOODS, HOBBY, BOOK & MUSIC STORES    923   PROGRAMS
                                                          ADMINISTRATION OF ENVIRONMENTAL
452   GENERAL MERCHANDISE STORES                    924   QUALITY PROGRAMS
                                                          ADMINISTRATION OF HOUSING
                                                          PROGRAMS, URBAN PLANNING, &
453   MISCELLANEOUS STORE RETAILERS                 925   COMMUNITY DEVELOPMENT
                                                          ADMINISTRATION OF ECONOMIC
454   NONSTORE RETAILERS                            926   PROGRAMS
481   AIR TRANSPORTATION                            927   SPACE RESEARCH & TECHNOLOGY
                                                          NATIONAL SECURITY & INTERNATIONAL
482   RAIL TRANSPORTATION                           928   AFFAIRS

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