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Free R 1042 Louisiana Certificate Form

The R 1042 Louisiana Certificate is a Sales Tax Exemption Certificate designed for businesses making purchases intended for resale. This form allows purchasers to certify that the items acquired will not be subject to sales tax, provided they are sold in their original form or incorporated into new products. Understanding how to properly fill out this certificate is crucial for compliance and to avoid potential penalties.

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Structure

The R 1042 Louisiana Certificate form serves a crucial role in the state's sales tax framework, specifically designed for businesses engaging in the resale of tangible personal property. This form allows purchasers to certify that the items they acquire are intended for resale, either in their original form or as components of new products. To complete the form, the purchaser must provide essential information, including their name, sales tax account number, and a description of their business activities. Additionally, the form requires the purchaser to acknowledge their responsibility regarding sales tax; if any purchased items are used outside of resale purposes, they are liable for the corresponding sales tax. This certification not only protects the seller from tax liabilities but also ensures compliance with Louisiana's tax regulations. Furthermore, the form includes a declaration section where the purchaser must sign and date, affirming their intent and understanding of the responsibilities tied to tax-exempt purchases. Misuse of this certificate can lead to significant penalties, emphasizing the importance of accuracy and honesty in its completion.

Sample - R 1042 Louisiana Certificate Form

R-1042 (10_08)

Louisiana Resale Certificate

Sales Tax Exemption

Certificate for Purchases for Resale

R.S. 47:301(10)

Please print or type.

	Purchaser Information

Name of purchaser, as shown on the sales tax account		Sales Tax Account Number (10 digits)

Address			Telephone
			(	)

City					State	ZIP

Purchaser’s Type of Business

Description of purchaser’s business activity or items sold:

I, the purchaser, certify that all materials, goods, merchandise, and services purchased from the seller named below are for resale as tangible personal property, either in the same form as purchased or to be added as a recognizable, identifiable, and beneficial component of a new product. I further certify that all tax-exempt purchases will be resold in the normal course of our business.

I understand that if I use any of the items other than for resale, I must pay sales tax at the time of use. If this purchase is later found to be subject to tax, I, the purchaser, assume full liability for the tax.

Seller Information

Seller

Address (Street & number or P.O. Box)

City

State

ZIP

Any purchaser or agent who fraudulently signs this certificate without intent to use the taxable items for resale is subject to all the penalties provided for by Title 47 of the Louisiana Revised Statutes and collection will be pursued against the seller or purchaser for any taxes, penalties and interest due.

Purchaser’s Declaration

Name

Signature

Title

Date (mm/dd/yyyy)

↓ R 1042 Louisiana Certificate File

Form Characteristics

Fact Name	Details
Form Title	R-1042 Louisiana Resale Certificate
Purpose	This form serves as a Sales Tax Exemption Certificate for purchases intended for resale.
Governing Law	R.S. 47:301(10) of the Louisiana Revised Statutes regulates the use of this form.
Purchaser Information	Requires details such as name, sales tax account number, address, and business type.
Seller Information	Includes the seller's address and contact details for record-keeping purposes.
Certification	The purchaser certifies that all purchased items are for resale and not for personal use.
Liability	If items are used other than for resale, the purchaser must pay sales tax at that time.
Fraud Penalties	Fraudulently signing the certificate can lead to penalties under Title 47 of the Louisiana Revised Statutes.
Signature Requirement	The form must be signed by the purchaser or an authorized agent, including the date of signing.

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