Oakdale-Occupational License

CITY OF OAKDALE
P.O. Box 728
Oakdale, LA 71463
1. Date of Application

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
2. APPLIATION FOR AND/OR REQUEST FOR (Check one or more squares)
FOR OFFICE USE ONLY
C.R.N.
3. Class (OLT)
4. SIC (Sales)
5. Federal Employer ID Number:
Select for "None":
6. LA Sales Tax Number:
Select for "None":
7. Local Sales Tax Number:
Select for "None":
8A. Taxpayer Name:
8B. Area Code- Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
8C. Trade Name:
8D. Mail Address:
8E. City, State, Zip Code:
8F. Locatoin-Street, City, State, Zip Code:
8G. Parish Location:
9. Type of Organization:

F. Other (Specify)

10. If corporation or partnership: Name, Title, Soc. Sec. No., Resident Address & Phone of Officers or Partners.

11. If Sole Owner (individual):

Rows	Name:	Resident Address:	Phone #:	SSN:
1.

12. Ending Month of Accounting (Fiscal Year):
13. Name and Address of Agent for Service of Process:
14. Location of Accounting Records Are Maintained- Check One as Noted in Item 8. (If other, show other street, address, city & state)

Other (Street, addresses, city & state)
15. If Corporation, State of Incorporation:
16. Reason for Applying:

C. Other (Specify)
If purchasing, Name of previous owner:
17. Date Business Started / Acquired at THIS LOCATION:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
18. Have you registered with the Secretary of State for Louisiana as a foreign corporation?
19. EXCLUDING this one, how many other business locations do you have in this parish or municipality?
20. Nature of Business | Description of Sales or Activity:
________________________________________
If applying for Occupational License complete Schedule A (next page). If transferring License, complete only Line 32 on the next page.

_________________________________________

I affirm that the information given on this application and attached schedules is true and correct.
Signature:
Title:
Signature of Preparer if different from above:

Refer to instructions to determine base and rate (fee) to be used in lines 21 thru 31.
Class of License being applied for:
License Year:
Open Date for This License:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
COMPLETE ONLY ONE OF 21 THRU 25
21. BUSINESS OPENED DURING THE PREVIOUS CALENDAR YEAR
Gross sales for remainder of calendar year...> Gross sales for remainder of calendar year...> Less: Deductions (describe): Describe >$ equals > $ Equals which divided by number of days in operation > # of Days days equal $ Amount which multiplied by 365 amounts to a taxable sales of > $ Amount
22. BUSINESS OPENED LESS THAN 30 DAYS
Tax due will be the minimum of applicable rate table.
23. BUSINESS OPENED MORE THAN 30 DAYS
Gross sales for first 30 days> Gross sales for first 30 days> Less: Deductions (describe): Describe >$ equals > $ Equals which multiplied by a number of months, or major fraction thereof, remaining in the year, > - months amounts to a taxable sales of $ Amount
24. BUSINESS OPENED BETWEEN DECEMBER 2 AND DECEMBER 31
Gross receipts for remainder of calendar year >
25. BUSINESS OPENED ON OR PRIOR TO JANUARY 1 OF THE PREVIOUS YEAR
Gross sales for first 30 days> Gross sales for first 30 days> Less: Deductions (describe): Describe > $ - equals taxable gross of > $ $
26. LICENSE FEE/RATE DUE BASED ON TABLE:

27. To be used by those occupations paying fee based on units, indicate number of seats, spaces, pool tables, etc.