1. Re: Louisiana Resale Certificate
Account # 1872176-001-400
Dear Louisiana Taxpayer:
Your Louisiana Resale Certificate is enclosed. You must give copies of the certificate to your vendors to
confirm your status as a resale dealer.
Your exemption is effective for the period shown on the enclosed certificate and will be automatically renewed
if you continue to report sales activities in the state and do not become delinquent in your sales tax payment or
filing responsibilities pursuant to R.S. 47:306.
You are reminded that your resale certificate may only be used to purchase items for resale. Purchases for use
or consumption are still taxable and your business must pay the sales tax at the time of purchase or report the
purchase on Line 2 of the sales tax return.
Dealers can verify the validity of their customer’s resale exemption certificates using the LDR online
verification system at www.revenue.louisiana.gov.
If you have questions about your sales tax account or need additional assistance, please contact the Louisiana
Department of Revenue by email at sales.inquiries@la.gov.
Sincerely,
Louisiana Department of Revenue
Enclosure
L1269849376
KEISHA STELLY
KEISHA D. STELLY
BAD B CREATIONS
1583 HIGHWAY 104
OPELOUSAS LA 70570-1708
February 10, 2015
Letter ID:
Date of Notice:
1872176-001-400
Tax Type: Sales
Account ID:
Post Office Box 201
Baton Rouge, LA 70821-0201
(855) 307-3893 •(225) 231-6236 Fax
(225) 219-2114 TDD• www.revenue.louisiana.gov

2. 00280407042240100645

3. City
1583 HIGHWAY 104
Purchaser Information
Louisiana Account Number Effective Date (mm/dd/yyyy)
Mailing Address
State ZIP
Location Address
I, the purchaser, certify that all materials, goods, merchandise, and services purchased 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 also certify that
any services purchased with the use of this certificate will be resold as a service as defined under Louisiana R.S. 47:301(14). I further
certify that all tax-exempt purchases will be resold as tangible personal property 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/use 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.
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.
Expiration Date (mm/dd/yyyy)
Mailing Address
Purchaser Legal Name Purchaser Trade Name
Location Address
U.S. NAICS Code Purchaser's Type of Business
Authorization
Name Title
Business Information
City State ZIP
Signature Date (mm/dd/yyyy)
x
339910 Jewelry and Silverware Manufacturing
OPELOUSAS LA 70570-1708
1583 HIGHWAY 104
OPELOUSAS LA 70570-1708
BAD B CREATIONSKEISHA STELLY
01/31/201601/01/20151872176-001-400
Parish Information
Parish of Principal Place of Business Parish Tax Account Number
The validity of this exemption certificate can be verified at www.revenue.louisiana.gov.
The State of Louisiana does not certify the correctness of the parish information contained in this document.
PLEASE PRINT OR TYPE.
R-1064 (8/12)
Louisiana Resale Certificate
Purchases of Tangible Personal Property For Resale
LA.RS 47:301(10)
Note: This certificate may be duplicated as needed. Please retain original certificate for your records.

4. 00280407041240000646