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Get Trade Name Filing Louisiana Form

) 219-7656 (225) 219-2114 (TDD) PLEASE PRINT OR TYPE. Legal Business or Corporation Name Applicant s FEIN/SSN Date Trade Name or DBA (if different from Business Name) Contact Person Applicant s Physical Location (do not list P.O. Box) City State ZIP Mailing Address (if different from above) City State ZIP Telephone Number Fax Number E-Mail Address LA Sales Tax Number LA Corporation Tax Number LA Motor Fuel Tax Number Give a brief description of your business: Explain how.

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