Form Dpssp 1061 is a key form that all businesses should be familiar with. This form is used to report certain transactions to the IRS, and it's important to understand when and how to use it. In this blog post, we'll go over the basics of Form Dpssp 1061 so you can make sure you're following all the necessary reporting requirements. We'll also discuss some common scenarios in which this form would be required. Stay tuned!
Question | Answer |
---|---|
Form Name | Form Dpssp 1061 |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | WindowTintExemp tion Security authorization form for medical window tint exemption louisiana |
STATE OF LOUISIANA
PARISH OF ______________________________
NOTE: LRS 32:361.1 provides that the legal limits for a sun screening device (window tint) on passenger car are light transmissions of 40% for the front side windows, 25% for the rear side windows and 12% for the rear windshield.
BEFORE ME, the undersigned Notary, personally came and appeared:
NAME & DRIVER’S LICENSE NUMBER
ADDRESS
CITY, STATE, ZIP, (AREA CODE) PHONE NUMBER
Declaring that he/she is the registered owner of the following described vehicle registered in the State of Louisiana.
YEAR |
MAKE |
MODEL |
VEHICLE IDENTIFICATION NO. |
LICENSE PLATE |
__________ |
________________ |
________________ |
____________________________________ |
_____________________ |
Affiant further declares that, pursuant to L.R.S. 32:361.3, valid security reasons (indicated below) exist which make it necessary to safely equip the
REASON FOR SECURITY EXEMPTION / ATTACH SUPPORTING DOCUMENTATION
I certify and attest under penalty of law, the information provided herein is true and accurate.
________________________________ |
____________________ |
SIGNATURE OF AFFIANT |
DATE |
SWORN TO AND SUBSCRIBED BEFORE ME THIS _________DAY OF ________________________, 20_________
_________________________________ |
_____________________ |
NOTARY PUBLIC AND SEAL |
DATE |
THIS SECURITY EXEMPTION IS
BELOW THIS LINE FOR STATE POLICE USE ONLY
NOT VALID UNLESS AUTHORIZED BY LOUISIANA STATE POLICE
□ Approved & Authorized |
□ Disapproved |
|
|
|
_______________________________ |
___________ |
_________ |
||
For the Deputy Secretary, Public Safety Services |
Data Number |
Date |
Section |
DPSSP 1061 (REV 8/05)