Form R-10610 Fillable Schedule of Ad Valorem Tax Credit Claimed by Manufacturers
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

(11/06) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) Ad Valorem Tax Credit Claimed Assessment Number by Manufacturers Distributors and Retailers Ad Valorem Tax Paid on Inventory Louisiana Revised Statute Check Amount Check Date Check Number Filing Period Inventory Assessment Qualified Inventory held by manufacturers suppliers or retailers LDR Account Parish Name of Louisiana Parish that issued the assessment PLEASE PRINT OR TYPE Qualified Inventory R 10610 Ratio Inventory Assessment/ Total Assessment Use only if using ratio method to determine eligible tax credit * Return List actual tax paid or apply ratio method to determine eligible tax credit Schedule of See RIB 06 036 for instructions and additional information Tax Credit Claimed on Current Year Taxpayer Name Total Assessed Tax Paid Total Assessment