Sales And Use Tax Report
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2POINTE COUPEE PARISH SALES AND USE TAX DEPARTMENT
SALES AND USE
P.O. Box 290
TAX REPORT
New Roads, LA 70760
Phone: (225) 638-5538 · Fax: (225) 638-5555
Email:
1. Gross sales of Tangible Personal Property, Leases, Rentals and Services as
Reported to the State of Louisiana (Before Taxes)
1.
ALLOWABLE DEDUCTIONS
Account #
Month:
2. Sales for Resale or Further Processing (Certificate on File)
3. Cash Discounts, Sales Returns & Allowances
4. Sales Delivered or Shipped Outside this Jurisdiction
5. Sales of Gasoline and Motor Fuels
6. Sales to the U.S. Govt., the State of LA, its Political Subdivisions and Agencies
7. Sales of Food Paid for with USDA Food Stamps or WIC Vouchers
OTHER DEDUCTIONS AUTHORIZED BY LAW
(EXPLAIN BRIEFLY)
LA Sales Tax No. _________________________
8.
PLEASE INDICATE ANY CHANGES BELOW:
9.
10.
Date Out Of Business ______________ Date Business Closed ______________
11. Total Allowable Deductions (Line 2 thru 10)
11.
Name Of New Owner _______________________________________________
12. Adjusted Gross Sales (Line 1 minus Line 11)
12.
COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
Column A
Column B
Column C
Column D
Column E
Parish & School Board
City of
Town of
Village of
Village of
Computation of Sales and Use Tax
New Roads
Livonia
Morganza
Fordoche
4.00%
5.00%
5.00%
5.00%
5.00%
13.
Adjusted Gross Sales in Each Jurisdiction
13.
14.
Purchases Subject to Use Tax In Each Jurisdiction
14.
15.
TOTAL (Line 13 plus Line 14)
15.
16.
Tax Due (Multiply Line 15 by % shown in Column)
16.
17.
Excess Tax Collected
17.
18.
TOTAL (Line 16 plus Line 17)
18.
Deductible Only When Payment is not
19.
Vendor’s Compensation (1% of Line 18)
19.
Delinquent
20.
Net Tax Due (Line 18 minus Line 19)
20.
5% of Tax for Each 30 Days or Fraction of Month Thereof
21.
Delinquent Penalty
21.
Delinquency Not to Exceed 25%
22.
Interest (1¼% Per Month)
22.
Calculated from Date Due Until Paid
23.
Total Tax, Penalty and Interest Due
23.
24.
Tax Debit or Credit (Authorized Memo MUST be Attached)
24.
25.
TOTAL AMOUNT DUE (Line 23 plus or minus Line 24)
25.
st
This return DUE on the 1
day of the month following the period covered by this
AUDITED BY
TOTAL OF COLUMNS A + B + C + D + E
LINE 26.
TOTAL REMITTED
th
return, and becomes DELINQUENT if not transmitted on or before the 20
day.
DO NOT use another taxpayer’s return as this will result in improper credit.
$
DO NOT ignore delinquent notices – Negligence penalties may be imposed.
SIGNATURE OF
Remittances Payable to
Pointe Coupee Parish
INDIVIDUAL OR AGENT _____________________________________________________________________________________________ DATE _________________________________________
Sales and Use Tax Dept.
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