Sales And Use Tax Report
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1USE PAPER CLIPS TO ATTACH REMITTANCE
SALES AND USE TAX REPORT
BOSSIER CITY - PARISH SALES AND USE TAX DIVISION
P.O. BOX 71313 BOSSIER CITY, LOUISIANA 71171-1313
PHONE NO: 318-741-8549
FAX NO: 318-741-8997
ON THE WEB AT AND
GROSS SALES OF TANGIBLE AND PERSONAL PROPERTY, LEASES, RENTALS
AND SERVICES AS REPORTED TO THE STATE OF LOUISIANA
1
1
ALLOWABLE DEDUCTIONS
MONTH(S) OF
YR
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
OFFIC E USE ONLY
OFFICE USE ONLY
6 SALES TO AGENCIES OF THE US GOVERNMENT, THE STATE
OF LOUISIANA AND ITS POLITICAL SUBDIVISIONS
PLEASE INDICATE ANY CHANGES BELOW:
7 SALES OF FOOD PAID FOR WITH USDA FOOD STAMPS OR WIC VOUCHERS.
DATE OUT OF BUSINESS
DATE BUSINESS SOLD
OTHER DEDUCTIONS AUTHORIZED BY LAW (EXPLAIN BRIEFLY)
NAME OF NEW OWNER
8
COMMENTS:
9
10
CONSOLIDATED SALES & USE TAX REPORT FOR BOSSIER PARISH, LA.
11 TOTAL ALLOWABLE DEDUCTIONS (LINE 2 THRU 10)
11
12 ADJUSTED GROSS SALES (LINE 1 MINUS LINE 11)
COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
SCHOOL BOARD
SCHOOL BOARD
SCHOOL BOARD
SCHOOL BOARD
SCHOOL BOARD
SCHOOL BOARD
RESERVED
BOSSIER CITY
BENTON
HAUGHTON
PLAIN DEALING
POLICE JURY
POLICE JURY
POLICE JURY
POLICE JURY
POLICE JURY
POLICE JURY
LAW ENFORCEMENT
LAW ENFORCEMENT
LAW ENFORCEMENT
LAW ENFORCEMENT
LAW ENFORCEMENT
LAW ENFORCEMENT
COMPUTATION OF SALES AND USE TAX
TOTAL RATE
5.00% A
5.25% B
5.25% C
5.25% D
2.50% E*
4.25% F
% G
TOTAL OF COLUMNS
13 ADJUSTED GROSS SALES IN EACH JURISDIC
13
MUST EQUAL LINE 12
14 PURCHASES SUBJECT TO USE TAX IN EACH JURISDICTION
14
15 TOTAL (LINE 13 PLUS LINE 14)
16 TAX DUE- MULTIPLY LINE 15 BY % SHOWN IN COLUMN
16
17 EXCESS TAX COLLECTED
17
18 TOTAL (LINE 16 PLUS LINE 17)
DEDUCTIBLE ONLY WHEN
19 VENDORS COMPENSATION 1% OF LINE 18
19
PAYMENT IS NOT DELINQUENT
20 NET TAX DUE (LINE 18 MINUS LINE 19)
5% OF TAX FOR EACH 30 DAYS OR FRACTION THEREOF
21 DELINQUENT PENALTY
21
COMPUTED FROM THE 21st. DELINQUENCY, NOT TO EXCEED 25%
22 INTEREST .5834 % PER MONTH
22
23 TOTAL TAX, PENALTY AND INTEREST DUE
24 TAX DEBIT OR CREDIT (AUTHORIZED MEMO MUST BE ATTACHED)
24
25 TOTAL AMOUNT DUE (LINE 23 PLUS OR MINUS LINE 24)
25
AUDITED BY
TOTAL REMITTED
This return DUE on the 1st day of month following period covered by this return
TOTAL OF COLUMNS A + B + C + D + E + F
LINE 26.
and becomes DELINQUENT if not transmitted on or before the 20th day.
*THIS AREA IS ALSO WITHIN THE CITY OF SHREVEPORT
$
STATE TAX I.D.#
OFFICE USE ONLY
REMITTANCES PAYABLE TO
BOSSIER CITY - PARISH
SALES AND USE TAX DIVISION
SIGNATURE OF
DATE
INDIVIDUAL OR AGENT
ORIGINAL
WARNING:
DO NOT use any other taxpayer's return as this will result in impropert credit.
DO NOT ignore delinquent notices - Negligence penalties may be imposed.
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