Sales Tax Return (Page 2 of 2) in pdf

R-1029-I (7/03)

Worksheet/ Taxpayer copy

Revenue account number

Location address

Month/Quarter ending

Gross sales of tangible personal property

(Used, consumed, or stored for use or consumption, or purchased or

Cost of tangible personal property

imported to be sold in coin-operated vending machines)

Leases, rentals, and services

Total (Add Lines 1 through 3.)

Total allowable deductions (From Line 34, Schedule A. Do not include as a deduction any item not reported on Lines 1 through 3.)

Amount taxable (Subtract Line 5 from Line 4.)

Tax due (Multiply amount on Line 6 by 4%.)

Excess tax collected

Total (Add Line 7 and Line 8.)

Vendor’s compensation (1.1% of Line 9, if payment not delinquent)

Gross tax due (Subtract Line 10 from Line 9.)

.00

Sales tax credit

Purchases

.00

Tax credit (3%)

Total tax credit

12A

12A Register reprogramming credit (Actual programming costs, not to exceed $25 per register - invoices must be attached)

Net tax due

(Add Lines 12 and 12A and subtract from Line 11. If total of Lines 12 and 12A exceeds Line 11, enter amount here and on Line 17.)

Penalty (See instructions.)

Interest (1.25% per month from due date until paid)

Make payment to:

Do not send cash.

Total tax, penalty, and interest (Total of Lines 13, 14, and 15)

PAY THIS AMOUNT.

Louisiana Department of Revenue

Overpayment to be refunded

(Do not claim a credit for this overpayment on any other return.)

Allowable deductions – Schedule A

Total Sales

% Exemption

Deductions

25%

Intrastate telecommunication services and prepaid phone cards

25%

Interstate telecommunication services

Electricity, natural gas, steam, water used for other than residential purposes

50%

Sales of customized computer software

100%

Sales of certain ships and ship supplies

100%

Repairs to property delivered to another state

100%

Sales of certain farm equipment

100%

Tangible personal property sold for lease or rental (see instructions)

100%

Sales to U.S. government and Louisiana state, and local government agencies

100%

Prescription drugs and medical properties

100%

Sales of food for home consumption

100%

Electricity, natural gas, bulk water for home consumption

100%

Sales in interstate commerce

100%

Sales to registered wholesalers

100%

Cash discounts, sales returns and allowances

100%

Other totally tax-exempt sales (Explain) (Do not include bad debt write-offs from prior period sales.)

Add Lines 18 through 33; enter here and on Line 5.

Department of Revenue

Taxpayer Services Division

Sales Tax Section

P.O. Box 3138

Baton Rouge, Louisiana 70821-3138

(225) 219-7356

For Taxpayer Assistance, call, visit or write the Baton Rouge Headquarters or the Regional Office in your area.

Or, visit our website at for tax, registration and filing information.

Alexandria

Lafayette

Monroe

Shreveport

Room B-100

Brandywine III, Suite 150

Room 105

1525 Fa ir field Avenue

900 Murray Street

825 Kaliste Saloom Road

122 St. John Street

P.O. Box 31706

P.O. Box 1191

P.O. Box 81857

P.O. Box 1783

Shreveport, LA 71130-1706

Alexandria, LA 71309-1191

Lafayette, LA 70598-1857

Monroe, LA 71210-1783

318-676-7505

318-487-5333

337-262-5455

318-362-3151

Baton Rouge

Lake Charles

New Orleans

Thibodaux

Suite 200

Suite 1550

Suite 900

1418 Tiger Drive

8549 United Plaza

One Lakeshore Drive

1555 Poydras Street

P.O. Box 1429

P.O. Box 80519

P.O. Box 3702

New Or leans, LA 70112-3707

Thibodaux, LA 70302-1429

Baton Rouge, LA 70898-0519

Lake Charles, LA 70602-3702

504-568-5233

985-447-0976

225-922-2300

337-491-2504

225-219-2114 (TDD)

ELECTRONIC FILING IS AVAILABLE - Visit our website for information on how to register for FREE electronic filing , or through third-party service providers

who charge a fee. You may also file your sales tax return electronically at a kiosk located at one of our Regional Offices listed above.

Sales Tax Return Page 2

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