Sales And Use Tax Report Form - Parish Of East Feliciana

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Sales and Use Tax Report
PARISH OF EAST FELICIANA
BUSINESS NUMBERS
SALES AND USE TAX DEPARTMENT
225-683-5420 - PHONE
P.O. BOX 397
225-683-3320 - FAX
CLINTON, LA 70722
THIS RETURN IS DUE ON THE 1ST
DAY OF THE MONTH FOLLOWING
To avoid penalties be sure that
PERIOD COVERED BY THE RETURN
you transmit this return on or
AND BECOMES DELINQUENT ON
before the 20th of each month
following the period covered.
21ST DAY
Period Covered _________________________ 20__________
5% Parish
DO NOT USE THESE COLUMNS
$
$
$
$
$
1. Gross sales of tangible personal property,
leases, rentals, and services as reported to the
State of Louisiana
SCHEDULE "A" ALLOWABLE DEDUCTIONS
2. Sales for resale.
3. Cash discounts, sales returns & allowances
4. Sales delivered or shipped outside this jurisdiction
5. Sales of gasoline and motor fuels.
6. Sales to U.S. Gov't., State of LA & its political
subdivisions and agencies
7. Food paid for with USDA food stamps or WIC vouchers
8.
9.
10.
11. Total allowable deductions (line 2 thru 10)
COMPUTATION OF SALES AND USE TAX
HAVE YOU USED THE PROPER COLUMN?
12. Adjusted gross sales (Line 1 minus 11).
13.
14. Purchases subject to use tax in each jurisdiction.
15. Total (Line 12 plus 14).
16. Tax (5% of Line 15).
17. Excess tax collected.
18. Total (Line 16 plus line 17).
19. Vendor's Compensation (2% of line 18, deductible
only when payment is not delinquent).
20. Net tax due (line 18 minus line 19).
21. Delinquent Penalty (5% of tax for each 30 days or fraction
there of delinquency not to exceed 25% in the aggergate)
22. Interest (1 1/4% per month from due date until paid)
23. Total tax, penalty and interest due
24. Tax debit or credit (Authorized memo must be attached).
25. Total amount due (Line 23 plus or minus line 24)
REMITTANCE ATTACHED (TOTALS OF ALL COLUMNS)---------------------------
$
26.
La Tax Identification
I declare under penalties for filing false reports that this return (including any accompanying schedules
Number
and statements) has been examined by me and to the best of my knowledge and belief is a true, correct,
and complete return. If the return is prepared by a person other than the taxpayer, his declaration is
based on all the information relating to the matter required to be reported in the return of which he has
any knowledge.
WARNING:
DO NOT USE ANY OTHER TAXPAYERS RETURN AS THIS
Date:___________________________________________
WILL RESULT IN IMPROPER CREDIT!
Authorized Signature:___________________________________________
MAKE YOUR REMITTANCE ON ONE CHECK PAYABLE TO EAST FELICIANA PARISH SALES TAX FUND.

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