Sales Tax Form - Lafayette Parish School System
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11.
1. GROSS SALES OF TANGIBLE PERSONAL PROPERTY, LEASES, RENTALS AND SERVICES AS REPORTED TO THE STATE OF LA
MAKE ALL REMITTANCES
ALLOWABLE DEDUCTIONS
PAYABLE TO:
NO STAPLES OR
2. SALES FOR RESALE (EXEMPTION CERTIFICATE ON FILE)
LAFAYETTE PARISH
3. CASH DISCOUNTS, SALES RETURNS & ALLOWANCES
PAPER CLIPS
SCHOOL SYSTEM
4. SALES DELIVERED OR SHIPPED OUTSIDE OF LAFAYETTE PARISH
SALES TAX DIVISION
5. SALES OF GASOLINE AND MOTOR FUELS
SALES TAX INFO:
P.O. Box 3883
6. SALES TO US GOVT. AND STATE OF LA
or
LAFAYETTE, LA 70502-3883
7&8 OTHER DEDUCTIONS AUTHORIZED BY LAW (explain briefly)
9&10
(337)232-3912
11.
11. TOTAL ALLOWABLE DEDUCTIONS (Lines 2 Thru 10)
FAX (337)235-5275
12. ADJUSTED GROSS SALES (Line 1 minus Line 11)
12.
COMPUTATION OF
FOR MONTH OF
A. CITY OF LAFAYETTE
B. PARISH OF LAFAYETTE
C. CITY OF
D. CITY OF
E. TOWN OF DUSON
F. CITY OF SCOTT
G. TOWN OF
CODE J.
CODE R.
BROUSSARD
CARENCRO
& SCH. BD.
YOUNGSVILLE
CITY OF BROUSSARD
TOWN OF DUSON
& SCH. BD.
& SCH. BD.
SALES & USE TAX
& SCH. BD.
& SCH. BD.
& SCH. BD.
& SCH. BD.
ST. MARTIN PARISH
ACADIA PARISH
2%
4%
4%
4%
4%
4%
4%
4.5%
2%
13. ADJ. GROSS SALES IN EACH JURISDICTION
(TOTAL OF COLUMNS MUST EQUAL LINE 12)
14. PURCHASES SUBJECT TO USE TAX IN
EACH JURISDICTION
15. TOTAL (LINE 13 PLUS LINE 14)
16. TAX DUE (MULTIPLY LINE 15 X RATE
SHOWN INREPORTING COLUMN)
16a. SALES OF FOOD FOR PREPARATION
IN THE HOME & PRESCRIPTION DRUGS
(R.S. 47:305)
16b. EXEMPT RATE FOR LINE 16a.
1%
1%
1%
1%
1%
0%
0%
2%
1%
16c. AMOUNT OF LINE 16a DEDUCTIBLE.
(LINE 16a. X 16b.)
16d. NET TAX DUE (LINE 16 LESS LINE 16c)
17. EXCESS TAX COLLECTED
18. TOTAL (LINE 16d PLUS LINE 17)
19. VENDORS COMPENSATION RATE
1%
1%
1%
.5%
1%
1%
0%
1%
2%
19a. VENDORS COMPENSATION
(DEDUCTIBLE
ONLY IF PAYMENT IS NOT DELINQUENT)
20. NET TAX DUE (LINE 18 MINUS LINE 19a)
21. DELINQUENT PENALTY:
(5% OF TAX PER
MTH, NOT TO EXCEED 25% IN THE AGGREGATE)
22. INTEREST: 1% PER MTH FROM DUE
DATE UNTILL PAID (X TAX LINE 18)
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)
Have you used the proper column?
26. REMITTANCE ATTACHED
(TOTALS OF ALL COLUMNS)
SIGNATURE
DATE
LAFAYETTE REG .#
LA STATE ID #
To avoid penalties, be sure that you transmit or
PLEASE MAKE NAME/ADDRESS CHANGES BELOW
postmark this return on or before the 20th of
each month following the period covered.
Reports received 60 days past the due date
are subject to an additional negligent penalty of
$20.00 or 5% of tax due, whichever is greater
OFFICIAL USE ONLY
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