Sales And Use Tax Form Louisiana - Sales And Use Tax Department

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*MUST APPEAR ON RETURN
*Parish Number
PARISH OF RAPIDES
Name
SALES AND USE TAX DEPARTMENT
Address
P.O. Box 60090
City, State, Zip
New Orleans, LA 70160-0090
(318) 445-0296 FAX (318) 449-4532
Email:
ADDRESS CORRECTION
REQUESTED
PERIOD COVERED
GROSS SALES OF TANGIBLE PERSONAL PROPERTY, LEASES, RENTALS AND SERVICES AS
This return is DUE on the 1st day of month following period covered.
1.
1.
-
REPORTED TO THE STATE OF LOUISIANA
To avoid penalties your envelope must have an official postmark dated on or before the 20th following the period covered by
FOR OFFICE USE ONLY
ALLOWABLE DEDUCTIONS
the return
2.
2.
-
SALES FOR RESALE OR FURTHER PROCESSING
(CERTIFICATE ON FILE)
PLEASE INDICATE ANY CHANGES BELOW:
3.
3.
-
CASH DISCOUNTS, SALES RETURNS & ALLOWANCES
4.
4.
-
SALES DELIVERED OR SHIPPED OUTSIDE RAPIDES PARISH
5.
5.
-
SALES OF GASOLINE AN MOTOR FUELS
6.
6.
-
SALES TO THE US GOV'T, THE STATE OF LA, ITS POLITICAL SUBDIVISIONS AND AGENCIES
DATE BUSINESS SOLD
NAME AND ADDRESS OF PURCHASER
7.
7.
-
SALES OF FOOD PAID FOR WITH USDA FOOD STAMPS OR WIC VOUCHERS
OTHER DEDUCTIONS AUTHORIZED BY LAW (EXPLAIN BRIEFLY)
DATE BUSINESS DISCONTINUED
BUSINESS LOCATION CHANGE
8.
8.
-
9.
9.
-
CHANGE IN NAME OF BUSINESS
MAILING ADDRESS CHANGE
10.
10.
-
11.
11.
-
TOTAL ALLOWABLE DEDUCTIONS
(LINE 2 THROUGH LINE 10)
CONSOLIDATED SALES & USE TAX REPORT FOR RAPIDES PARISH COMPLETE ONLY COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
12.
12.
-
ADJUSTED GROSS SALES
(LINE 1 MINUS LINE 11)
A - 5.0 %
B - 5.0 %
C - 4.5%
D - 4.5%
E - 5.0 %
F - 4%
G - 5%
H - 4%
I - 4%
J - 3%
TOTAL LOCAL RATE
(CHANGED)
PARISH (P.J.)
PARISH (P.J.)
PARISH (P.J.)
PARISH (P.J.)
PARISH (P.J.)
PARISH (P.J.)
PARISH (P.J.)
PARISH (P.J.)
PARISH (P.J.)
PARISH (P.J.)
PARISH WIDE TAX
SCHOOL BOARD
SCHOOL BOARD
SCHOOL BOARD
SCHOOL BOARD
SCHOOL BOARD
SCHOOL BOARD
SCHOOL BOARD
SCHOOL BOARD
SCHOOL BOARD
SCHOOL BOARD
PARISH WIDE TAX
LAW ENF.
LAW ENF.
LAW ENF.
LAW ENF.
LAW ENF.
LAW ENF.
LAW ENF.
LAW ENF.
LAW ENF.
LAW ENF.
LAW ENFORCEMENT TAX
ALEXANDRIA
PINEVILLE
GLENMORA
LECOMPTE
BALL
BOYCE
WOODWORTH
FIRE DISTRICT #17
CHENEYVILLE
MUNICIPALITY TAX
DISTRICT #3
DISTRICT #3
DISTRICT #3
DISTRICT #3
DISTRICT #3
DISTRICT #3
DISTRICT #3
DISTRICT #3
COMPUTATION OF SALES & USE TAX
DISTRICT #3 TAX
TOTAL OF COLUMNS
13.
13.
-
-
-
-
-
-
-
-
-
-
ADJUSTED GROSS SALES IN EACH JURISDICTION
MUST EQUAL LINE 12
14.
14.
-
-
-
-
-
-
-
-
-
-
PURCHASES SUBJECT TO USE TAX IN EACH JURISDICTION
15.
15.
-
-
-
-
-
-
-
-
-
-
TOTAL
(LINE 13 PLUS Line 14)
16.
16.
-
-
-
-
-
-
-
-
-
-
TAX DUE MULTIPLY LINE 15 BY % SHOWN IN PROPER COLUMN
17.
17.
EXCESS TAX COLLECTED
18.
18.
-
-
-
-
-
-
-
-
-
-
TOTAL
(LINE 16 PLUS LINE 17)
DEDUCTIBLE ONLY
WHEN PAYMENT IS
19.
19.
VENDOR'S COMPENSATION 1% OF LINE 18
NOT DELINQUENT
20.
20.
-
-
-
-
-
-
-
-
-
-
NET TAX DUE
(LINE 18 MINUS LINE 19)
5% OF TAX FOR EACH 30 DAYS OR FRACTION THEREOF
21.
21.
-
DELINQUENT PENALTY
DELINQUENCY NOT TO EXCEED 25% IN THE
22.
INTEREST
(15% PER ANNUM FROM DATE UNTIL PAID)
22.
-
23.
23.
-
-
-
-
-
-
-
-
-
-
TOTAL TAX, PENALTY AND INTEREST DUE
24.
24.
TAX DEBIT OR CREDIT
(AUTHORIZED MEMO MUST BE ATTACHED)
25.
25.
-
-
-
-
-
-
-
-
-
-
TOTAL AMOUNT DUE
(LINE 23 PLUS OR MINUS LINE 24)
TOTAL REMITTED
Have you used the proper column?
REMITTANCE ATTACHED (Totals of
MAKE YOUR REMITTANCE
PAYABLE
RAPIDES PARISH SALES TAX FUND
26.
cols: A, B, C, D, E, F, G, H, & I)
TO:
(Mail to the Above Address)
Line 26
-
LA TAX IDENTIFICATION NO.
BUSINESS LOCATION
Date
Taxpayer Signature
Reviewd By
$20.00 CHARGE ON ALL
PHONE NUMBER
(
)
"NSF" CHECKS

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