Sales & Use Tax Report Form

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This report is DUE on the 1st day of the
month following period covered by
the report, and becomes
DELINQUENT ON 21ST DAY
REMIT
TO:
IBERVILLE PARISH SALES TAX
DEPARTMENT
P.O. Box 355· Plaquemine, LA 70765-0355
FORM EFFECTIVE APRIL 2015 TAX PERIOD
SALES
&
USE TAX REPORT
Ph.
(225) 687-5200 • Fax (225) 687-5226
Account # _ _ _ __
Check #:
Postmark Date:
Date Received:
Receipt #:
Receipt Date:
(FOR OFFICE USE ONLy)
(Do Not use any other taxpayer's return as this may result in improper credit.)
Tax Report for the Period _ _ _ _ _ _ __
Col. A (5.000%)
Parishwide
excluding
City of St. Gabriel
-
HAVE YOU USED THE PROPER COLUMN?
Reviewed By
1:.11
.
• IIf·U::lr·H.·..
tI:
'1~ltI;
I:tl:l:l"
o
FINA~
I
Date business closed
Date business sold
RETURN
Name of New Owner
Mailing address change
Location address change
Rev.
02115
Phone Number for Contact Person
Parish Account Number
State Tax ID Number

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