Computation Of Sales And Use Tax Form - Lafayette Parish
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1Lafayette Parish School System
411 East Vermilion Street
Lafayette, LA 70501
COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
OFFICE (337)232-3912
FAX (337)235-5275
LOCAL RATE
(1 ) - 4%
(2) - 5%
(3) - 5%
(4) - 4%
(5) - 2%
(6) - 4%
(7) - 5%
PERIOD:
* I - 10 @ MM 101 - EDD *
** I - 10 @ MM 103 - EDD **
*** I - 49 - EDD ***
CITY OF LAFAYETTE
CITY OF BROUSSARD
CITY OF BROUSSARD
CITY OF CARENCRO
CITY OF LAFAYETTE
CITY OF LAFAYETTE
CITY OF CARENCRO
LAFAYETTE REG.#
COMPUTATION OF
SCHOOL BOARD
SCHOOL BOARD
IN ST. MARTIN PARISH
SCHOOL BOARD
SCHOOL BOARD
SCHOOL BOARD
SCHOOL BOARD
SALES AND USE TAX
NAME OF BUSINESS
CHECK #
CHECK AMOUNT
13. Adjusted Gross Sales in Each Jurisdiction
(Totals of all columns must equal LINE 12)
14. Purchases Subject to Use Tax in Each Jurisdiction
1. Gross Sales of Tangible Personal Property, Leases, Rentals
$
15. Total (Line 13 plus Line 14)
& Services Reported to the State of Louisiana
16. TAX DUE - Multiply (Line 15 X Rate Shown in Reporting Column)
ALLOWABLE DEDUCTIONS
16a. Sales of Food for Preparation in the home and Prescription Drugs
2. Sales for Resale
16b. EXEMPT RATE for Line 16a.
2%
2%
2%
1%
0%
1%
1%
3. Cash Discounts, Sales Returns & Allowances
16c. Amount of LINE 16a. DEDUCTIBLE (LINE 16a. X 16b.)
4. Sales Delivered or Materials Used Outside This Jurisdiction
16d. NET TAX DUE (Line 16 less Line 16c.)
5. Sales of Gasoline and Motor Fuels
17. Excess Tax Collected
6. Sales to the U.S. Government and State of Louisiana
18. TOTAL (Line 16d. plus Line 17)
7 . Sales of food paid with (USDA) stamps or WIC vouchers
19. Vendor's Compensation Rate
OTHER DEDUCTIONS AUTHORIZED BY LAW (explain)
1%
0.80%
0.80%
0.50%
1%
1%
1.02%
19a. Vendor's Compensation
(allowed only when not delinquent)
8
20. Net Tax Due (Line 18 minus Line 19a)
9
21. Penalty - 5% per month past due to a max of 25%
10
(Multiply line 20 by applicable penalty rate)
22. Interest: 1% per month from due date until paid
11. Total allowable deductions (Lines 2 thru 10)
(Multiply line 20 by applicable interest rate)
23. Total Tax, Penalty & Interest Due
12. Adjusted gross sales (Line 1 minus 11)
LAFAYETTE PARISH SCHOOL SYSTEM
24. Tax Debit or Credit
(Authorized memo must be attached)
MAKE ALL REMITTANCES
SALES TAX DIVISION
25. Total Amount Due (
Line 23 plus or minus Line 24)
P.O. BOX 52706
PAYABLE TO
LAFAYETTE, LA 70505-2706
COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
LOCAL RATE
(8) - 4%
(9) - 2%
(10) - 4%
(11) - 5%
(12) - 5%
(13) - 4.50%
(14) - 4%
NO STAPLES
ONLINE FILING: com
(UNINCORPORATED AREA)
# DESTINATION PT. - EDD
or
COMPUTATION OF
**** APOLLO - EDD ****
LAFAYETTE PARISH
TOWN OF DUSON
TOWN OF DUSON
CITY OF SCOTT
#
TOWN OF YOUNGSVILLE
PAPER CLIPS
CITY OF SCOTT
SHERIFF (LAW ENF.) DIST.
SALES AND USE TAX
SCHOOL BOARD
IN ACADIA PARISH
SCHOOL BOARD
CITY OF SCOTT
SCHOOL BOARD
SCHOOL BOARD
SCHOOL BOARD
SALES TAX INFO:
OR
SCHOOL BOARD
To avoid penalties,
your envelope must
13. Adjusted Gross Sales in Each Jurisdiction
have an official
(Totals of all columns must equal LINE 12)
postmark dated on
or before the 20th
14. Purchases Subject to Use Tax in Each Jurisdiction
(ALL)
following the period
15. Total (Line 13 plus Line 14)
covered by the return.
16. TAX DUE - Multiply (Line 15 X Rate Shown in Reporting Column)
Correspondence and Account changes
If the 20th falls on a
mail to:
16a. Sales of Food for Preparation in the home and Prescription Drugs
weekend, the report
P.O. BOX 3883
16b. EXEMPT RATE for Line 16a.
due date is extended
1%
0%
1%
1%
1%
1%
1%
LAFAYETTE, LA 70502-3883
through the next
16c. Amount of LINE 16a. DEDUCTIBLE (LINE 16a. X 16b.)
work day
Date Business Sold
Name & Address of Purchaser
16d. NET TAX DUE (Line 16 less Line 16c.)
17. Excess Tax Collected
Date Business Discontinued
Business Location Change
18. TOTAL (Line 16d. plus Line 17)
19. Vendor's Compensation Rate
1%
2%
1%
0.80%
0.80%
0%
1%
19a. Vendor's Compensation
(allowed only when not delinquent)
Business Name Change
Mailing Address Change
20. Net Tax Due (Line 18 minus Line 19a)
21. Penalty - 5% per month past due to a max of 25%
(Multiply line 20 by applicable penalty rate)
22. Interest: 1% per month from due date until paid
W A R N I N G
(Multiply line 20 by applicable interest rate)
DO NOT use any other Taxpayer's report as this will result in improper credit.
23. Total Tax, Penalty & Interest Due
DO NOT ignore delinquent notices - Negligent penalties may be imposed.
24. Tax Debit or Credit
(Authorized memo must be attached)
I declare under the penalties for filing false reports that this return (including any accompanying schedules and
25. Total Amount Due (
Line 23 plus or minus Line 24)
statements) has been examined by me and to the best of my knowledge and belief is true correct and complete.
TOTAL REMITTANCE
OFFICE USE ONLY
If the return is prepared by a person other than the taxpayer, his declaration is based on all the information
relating to the matters required to be reported on the return of which he has any knowledge.
26. Totals of Columns 1 thru 14
(Have you used the proper columns?)
AUTHORIZED SIGNATURE
TITLE
$
DATE:
PHONE NO. & EXT. OF PREPARER:
CONFIRMATION #
STATE TAX I.D. #
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