Fillable Form R-1029 H/m - Hotel/motel Sales Tax Return - Baton Rouge

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R-1029 H/M (7/09)

If your name has

If your address has

If amended return,

If final return,

changed, mark circle.

mark circle.

Hotel/Motel Sales Tax Return

Account Number >

Mail to:

Name(1) >

P.O. Box 3138

Name(2) >

Baton Rouge, Louisiana 70821-3138

(225) 219-7356 (225) 219-2114 (TDD)

Address(1) >

Address(2) >

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FOR OFFICE USE ONLY.

City State ZIP >

IMPORTANT NOTICE: The state sales tax paid on the rental of sleeping rooms is used to fund tourism and

economic development projects in your parish. It is important that you completely and accurately fill out this state

Filing period

sales tax return to ensure that the tax is properly distributed to your local government agencies.

1 Gross room rental receipts

2 Less exempt rentals to federal, state, and local government agencies

3 Taxable room rental receipts (Subtract Line 2 from Line 1.)

4 Gross sales of tangible personal property

5 Cost of tangible personal property

6 Leases, rentals, and services of tangible personal property

7 Total (Add Lines 3 through 6.)

8 Less exempt sales, leases, rentals, and services (Explain: __________________________________________________________________________)

9 Amount taxable (Subtract Line 8 from Line 7.)

10 Tax due (Multiply amount on Line 9 by 4%.)

11 Excess tax collected (Does not include local sales tax)

12 Total (Add Line 10 plus Line 11.)

13A Vendor’s compensation (1.1% of Line 12, if not delinquent)

13A

13B Designated to The Military Family Assistance Fund

13B

13C Applied to this return (Subtract Line 13B from Line 13A.)

13C

14 Net tax due (Subtract Line 13C from Line 12.)

15 Delinquent penalty

(5% of tax for each 30 days or fraction thereof of delinquency, not to exceed 25% in the aggregate)

16 Interest (See instructions.)

17A Total tax, penalty, and interest (Add Lines 14,15, and 16.)

17A

17B Additional payment to The Military Family Assistance Fund

17B

17C Total Remittance (Add Lines 17A plus 17B.) EFT Tax Code 04141.

DO NOT SEND CASH.

PAY THIS AMOUNT. u 17C

Under the penalties of perjury, I declare that I have examined this return, including all accompanying documents, and to the best of my knowledge and belief, it is true, correct, and complete. 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 in the return of which he has any knowledge.

Date

Signature

Signature of preparer other than taxpayer

Preparer ID

This return is due on or before the 20th day of the month following the taxable period covered and becomes delinquent on the first day

Telephone Number

thereafter. If the due date falls on a weekend or holiday, the return is due the next business day and becomes delinquent the first day

thereafter.

Complete only if change in business status has occurred. Please print or type.

Date business discontinued

Date business sold

Name of purchaser

NOTE: If your business has been discontinued or sold, your registration certificate must be sent to the Department of Revenue with this report. If business is sold, the new owner should complete a new

application for a separate number.

EFT Tax Code 04141. Do not send cash.

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