Form 012016 - Sales And Use Tax Report - Calcasieu Parish Sales And Use Tax Dept

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CALCASIEU PARISH SALES AND USE TAX DEPT
P.O. DRAWER 2050
LAKE CHARLES, LA 70602-2050
NOTE: FOR ASSISTANCE CALL (337) 217-4280
FAX TO: (337) 217-4281
ACCOUNT #
MONTH OF:
COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
A
B
Unincorporated
C
D
E
COMPUTATION OF SALES & USE TAX
City of
Areas
City of Sulphur
Town of Iowa
City of DeQuincy
Lake Charles
Except Ward 1
5.75%
5.75%
5.75%
5.75%
5.75%
Round to nearest dollar
ALL APPLICABLE LOCAL LEVIES INCLUDED
Adjusted gross sales in each jurisdiction (Total of columns must
Gross sales of tangible personal property, leases rentals and services as
1.
00
13
00
00
00
00
00
reported to the State of Louisiana. (Before Taxes)
.$
equal Line 12).
1
ALLOWABLE DEDUCTIONS
14
Purchases subject to use tax in each jurisdiction.
00
00
00
00
00
2. Sales for resale or further processing. (Certificate on file).
00
15
Total (Line 13 plus 14).
00
00
00
00
00
3. Cash discounts, sales returns and allowances.
00
16
Tax due (Multiply Line 15 by % shown in column).
00
00
00
00
00
4. Sales delivered or shipped outside Calcasieu Parish.
00
Food/Drug exclusion is applicable in Cols A & H only ($ x 1%). Effective
SEE INSTRUCTIONS FOR COMPUTATIONAL
October 1, 2005 Manufacturing Machinery & Equipment Exclusion
00
00
00
5. Sales of gasoline and motor fuels.
16a
applicable in Col B only ($ x 2.25%) Certificate required for MM&E
ASSISTANCE AND RESTRICTIONS ASSOCIATED WITH
00
exclusion due to restrictions.
6. Sales to tax exempt government agencies.
THESE SPECIAL EXCLUSIONS.
7. Purchases paid with Food Stamps or WIC vouchers.
00
16b
Total (Line 16 minus 16a).
00
00
00
00
00
00
00
00
OTHER DEDUCTIONS Authorized by law. (Explain briefly)
17
Excess tax collected.
8.
00
18
Total (Line 16 plus 17). (Except in column A & H. Line 16b plus Line 17)
00
00
00
00
00
Vendor's compensation (1% of Line 18. Deductible only when payment is
9.
00
19
00
00
00
00
00
not delinquent)
10.
00
20
Net tax due (Line 18 minus Line 19).
00
00
00
00
00
Penalty(5% of tax on the date the return becomes delinquent, with an additional 5% for
00
00
00
00
00
00
11. Total allowable deductions (lines 2 thru10).
11.
21
each subsequent 30 day period not to exceed 25% in aggregate)
Interest (monthly rate of 1.25% or daily average per day from the first day of
00
00
00
00
00
00
12. Adjusted gross sales (Line 1 minus 11).
12.
22
the month following the period covered by the return until paid).
23
Total Tax, penalty and interest due.
00
00
00
00
00
FREQUENCY:
MONTHLY
QUARTERLY
ANNUAL
24
Tax debit or credit (Authorized memo must be attached).
00
00
00
00
00
25
Total amount due (Line 23 plus or minus Line 24).
00
00
00
00
00
I
STATE TAX I.D. # _____________________________
H
F
G
Hope Economic
Ward 1 Only
OWNER'S SSN _______________________________
COMPUTATION OF SALES & USE TAX
Town of Vinton
City of Westlake
Development
Moss Bluff, Gillis,
Topsy
District
ALL APPLICABLE LOCAL LEVIES INCLUDED
PLEASE INDICATE ANY CHANGES BELOW:
5.75%
5.75%
5.75%
7.75%
Adjusted gross sales in each jurisdiction (Total of columns must
13.
00
00
00
00
DATE OUT OF BUSINESS _____________________________________________
equal Line 12).
14.
Purchases subject to use tax in each jurisdiction.
00
00
00
00
DATE BUSINESS SOLD _______________________________________________
15.
Total (Line 13 plus 14).
00
00
00
00
NAME OF NEW OWNER _______________________________________________
00
00
00
00
16.
Tax due (Multiply Line 15 by % shown in column).
COMMENTS: ____________________________________________
Food/Drug exclusion is applicable in Cols A & H only ($ x 1%). Effective
SEE INSTRUCTIONS FOR
________________________________________________________
October 1, 2005 Manufacturing Machinery & Equipment Exclusion
00
16a.
COMPUTATIONAL ASSISTANCE AND
applicable in Col B only ($ x 2.25%) Certificate required for MM&E
exclusion due to restrictions.
RESTRICTIONS ASSOCIATED WITH
THESE SPECIAL EXCLUSIONS.
00
16b.
Total (Line 16 minus 16a).
NOTE: EFFECTIVE 1/1/2016 TAX RATE IN LAKE CHARLES (COLUMN B) IS
INCREASED TO 5.75%. NEW HOPE ECONOMIC DEVELOPMENT DISTRICT HAS
17.
Excess tax collected.
00
00
00
00
TAX RATE OF 7.75% EFFECTIVE 1/1/2016.
18. Total (Line 16 plus 17). (Except in column A & H. Line 16b plus Line 17)
00
00
00
00
Vendor's compensation (1% of Line 18. Deductible only when payment is
19.
00
00
00
00
not delinquent)
00
00
00
00
20. Net tax due (Line 18 minus Line 19).
This Return is due on the 1st day of the month following the period covered by this
Penalty(5% of tax on the date the return becomes delinquent, with an additional 5% for
return and becomes delinquent if not transmitted on or before the 20th day.
21.
00
00
00
00
each subsequent 30 day period not to exceed 25% in aggregate)
I declare under the penalties for filing false reports that this return (including any
Interest (monthly rate of 1.25% or daily average per day from the first day of
22.
00
00
00
00
accompanying schedules and statements) has been examined by me and to the best of my
the month following the period covered by the return until paid).
knowledge and belief is a true, correct, and complete return. If the return is prepared by a
00
00
00
00
23.
Total Tax, penalty and interest due.
person other than the taxpayer, his declaration is based on all information relating to the
24.
Tax debit or credit (Authorized memo must be attached).
00
00
00
00
matters required to be reported in the return of which he has any knowledge.
Total amount due (Line 23 plus or minus Line 24).
00
00
00
00
25.
Total Remittance
Audited By
Authorized Signature
Date
Total of Columns A & B & C & D & E & F & G & H & I
$
26
REMITTANCE PAYABLE TO CALCASIEU
PARISH SCHOOL BOARD
Online filing available@ and https://parishe-file.revenue.louisiana.gov. Check it out today!
Form 012016

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