Sales And Use Tax Report - Louisiana Ascension Parish Sales And Use Tax Authority

ASCENSION PARISH SALES AND USE TAX AUTHORITY

SALES AND USE TAX REPORT

Account Number

Make Remittance Payable To:

Gonzales

225-621-2635

MONTH

2 digit

Ascension Parish Sales and Use Tax Authority

Fax

225-621-2644

03 = 1Q, 06, 2Q, etc.

P.O. Box 1718

Donaldsonville

225-473-8630

Gonzales, LA 70707

YEAR

4 digit

(Do NOT use any other taxpayer's return as this well result in improper credit.)

1. GROSS SALES OF TANGIBLE PROPERTY, LEASES, RENTALS, AND SERVICES

SCHEDULE "A" ALLOWABLE DEDUCTIONS

2. SALES FOR RESALE OR FURTHER PROCESSING (RESALE CERTIFICATE ON FILE)

File online with

3. CASH DISCOUNTS, SALES RETURNS & ALLOWANCES

4. SALES DELIVERED OR SHIPPED OUTSIDE THIS JURISDICTION (DOES NOT APPLY TO REPAIRS)

5. SALES OF GASOLINE AND MOTOR FUELS

6. SALES TO US GOV'T, STATE OF LA, POLITICAL SUBDV. & LOCAL AGENCIES

7. SALES OF FOOD PAID WITH USDA FOOD STAMPS OR WIC VOUCHERS

OTHER DEDUCTIONS AUTHORIZED BY LAW (EXPLAIN BRIEFLY)

TAX DECREASE

8.

BEGINNING JANUARY 1, 2016

9.

COLUMN H IS 6.0%

10.

{Donaldsonville-Annexed Area}

11. TOTAL ALLOWABLE DEDUCTIONS (LINE 2 THRU 10)

12. ADJUSTED GROSS SALES (LINE 1 MINUS LINE 11)

COMPLETE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS

COMPUTATION OF SALES AND USE TAX

4.5%

4.5%

4.5%

5.0%

4.5%

5.5%

6.0%

2%

ASCENSION PARISH SCHOOL BOARD (Entire Parish, All Columns)

1%

ASCENSION PARISH GOVERNMENT (Rural Tax & Annex, Column C, & E ), .5% Column H

Column A

Column B

Column C

Column D

Column E

Column G

Column H

2%

CITY OF GONZALES (Within city limits, Column A & G)

2.5% CITY OF DONALDSONVILLE (Within City limits, Column D & H)

EAST ASCENSION

EAST ASCENSION

EAST ACENSION

WEST ASCENSION

WEST ASCENSION

TANGER MALL

DONALDSONVILLE-

2%

TOWN OF SORRENTO (Within Town limits, Column B)

WITHIN

WITHIN

NOT IN

WITHIN

NOT IN

DEVELOPMENT

ANNEXED AREA

.5%

ASCENSION PARISH SHERIFF (Rural Tax & Annex , Column C, & E), .25% Column H

.5%

EAST ASCENSION DRAINAGE DISTRICT (Columns A, B, C & G)

GONZALES

SORRENTO

GONZALES OR

DONALDSONVILLE

DONALDSONVILLE

DISTRICT

.5%

WEST ASCENSION HOSPITAL (Column D, E & H)

.5%

ASCENSION PARISH DISTRICT #2 (Rural Tax & Annex, Columns C, & E), .25% Column H

SORRENTO

1%

TANGER MALL DEVELOPMENT DISTRICT (Column G)

13. ADJUSTED GROSS SALES IN EACH JURISDICTION

14. PURCHASES SUBJECT TO USE TAX IN EACH JURISDICTION

15. TOTAL TAXABLE TRANSACTIONS (LINE 13 PLUS LINE 14)

16. TAX DUE (MULTIPLY LINE 15 BY THE TAX RATE OF EACH COLUMN)

17. EXCESS TAX COLLECTED

18. TOTAL TAX DUE (LINE 16 PLUS LINE 17)

19. VENDORS COMPENSATION (2% OF LINE 18) (ONLY IF PAYMENT IS NOT DELINQUENT)

20. NET TAX DUE (LINE 18 MINUS LINE 19)

21. PENALTY (5% of Tax for each 30 Days or Fraction Thereof, 25% MAX)

22. INTEREST (1.25% PER MONTH CALCULATED FROM DATE DUE UNTIL PAID)

23. TOTAL TAX, PENALTY AND INTEREST DUE (SUM OF LINE 20-22)

24. TAX DEBIT OR CREDIT (AUTHORIZED MEMO MUST BE ATTACHED)

25. TOTAL AMOUNT DUE (LINE 23 PLUS OR MINUS LINE 24)

HAVE YOU USED THE PROPER COLUMN?

26. TOTAL REMITTED (TOTAL OF LINE 25 COLUMNS A, B, C, D, E, G & H)

I declare under the penalties for filing false reports that this return (including any accompanying schedules and statements) has been examined by me and to the best of my knowledge and belief is a true, correct and completed return. If the return is prepared by a person other than this 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.

This return is DUE on the 1st day of the month following the period covered by this return and becomes DELINQUENT if not received by this office prior to the 21st day.

SIGNATURE OF INDIVUDAL OR AGENT

SIGNATURE OF PREPARER & PHONE NUMBER

DATE PREPARED

CHECK NUMBER

EMAIL OF INDIVIDUAL OR AGENT

Reviewed By

Phone Number for Contact Person

Rev 11/2015