Sales / Use Tax Report - Iberia Parish
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1IBERIA PARISH SCHOOL BOARD
SALES & USE TAX DEPT.
P. O. BOX 9770 • NEW IBERIA, LA 70562-9770
Phone: (337) 365-2341 • Fax: (337) 365-6584
SALES TAX INFO:
Account #
Gross sales of Tangible Personal Property, Leases, Rentals and Services as
1.
1.
Reported to the State of Louisiana
OFFICE USE ONLY
MONTH:
ALLOWABLE DEDUCTIONS
2.
Sales for Resale or Further Processing (Certificate on File)
3.
Cash Discounts, Sales Returns & Allowances
4.
Sales Delivered or Shipped Outside this Jurisdiction (Does not apply to Repairs)
5.
Sales of Gasoline or Motor Fuels
6.
Sales to the U.S. Govt. , the State of LA, its Political Subdivisions and Agencies
7.
Sales of Food Paid for with USDA Food Stamps or WIC Vouchers
OTHER DEDUCTIONS AUTHORIZED BY LAW (EXPLAIN BRIEFLY)
8.
Date Business Discontinued
Date Business Sold
Name of Purchaser
9.
Business Location Change
Mailing Address Change
Change in Name of Business
10.
11.
11.
TOTAL ALLOWABLE DEDUCTIONS (Line 2 thru 10)
COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
12.
ADJUSTED GROSS SALES (Line 1 MINUS Line 11)
City of New Iberia
City of Jeanerette
Town of Delcambre
Village of Loreauville
Iberia Parish School Board
Iberia Parish School Board
Iberia Parish School Board
Iberia Parish School Board
Iberia Parish School Board
Parish Govt. Mosquito
Parish Gov. Mosquito
Parish Govt. Mosquito
Parish Govt. Mosquito
Parish Govt. Mosquito
Parish Govt. Recreation
Computation of Sales and Use Tax
Law Enforcement Dist.
Parish Govt. Recreation
Parish Govt. Recreation
Parish Govt. Recreation
Parish Govt. Garbage
Law Enforcement Dist.
Law Enforcement Dist.
Law Enforcement Dist.
Law Enforcement Dist.
4 1/2%
A.
4 1/2%
B.
3 3/4%
C.
4 1/4%
D.
3 1/4%
E.
Total of Columns
13.
13.
Adjusted Gross Sales in Each Jurisdiction
Must Equal Line 12
14.
14.
Purchases Subject to Use Tax In Each Jurisdiction
15.
15.
TOTAL (Line 13 Plus Line 14)
16.
16.
Tax Due - Multiply Line 15 by % Shown in Column
17.
17.
EXCESS TAX COLLECTED
18.
TOTAL (Line 16 Plus Line 17)
18.
DEDUCTIBLE ONLY WHEN
19.
19.
Vendor Compensation 1% OF LINE 18
PAYMENT IS NOT DELINQUENT
20.
20.
NET TAX DUE
(LINE 18 MINUS LINE 19)
5% of Tax for Each 30 days or Fraction of Month
21.
21.
Delinquent Penalty
Thereof of Delinquency not to exceed 25%
Calculated Daily @ .000411 From
22.
22.
Interest 1 1/4% Per Month
Date Due Until Paid
23.
23.
Total Tax, Penalty and Interest Due (Line 20 Plus Lines 21 & 22)
24.
(AUTHORIZED MEMO MUST BE ATTACHED)
24.
TAX DEBIT OR CREDIT
25.
25.
TOTAL AMOUNT DUE
(LINE 23 PLUS OR MINUS LINE 24)
This return DUE on the 1st day of the month following the period covered by this
AUDITED BY
TOTAL OF COLUMNS A + B + C + D + E
LINE 26.
TOTAL REMITTED
return, and becomes DELINQUENT if not transmitted on or before the 20th day.
Remittances Payable to: Iberia Parish Sales & Use Tax Department
DISHONORED
WHICHEVER
1% OF THE CHECK OR $20
CHECK CHARGE
IS GREATER
SIGNATURE OF
INDIVIDUAL
$
OR AGENT
DATE
STATE TAX I.D. #
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