Form Webster Parish Sales And Use Tax Report - 2017 printable pdf download

REVISED 01/01/17

WEBSTER PARISH SALES AND USE TAX REPORT

Make all remittances payable to:

Account

Webster Parish Sales & Use Tax Commission

P.O. Box 357 ♦ Minden, LA 71058-0357

Sales for Month of

Phone (318) 377-8948 ♦ Fax (318) 377-4089

(or Last Month of Reporting Period)

Website:

Email:

LA. Sales Tax No. ________________________

1. Gross Sales of Tangible Personal Property and Services as Reported to the State of Louisiana

Email:

ALLOWABLE DEDUCTIONS

2. Sales For Resale

3. Cash Discounts, Sales Returns & Allowances

4. Sales Delivered or Shipped Outside of Webster Parish

5. Sales of Gasoline and Motor Fuels

6. Sales to the U.S. Govt., the State of LA, or 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)

REPORT IN EVEN DOLLAR AMOUNTS

Round up any amount 50¢ and Over

Drop any amount 49¢ and below

10.

This return is DUE on the 1

day of the month following

11. Total Allowable Deductions (Line 2 thru 10)

11.

the period covered by this return and becomes

12.

12. Adjusted Gross Sales (Line 1 minus line 11)

DELINQUENT if not transmitted on or before the 20

day.

COMPUTATION OF SALES

TOTAL LOCAL RATE

A - 3%

B - 3.5%

C - 5.5%

D - 4%

E - 5.5%

F - 5.5%

G - 5.5%

H - 4%

I - 5%

J - 5.5%

K - 4%

AND USE TAX

MUNICIPALITY TAX

Sibley

Cotton Valley

Minden

Springhill

Cullen

Sarepta

Dixie Inn

Doyline

SCHOOL DISTRICT

COMPLETE ONLY THOSE

SCHOOL DIST. #6

PARISH WIDE TAX

SCHOOL BD/PJ

COLUMNS IN WHICH TAXABLE

LAW ENF. DIST.

PARISH WIDE TAX

ACTIVITY OCCURS

LAW ENF. DIST.

LAW ENF. DIST. LAW ENF. DIST.

LAW ENF. DIST.

13.

13. Adjusted Gross Sales in Each Jurisdiction

(Must equal line 12)

14. Purchases Subject to Use Tax in Each Jurisdiction

15. Total (Line 13 plus Line 14)

16.

16. Multiply Line 15 by % Shown (Each Column)

16A. Minden Economic Development District 1,2,3 or 4

NOT APPLICABLE TO THESE COLUMNS

NOT APPLICABLE TO THESE COLUMNS - SEE ADDITIONAL INSTRUCTIONS

Multiply Line 15 by 2% (Enter 0 if not in Economic District)

16B. Add Lines 16 & 16A, enter total here

17. Excess Tax Collected

18. Total

(Line 16 plus Line 17) (Except Column E. Line 16B plus Line 17)

19.

19. Vendors Comp. (1.5% of Line 18)

(If not delinquent)

20. Net Tax Due (Line 18 minus Line 19)

21.

21. Delinquent Penalty (5% per 30 days, max. 25%)

22.

22. Interest 1% Per Month From Due Date Until Paid

23. Total Tax, Penalty and Interest Due

24. Tax Debit or Credit (Authorized memo must be attached)

25.

25. Total Amount Due (Line 23 plus or minus Line24)

TOTAL REMITTED

Remittance Attached

(total of columns A, B, C, D, E, F, G, H, I, J, K)

Have you used the proper column?

Line 26

26.

I declare, under the penalties for filing false reports, that this return (including any accompanying schedule and statements) has been examined by me and, to the best of my knowledge and belief, is a true,

correct and complete return. 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.

SIGNATURE OF

Please Indicate Any Changes Below:

Date out of business/sold:

INDIVIDUAL/AGENT ___________________ ___________________________________________ DATE _ _______________

DO NOT use any other taxpayer’s return as this will result in improper credit

Name of New Owner:

Dishonored check

WARNING

DO NOT ignore Delinquent notices – Negligence penalties may be imposed

Address of New Owner:

charge $20.00