Sales And Use Tax Report - Jefferson Davis Parish

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JEFFERSON DAVIS PARISH SCHOOL BOARD
SALES AND USE TAX REPORT
SALES AND USE TAX DEPARTMENT
P.O. BOX 1161
JEFFERSON DAVIS PARISH SCHOOL BOARD-
PHONE (337) 824-2744
JENNINGS, LA 70546
CITY OF JENNINGS- TOWN OF LAKE ARTHUR-
TOWN OF WELSH - TOWN OF ELTON-
VILLAGE OF FENTON- SALES TAX DISTRICT #1
ROAD SALES TAX DISTRICT #1
LAW ENFORCEMENT SALES TAX DISTRICT #1
SALES FOR MONTH OF
1.
,
,
GROSS SALES OF TANGIBLE PERSONAL PROPERTY
LEASES
RENTALS
AND SERVICES AS REPORTED TO THE STATE OF LOUISIANA
ALLOWABLE DEDUCTIONS
2.
SALES FOR RESALE OR FURTHER PROCESSING
3.
CASH DISCOUNTS, SALES RETURNS AND ALLOWANCES
PLEASE INDICATE ANY CHANGES BELOW:
SALES DELIVERED OUTSIDE OF JEFFERSON DAVIS PARISH
4.
5.
SALES OF GASOLINE AND MOTOR FUELS
DATE OUT OF BUSINESS
DATE BUSINESS SOLD
6.
SALES TO THE U.S. GOVERNMENT, STATE OF LOUISIANA
AND ITS POLITICAL SUBDIVISIONS AND AGENCIES
7.
NAME OF NEW OWNER
SALES IN INTERSTATE COMMERCE
SALES OF FERTILIZER, FEED & SEED SOLD TO FARMERS
8.
9.
PURCHASES PAID WITH FOOD STAMPS OR WIC VOUCHERS
COMMENTS:
10.
ANY OTHER DEDUCTIONS AUTHORIZED BY LAW (EXPLAIN)
11.
TOTAL ALLOWABLE DEDUCTIONS (Line 2 thru 10)
12.
ADJUSTED GROSS SALES (Line 1 minus line 11)
COMPUTATION OF SALES AND USE TAX
A
B
C
D
E
F
G
ALL APPLICABLE PARISH LEVIES ARE INCLUDED IN THE RATE
UNINCORPORATED
CITY OF JENNINGS
TOWN OF LAKE ARTHUR
TOWN OF WELSH
TOWN OF ELTON
VILLAGE OF FENTON
SALES TAX DISTRICT #1,
DISPLAYED IN EACH COLUMN
AREAS
5.0%
5.0%
4.5%
4.5%
4.5%
5.0%
(LINE 13 COLUMNS A, B, C, D, E, F, AND G EQUAL LINE 12)
4.5%
13.
ADJUSTED GROSS SALES IN EACH JURISDICTION
14.
PURCHASE SUBJECT TO USE TAX IN EACH JURISDICTION
15.
TOTAL (Line 13 plus line 14)
16.
TAX DUE (MULTIPLY LINE 15 BY % SHOWN IN COLUMN)
17.
EXCESS TAX COLLECTED
18.
TOTAL (Line 16 plus line 17)
19.
VENDOR’S COMPENSATION (2% of line 18 if not delinquent)
20.
NET TAX DUE (Line 18 minus line 19)
(5% OF TAX FOR EACH 30 DAYS OR FRACTION THEREOF.
21.
DELINQUENT PENALTY
DELINQUENCY NOT TO EXCEED 25% IN THE AGGREGATE.)
22.
INTEREST (1.25 % 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.
TOTAL AMOUNT DUE (Line 23 plus or minus line 24)
26.
TOTAL REMITTANCE: COLUMNS A, B, C, D, E, F & G (Line 25) $
I
(
-
OFFICE USE
DECLARE UNDER THE PENALTIES FOR FILING FALSE REPORTS THAT THIS RETURN
INCLUDING ANY ACCOMPANYING SCHEDULES AND STATE
TO AVOID PENALTIES BE SURE THAT YOU
)
,
,
. I
MENTS
HAS BEEN EXAMINED BY ME AND TO THE BEST OF MY KNOWLEDGE AND BELIEF IS TRUE
CORRECT
AND COMPLETE RETURN
F THE
TRANSMIT THIS RETURN ON OR BEFORE THE
,
RETURN IS PREPARED BY A PERSON OTHER THAN THE TAXPAYER
HIS DECLARATION IS BASED ONB ALL THE INFORMATION RELATING TO THE
20TH DAY OF EACH MONTH FOLLOWING THE
.
MATTERS REQUIRED TO BE REPORTED IN THE REURN OF WHICH HE HAS ANY KNOWLEDGE
PERIOD COVERED
:
DATE
SIGN HERE
STATE TAX I.D. NUMBER
WARNING
DO NOT USE ANY OTHER TAXPAYER
S RETURN
AS THIS WILL RESULT IN IMPROPER CREDIT

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