Form 012011 - Sales And Use Tax Report printable pdf download

CALCASIEU PARISH SALES AND USE TAX DEPT

SALES AND USE TAX REPORT

P.O. DRAWER 2050

LAKE CHARLES, LA 70602-2050

ACCOUNT #

MONTH OF:

Round to nearest dollar

Gross sales of tangible personal property, leases rentals

and services as reported to the State of Louisiana.

(Before Taxes)

ALLOWABLE DEDUCTIONS

Occasional

FREQUENCY:

Monthly

Quarterly

2. Sales for resale or further processing. (Certificate on file).

STATE TAX I.D. # ___________________________

3. Cash discounts, sales returns and allowances.

NOTE: FOR ASSISTANCE CALL (337) 217-4280

OWNER'S SSN _____________________________

4. Sales delivered or shipped outside this jurisdiction (Does not include repairs)

FAX TO: (337) 217-4281

PLEASE INDICATE ANY CHANGES BELOW:

5. Sales of gasoline and motor fuels.

DATE OUT OF BUSINESS ______________________ DATE BUSINESS SOLD __________________________________________________

6. Sales to US Government, State of Louisiana, its political subdivisions and agencies.

NAME OF NEW OWNER ________________________________________________________________________________________________

7. Purchases paid with Food Stamps or WIC vouchers.

OTHER DEDUCTIONS Authorized by law. (Explain briefly)

COMMENTS: _______________________________________________________________________________

________________________________________________________________________________________________________________

10.

NOTE: EFFECTIVE 1/1/2011 TAX RATE IN COLUMN A (UNINCORPORATED EXCEPT WARD 1) IS INCREASED TO 5.25%.

Total allowable deductions (lines 2 thru10).

11.

COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS

Adjusted gross sales (Line 1 minus 11).

12.

Unincorporated Areas

City of

Ward 1 Only

COMPUTATION OF SALES & USE TAX

Except Ward 1

Moss Bluff,Gillis,Topsy

Lake Charles

City of Sulphur

Town of Iowa

City of DeQuincy

Town of Vinton

City of Westlake

ALL APPLICABLE LOCAL PARISH LEVIES

5.25%

5.0%

5.25%

ARE INCLUDED IN THE RATE DISPLAYED IN EACH COLUMN.

Adjusted gross sales in each jurisdiction (Total of columns must equal Line 12).

13.

14.

Purchases subject to use tax in each jurisdiction.

14.

Total (Line 13 plus 14).

15.

Tax due (Multiply Line 15 by % shown in column).

16.

Food/Drug exclusion is applicable in Cols A & H only ($ x 1%).

SEE INSTRUCTIONS FOR COMPUTATIONAL ASSISTANCE AND

Effective October 1, 2005 Manufacturing Machinery & Equipment Exclusion

16a.

applicable in Col B only ($ x 2.25%) Certificate required for MM&E exclusion

RESTRICTIONS ASSOCIATED WITH THESE SPECIAL EXCLUSIONS.

due to restrictions.

16a.

16b.

Total (Line 16 minus 16a).

16b.

Excess tax collected.

17.

Total (Line 16 plus 17). (Except in column A & H. Line 16b plus Line 17)

18.

19. Vendor's compensation

(1% of Line 18. Deductible only when payment is not delinquent)

19.

20.

Net tax due (Line 18 minus Line 19).

Penalty(5% of tax on the date the return becomes delinquent, with an additional 5% for each

21.

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 the

22.

month following the period covered by the return until paid).

22.

23.

Total Tax, penalty and interest due.

Tax debit or credit (Authorized memo must be attached).

24.

Total amount due (Line 23 plus or minus Line 24).

25.

This Return is due on the 1st day of the month following the period covered

Audited By

Total Remittance

by this return and becomes delinquent if not transmitted on or before the

Total of Columns A & B & C & D & E & F & G & H

20th day.

Signature

REMITTANCE PAYABLE TO

CALCASIEU PARISH SCHOOL BOARD

Owner or Agent ____________________________________________________________________ DATE __________________

Online filing available@ and https://parishe-file.revenue.louisiana.gov. Check it out today!

Form 012011

Form 012011 - Sales And Use Tax Report

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