St. Martin Parish School Board Form - Sales And Use Tax Department

MAKE Y0UR REMITTANCE CHECK PAYABLE TO:

ST. MARTIN PARISH SCHOOL BOARD

Account #_________________________________________

ST. MARTIN PARISH SCHOOL BOARD

SALES AND USE TAX DEPARTMENT

SALES & USE TAX DEPT

P O BOX 1000

BREAUX BRIDGE LA 70517

Name____________________________________________

P O BOX 1000 BREAUX BRIDGE, LA 70517

PHONE: 337-332-2105, Ext. 4953

337-332-1287 (FAX)

This return DUE on the 1st day of month

PLEASE ENTER YOUR CHECK NUMBER

Address__________________________________________

following period covered by the return

and becomes DELINQUENT on 20th day.

DO NOT STAPLE CHECKS TO FORMS (S)

ROUND OFF TO THE NEAREST DOLLAR

_________________________________________________

1. Gross Sales of Tangible Personal Property, Leases, Rentals

$

SALES TAX INFO:

For Period Ended _________________________________

& Services Reported to the State of Louisiana

ALLOWABLE DEDUCTIONS

2. Sales for Resale

3. Cash Discounts, Sales Returns & Allowances

PARISH TAX RATE 3.5 % (EXCEPT FOR COLUMNS B & H)

4. Sales Delivered or Materials Used Outside This Jurisdiction

COLUMN B - BREAUX BRIDGE ANNEXATION - (effective 01/01/2005) located by physical address -

5. Sales of Gasoline and Motor Fuels

see reverse side of sheet for applicable addresses

6. Sales to the U.S. Government and State of Louisiana

COLUMN F - ST. MARTIN PARISH GOV'T SALESTAX DISTRICT NO. 2 - (effective 04/01/1999) located

OTHER DEDUCTIONS AUTHORIZED BY LAW (explain)

by physical address -see reverse side of sheet for applicable addresses

7

COLUMN G - ST. MARTIN PARISH GOV'T SALESTAX DISTRICT NO. 1 - (effective 10/01/2002) all

8

unincorporated areas of St. Matin Parish less and except Sales Tax District No. 2

9

COLUMN H - CITY OF ARNAUDVILLE within ST. MARTIN PARISH - located by physical address - see

10

reverse side of sheet for applicable addresses

11. Total allowable deductions (Line 2 thru 10)

12. Adjusted gross sales (Line 1 minus 11)

COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS

A

B

C

D

E

F

G

H

COMPUTATION OF SALES AND USE TAX

Breaux Bridge Annex,

Breaux Bridge,

District 1, School

St. Martinville,

Parks,

Henderson,

District 2,

District 1,

Arnaudville

School Board & Law

Board & Law

School Board & Law

School Board & Law

School Board & Law

School Board & Law

School Board & Law

School Board & Law

ROUND OFF TO THE NEAREST DOLLAR

3.50%

4.50%

3.50%

3.50%

3.50%

3.50%

3.50%

1.50%

13. Adjusted Gross Sales in Each Jurisdiction

(Totals of all columns must equal LINE 12)

.00

.00

.00

.00

.00

.00

.00

.00

.00

.00

.00

.00

.00

.00

.00

.00

14. Purchases Subject to Use Tax in Each Jurisdiction

.00

.00

.00

.00

.00

.00

.00

.00

15. Total (Line 13 plus Line 14)

16. TAX DUE -

.00

.00

.00

.00

.00

.00

.00

.00

Multiply Line 15 by % Shown (Each Column)

17. Excess Tax Collected

.00

.00

.00

.00

.00

.00

.00

.00

18. TOTAL (Line 16 plus Line 17)

.00

.00

.00

.00

.00

.00

.00

.00

19. Vendors Compensation (1.1% of Line 18)

.00

.00

.00

.00

.00

.00

.00

.00

(allowed only when not delinquent)

.00

.00

.00

.00

.00

.00

.00

.00

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

21. Penalty -

5% per month past due to a max of 25%

.00

.00

.00

.00

.00

.00

.00

.00

(Multiply line 20 by applicable penalty rate)

22. Interest:

1% per month from due date until paid

.00

.00

.00

.00

.00

.00

.00

.00

(Multiply line 20 by applicable interest rate)

.00

.00

.00

.00

.00

.00

.00

.00

23. Total Tax, Penalty & Interest Due

24. Tax Debt or Credit

.00

.00

.00

.00

.00

.00

.00

.00

(Authorized memo must be attached)

25. Total Amount Due

(Line 23 plus or minus Line 24)

.00

.00

.00

.00

.00

.00

.00

.00

TOTAL REMITTANCE

WARNING: DO NOT use any other Taxpayer's return as this will result in improper credit.

26. REMITTANCE ATTACHED (TOTALS A, B, C, D, E, F, G, H)

DO NOT ignore delinquent notices - Negligence penalties may be imposed.

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 true, correct and

LOUISIANA TAX ID NUMBER

complete return. If the return is prepared by a person other than the taxapyer, 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.

DATE:

AUTHORIZED SIGNATURE

REVIEWED BY

Please indicate any changes :

Date out of business or sold _______________________________

Name and address of new owner__________________________________________________________