R-1030 (7/09)
Ernest N. Morial Convention Center
Service Contractor Tax Return
Tour Tax Return
Mail Return To:
Louisiana Department of Revenue
Taxpayer Services Division
P.O. Box 3138
Baton Rouge, LA 70821-3138
Use return envelope provided.
Filing
Period_____________________
PLEASE PRINT OR TYPE.
MM/YY
Service Contractor Tax
.00
1 Contract Price of Goods and/or Services Furnished
.00
2 Less Total Exemptions
(from Line 11)
.00
3 Taxable Amount
(Subtract Line 2 from Line 1.)
.00
4 Gross Tax Due
(Multiply amount on Line 3 by 2%.)
Tour Tax
5 Number of Tour Participants
.00
6 Gross Tax Due
(Multiply amount on Line 5 by $1.)
.00
7 Net Tax Due
(Add Line 4 plus Line 6.)
(5% of tax for each 30 days or fraction thereof of delinquency, not to
.00
8 Delinquent penalty
exceed 25% in the aggregate)
.00
9 Interest
(See instructions.)
Make payment to:
10 Total Tax, Penalty, and Interest
PAY THIS AMOUNT.
.00
Department of Revenue.
(Add Lines 7 through 9.)
Do not send cash.
11 Exemptions
Type
Amount
(Please specify.)
TOTAL
This return is due on or before the 20th day following the taxable period and becomes delinquent on the first day thereafter. If the due
date falls on a weekend or holiday, the return is due the next business day and becomes delinquent the first day thereafter.
Under the penalties of perjury, I declare that I have examined this return, including all accompanying documents, and to the best of
my knowledge and belief, it is true, correct, and complete.
Date
Taxpayer Signature
(mm/dd/yyyy)
Signature of preparer other than taxpayer
Telephone
_____________________
■
Amended Return
■
Business Closed
■
Final Return
Date Business Discontinued
FOR OFFICE USE ONLY
Amount paid with this return
Check #
Routing #
4931
SPEC
CODE