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REMIT ALL PAYMENTS TO: PLEASE INDICATE ANY CHANGES BELOW
Winn Parish School Board Date out of business Date business sold
Sales Tax Department
PO BOX 430 Name of New Owner
Winnfield, LA 71483
Phone (318) 628-6936 FAX: (318) 628-2582 Mailing address change
www.laota.com Location address change
SALES AND USE TAX REPORT Acct #: Period covered
(Do Not use any other taxpayer's return as this may result in improper credit.)
1. GROSS SALES OF TANGIBLE PERSONAL PROPERTY, LEASES, RENTALS, AND SERVICES
SCHEDULE "A" ALLOWABLE DEDUCTIONS
2. SALES FOR RESALE OR FURTHER PROCESSING (RESALE CERTIFICATE ON FILE)
3. CASH DISCOUNTS, SALES RETURNS & ALLOWANCES To avoid penalties your envelope must
4. SALES DELIVERED OR SHIPPED OUTSIDE THIS JURISDICTION (DOES NOT APPLY TO REPAIRS) have an official postmark dated on or
5. SALES OF GASOLINE AND MOTOR FUELS before the 20th following the period
6. SALES TO US GOV'T, STATE OF LA, POLITICAL SUBDV. & LOCAL AGENCIES covered by the return.
7. SALES OF FOOD PAID WITH USDA FOOD STAMPS OR WIC VOUCHERS
OTHER DEDUCTIONS AUTHORIZED BY LAW (EXPLAIN BRIEFLY)
8
9 Make a copy for your records
10
11. TOTAL ALLOWABLE DEDUCTIONS (LINE 2 THRU 10)
12. ADJUSTED GROSS SALES (LINE 1 MINUS LINE 11)
COMPUTATION OF SALES AND USE TAX COMPLETE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
A B C D E
5.50% 4.00% 5.00%
Winn Parish Within the Winn Parish Outside the City of Winn Parish Within the
City of Winnfield Winnfield and Village of Dodson Village of Dodson
13. ADJUSTED GROSS SALES IN EACH JURISDICTION
14. PURCHASES SUBJECT TO USE TAX IN EACH JURISDICTION
15. TOTAL TAXABLE TRANSACTIONS (LINE 13 PLUS LINE 14)
16. TAX DUE (MULTIPLY LINE 15 BY THE TAX RATE OF EACH COLUMN)
17. EXCESS TAX COLLECTED
18. TOTAL TAX DUE (LINE 16 PLUS LINE 17)
19. VENDORS COMPENSATION (2% LINE 18) (ONLY IF PAYMENT IS NOT DELINQUENT)
20. NET TAX DUE (LINE 18 MINUS LINE 19)
21. PENALTY (5% of Tax for each 30 Days or Fraction Thereof, 25% Max)
22. INTEREST (1.25% PER MONTH CALCULATED FROM DATE DUE UNTIL PAID)
23. TOTAL TAX, PENALTY, AND INTEREST DUE (SUM OF LINES 20-22)
24. TAX DEBIT OR CREDIT (AUTHORIZED MEMO MUST BE ATTACHED)
25. TOTAL AMOUNT DUE (LINE 23 PLUS OR MINUS LINE 24)
26. TOTAL REMITTED (TOTAL OF LINE 25 COLUMNS A, B, C, D, E) HAVE YOU USED THE PROPER COLUMN? $
I declare under the penalties for filing false reports that this return (including any accompanying schedules) 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 this 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
This return is DUE on the 1st day of the month following the period covered by this return and becomes DELINQUENT if not received by this office prior to the 21st day
DATE PREPARED SIGNATURE OF INDIVIDUAL OR AGENT & PHONE NUMBER SIGNATURE OF PREPARER & PHONE NUMBER CHECK NUMBER
Phone Number for Contact person Reviewed By
$20.00 CHARGE ON ALL RETURNED CHECKS
Winn Parish School Board
Post Office Box 430 Beginning January 1, 2020, the Village of Dodson has
Winnfield, LA 71483 approved the collection of a 1.0% sales/use tax.
Therefore, the total Parish sales/use tax for the Village of
Dodson will be 5.0%
Account No.
La. Tax ID:
File and pay online at: www.SalesTaxOnline.com OR www.ParishE-File.com
Taxpayer Tax Period
Address
Address City/State/ZC Filing Frequency