knowledge. “Returns by taxpayer previously registered by Acadia Parish, shall extend registration to all taxing jurisdictions.” the taxpayer, his declaration is based onb all the information relating to the matters required to be reported in the reurn of which he has any ined by me and to the best of my knowledge and belief is true, correct, and complete return. If the return is prepared by a person other than I declare under the penalties for filing false reports that this return(including any accompanying schedules and statements) has been exam- 26. 25. 24. 23. 22. 21. 20. 19. 18. 17. 16. 15. 14. 13. 12. 11. 10. 9. 8. 7. 6. 5. 4. 3. 2. 1. Fax: 337-783-9428 Phone: 337-783-3664 Address Correction Requested CROWLEY , LA 70527-0309 P .O. DRAWER 309 SALES AND USE TAX DEPARTMENT PARISH OF ACADIA
ALL $20.00 CHARGE ON
of cols.: A,B,C,D,E,F,G,H & I) REMITTANCE ATTACHED (Totals TOTAL AMOUNT DUE TAX DEBIT OR CREDIT TOTAL TAX, PENALTY AND INTEREST DUE INTEREST PENALTY DELINQUENT NET TAX DUE (LINE 18 MINUS LINE 19) 2% OF LINE 18 VENDOR’S COMPENSATION TOTAL (LINE 16 PLUS LINE 17) EXCESS TAX COLLECTED TAX DUE- TOTAL (LINE 13 PLUS LINE 14) PURCHASES SUBJECTTO USE TAX IN EACH JURISDICTION IN EACH JURISDICTION ADJUSTED GROSS SALES ADJUSTED GROSS SALES (LINE 1 MINUS LINE 11) TOTALALLOWABLE DEDUCTIONS (LINE 2 THROUGH LINE 10) SALES OF FOOD PAID FOR WITH USDA FOOD STAMPS OR WIC VOUCHERS SALES TO THE US GOV’T., THE STATE OF LA, ITS POLITICAL SUBDIVISIONS AND AGENCIES SALES OF GASOLINE AND MOTOR FUELS SALESDELIVERED OR SHIPPED OUTSIDE ACADIA PARISH CASH DISCOUNTS, SALES RETURNS AND ALLOWANCES SALES FOR RESALE OR FURTHER PROCESSING (CERTIFICATE ON FILE) AND SERVICES AS REPORTED TO THE STATE OF LOUISIANA GROSS SALES OF TANGIBLE PERSONAL PROPERTY, LEASES, RENTALS
“NSF” CHECKS COMPUTATION OF SALES
OTHER DEDUCTIONS AUTHORIZED BY LAW (EXPLAIN BRIEFLY)
MULTIPLY LINE 15 BY % SHOWN IN PROPER COLUMN
Delinquency not to exceed 25% in the aggregate & USE TAX TOTAL LOCAL RATE
date due until paid 1.25% per month or fraction thereof from 5% of tax for each 30 days or fraction thereof.
(LINE 23 PLUS OR MINUS LINE 24) MUST BE ATTACHED AUTHORIZED MEMO
PAYMENT NOT DELINQUENT DEDUCTIBLE ONLY WHEN
ALLOWABLE DEDUCTIONS
DATE
25. 24. 23. 22. 21. 20. 19. 18. 17. 16. 15. 14. 13.
MAKE YOUR REMITTANCE
SHERIFF’S DEPT POLICE JURY & SCHOOL BOARD
CROWLEY A.
PAYABLE TO: 5.5%
12. 11.
SHERIFF’S DEPT POLICE JURY & SCHOOL BOARD CHURCH POINT B.
AUTHORIZED SIGNATURE
4.25%
1.
SALES & USE TAX DEPARTMENT ACADIA
SHERIFF’S DEPT POLICE JURY & SCHOOL BOARD C.
PARISH SCOOL IOTA 5.25%
( ) SHERIFF’S DEPT POLICE JURY & SCHOOL BOARD ESTHERWOOD D.
BOARD 4.25% COMMENTS
COMPLETE ONLY
PHONE NUMBER CONSOLIDATED SALES & USE TAX REPORT FOR ACADIA
LA
SCHOOL BOARD
TAX IDENTIFICATION NO. SHERIFF’S DEPT POLICE JURY & MERMENTAU E.
Have you used the proper column?
4.25%
COLUMNS IN WHICH TAXABLE ACTIVITY
avoid penalties your envelope must have an official postmark dated on or Check Number: Report Month:
REVIEWED BY covered by this return and becomes DELINQUINT
SHERIFF’S DEPT POLICE JURY & SCHOOL BOARD F. CHANGE IN NAME OF BUSINESS DATE BUSINESS DISCONTINUED This return is due on the 1st day of the month following the period
RAYNE 5.00% DATE BUSINESS SOLD before the 20th following the period covered by the return.
PLEASE INDICATE ANY SALES AND USE TAX REPORT
SHERIFF’S DEPT POLICE JURY & SCHOOL BOARD G.
MORSE
BUSINESS LOCATION 4.25%
NAME AND ADDRESS OF PURCHASER CHANGES BELOW:
H.
BUSINESS LOCATION CHANGE
26 Line DUSON BASILE EUNICE 3.25% MAILING ADDRESS CHANGE
on the 21st day. To
TOTAL REMITTED OCCURS PARISH
SHERIFF’S DEPT POLICE JURY & SCHOOL BOARD UNINCORPORATED
I.
4.25%