ASCENSION PARISH SALES AND USE TAX AUTHORITY
SALES AND USE TAX REPORT                                                                                                                                                        Account Number
Make Remittance Payable To:                                                                 Gonzales       225-621-2635                                                         2 digit MONTH
Ascension Parish Sales and Use Tax Authority                                                Fax            225-621-2644                                                         03 = 1Q, 06, 2Q, etc.
P.O. Box 1718
Gonzales, LA 70707                                                                                                                                                              4 digit YEAR
(Do NOT use any other taxpayer's return as this will result in improper credit.)
1. GROSS SALES OF TANGIBLE PROPERTY, LEASES, RENTALS, AND SERVICES
                                                           SCHEDULE "A" ALLOWABLE DEDUCTIONS
2. SALES FOR RESALE OR FURTHER PROCESSING (RESALE CERTIFICATE ON FILE)                                                                                                          File online at: http://parishe-file.revenue.louisiana.gov 
3. CASH DISCOUNTS, SALES RETURNS & ALLOWANCES                                                                                                                                                        or www.salestaxonline.com
4. SALES DELIVERED OR SHIPPED OUTSIDE THIS JURISDICTION (DOES NOT APPLY TO REPAIRS)
5. SALES OF GASOLINE AND MOTOR FUELS
6. SALES TO US GOV'T, STATE OF LA, POLITICAL SUBDV. & LOCAL AGENCIES                                                                                                                 FINAL RETURN
7. SALES OF FOOD PAID WITH USDA FOOD STAMPS OR WIC VOUCHERS                                                                                                                          CLOSED/SOLD DATE
OTHER DEDUCTIONS AUTHORIZED BY LAW (EXPLAIN BRIEFLY)
8.
9.                                                                                                                                                                              Pursuant to LA RS 47:337.69 (B), interest for all taxes that become due on or after January 1, 2023, the 
                                                                                                                                                                                rate of interest on any amount of outstanding tax shall not exceed one percent per month.
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
2.00% ASCENSION PARISH SCHOOL BOARD (Entire Parish, All Columns)
1.00% ASCENSION PARISH GOVERNMENT (Rural Tax & Annex, Columns C & E), 0.50% Columns H & I       4.5%                                                                   4.5%     4.5%                 5.0%                            4.5%     5.5%        6.0%            5.5%
2.00% CITY OF GONZALES (Within city limits, Columns A & G ), 1.00% Column I
2.50% CITY OF DONALDSONVILLE (Within City limits, Columns D & H)                                Column A                                                               Column B Column C             Column D                        Column E Column G    Column H        Column I
2.00% TOWN OF SORRENTO (Within Town limits, Column B)                                       EAST ASCENSION EAST ASCENSION                                                       EAST ACENSION        WEST ASCENSION           WEST ASCENSION  TANGER MALL DONALDSONVILLE- EAST ASCENSION 
0.50% ASCENSION PARISH SHERIFF (Rural Tax & Annex , Columns C & E), 0.25% Columns H & I
0.50% EAST ASCENSION DRAINAGE DISTRICT (Columns A, B, C , G & I)                                WITHIN                                                                 WITHIN   NOT IN               WITHIN                          NOT IN   DEVELOPMENT ANNEXED AREA    WITHIN GONZALES 
0.50% WEST ASCENSION HOSPITAL (Columns D, E & H)                                                GONZALES                                                               SORRENTO GONZALES OR          DONALDSONVILLE           DONALDSONVILLE  DISTRICT                    CONWAY ANNEXED 
0.50% ASCENSION PARISH DISTRICT #2 (Rural Tax & Annex, Columns C & E), 0.25% Columns H & I
1.00% TANGER MALL DEVELOPMENT DISTRICT (Column G)                                                                                                                               SORRENTO                                                                                  AREA
1.00% CONWAY ECONOMIC DEVELOPMENT DISTRICT (Column I)
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% OF 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% PER MONTH CALCULATED FROM DATE DUE UNTIL PAID)
23. TOTAL TAX, PENALTY AND INTEREST DUE (SUM OF LINE 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, G, H, & I)                                                                                                                                              HAVE YOU USED THE PROPER COLUMN?
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 a true, correct and completed 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.
SIGNATURE OF INDIVIDUDAL OR AGENT                                                           SIGNATURE OF PREPARER & PHONE NUMBER                                                                     DATE PREPARED                            CHECK NUMBER
EMAIL OF INDIVIDUAL OR AGENT                                                                                                                                                                         Phone Number for Contact Person          Reviewed By

Rev 10/2022

                                                   Ascension Parish Sales Tax Columns
                        Effective Date 07-01-2001 07-01-1986    10-01-1998   07-01-2012        10-01-1998                   07-01-2012 01-01-2016 10-01-2018
        Taxing Jurisdiction            Column A   Column B      Column C     Column D          Column E                     Column G   Column H   Column I
Ascension Parish School Board          2.00%      2.00%         2.00%        2.00%             2.00%                        2.00%      2.00%      2.00%
City of Gonzales                       2.00%                                                                                2.00%                 1.00%
Town of Sorrento                                  2.00%
City of Donaldsonville                                                       2.50%                                                     2.50%
Parish of Ascension                                             1.00%                          1.00%                                   0.50%      0.50%
Parish of Ascension, Dist#2                                     0.50%                          0.50%                                   0.25%      0.25%
Ascension Parish Sheriff’s Off.                                 0.50%                          0.50%                                   0.25%      0.25%
East Ascension Drainage Dist.          0.50%      0.50%         0.50%                                                       0.50%                 0.50%
West Ascension Hospital Dist.                                                0.50%             0.50%                                   0.50%
Tanger Mall Development Dist.                                                                                               1.00%
Conway Economic Development Dist.                                                                                                                 1.00%
                    Column Total Rate  4.50%      4.50%         4.50%        5.00%             4.50%                        5.50%      6.00%      5.50%

Municipalities: Ascension Parish has three municipalities.  Gonzales (Column A) and Sorrento (Column B) are on the east side of the Mississippi River.  Donaldsonville 
(Column D) is on the west side of the Mississippi River. Both the Cities of Gonzales and Donaldsonville include a smaller special districts that are located within their 
respective city limits.  Gonzales has Tanger Mall Development District (Column G) and Conway Economic Development District (Column I). Donaldsonville has its annexed 
area (Column H).  Transactions that take place in these special districts should be reported under their respective columns.

Unincorporated Areas (Rural):  Transactions that take place outside of the three municipalities should be reported under Column C or E.  Column C is for reporting 
transactions on the east of the Mississippi River and Column E is for reporting transactions on the west side of the Mississippi River.

                       Location of Sample Businesses & Communities as of 10/2022 (Please call 225-621-2635 to determine the proper column.)
Column C:    Businesses: BASF, Shell, Rubicon, Lion Copolymer, Honeywell, Westlake Vinyls, Hexion, Air Liquide, PCS Nitrogen, Air Products, Praxair, Nova Chemical, 
Innophos, Occidental Chemical, Impala, Methanex, REG Geismar.   Communities: Geismar, Prairieville, Brittany, St. Amant, Darrow, Burnside, Duplessis, Dutchtown, and 
Galvez.
Column E:    Businesses: CF Industries
Column H:   Businesses: Wal-Mart, Hot Wok, Hibbett Sports, Dollar Tree, It's Fashion, Check Into Cash, Murphy USA, , Wendy's, Walgreens, Burger King, Best Burger & 
Wings, Buddy's Home Furnishings, Creole Crumbs, Beauty Town, and Taco Bell.

                                  File online at https://parishe-file.revenue.louisiana.gov or www.salestaxonline.com.