USE PAPER CLIPS TO ATTACH REMITTANCE
SALES AND USE TAX REPORT
BOSSIER CITY - PARISH SALES AND USE TAX DIVISION
PO BOX 71313 BOSSIER CITY, LOUISIANA 71171-1313
PHONE (318) 741-8551 FAX (318) 741-8997 www.Bossiercity.org
GROSS SALES OF TANGIBLE AND PERSONAL PROPERTY, LEASES, RENTALS
1 AND SERVICES AS REPORTED TO THE STATE OF LOUISIANA 1
ALLOWABLE DEDUCTIONS MONTH(S) OF YR
2 SALES FOR RESALE OR FURTHER PROCESSING (CERTIFICATE ON FILE)
3 CASH DISCOUNTS, SALES RETURNS & ALLOWANCES
4 SALES DELIVERED OR SHIPPED OUTSIDE THIS JURISDICTION
5 SALES OF GASOLINE AND MOTOR FUELS OFFIC E USE ONLY OFFICE USE ONLY
6 SALES TO AGENCIES OF THE US GOVERNMENT, THE STATE
OF LOUISIANA AND ITS POLITICAL SUBDIVISIONS PLEASE INDICATE ANY CHANGES BELOW:
7 SALES OF FOOD PAID FOR WITH USDA FOOD STAMPS OR WIC VOUCHERS. DATE OUT OF BUSINESS DATE BUSINESS SOLD
OTHER DEDUCTIONS AUTHORIZED BY LAW (EXPLAIN BRIEFLY) NAME OF NEW OWNER
8
9 COMMENTS:
10
11 TOTAL ALLOWABLE DEDUCTIONS (LINE 2 THRU 10) 11 CONSOLIDATED SALES & USE TAX REPORT FOR BOSSIER PARISH, LA.
12 ADJUSTED GROSS SALES (LINE 1 MINUS LINE 11) - COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
SCHOOL BOARD SCHOOL BOARD SCHOOL BOARD SCHOOL BOARD SCHOOL BOARD SCHOOL BOARD RESERVED
BOSSIER CITY BENTON HAUGHTON PLAIN DEALING POLICE JURY POLICE JURY for
POLICE JURY POLICE JURY POLICE JURY POLICE JURY LAW ENFORCEMENT LAW ENFORCEMENT Boomtown
LAW ENFORCEMENT LAW ENFORCEMENT LAW ENFORCEMENT LAW ENFORCEMENT Casino
COMPUTATION OF SALES AND USE TAX TOTAL RATETOTAL OF COLUMNS 5.00% A 5.25% B 5.25% C 5.25% D 2.50% E 4.25% F 2.50% G
13 ADJUSTED GROSS SALES IN EACH JURISDICTION MUST EQUAL LINE 12 13
14 PURCHASES SUBJECT TO USE TAX IN EACH JURISDICTION 14
15 TOTAL (LINE 13 PLUS LINE 14)
16 TAX DUE- MULTIPLY LINE 15 BY % SHOWN IN COLUMN 16
17 EXCESS TAX COLLECTED 17
18 TOTAL (LINE 16 PLUS LINE 17)
DEDUCTIBLE ONLY WHEN
19 VENDORS COMPENSATION 1% OF LINE 18 PAYMENT IS NOT DELINQUENT 19
21 DELINQUENT PENALTY 21
20 NET TAX DUE (LINE 18 MINUS LINE 19) COMPUTED5% OFFROMTAX FORTHEEACHDAY AFTER30 DAYS25%THEORDUEFRACTIONDATE NOTTHEREOFTO EXCEED
22 INTEREST .7917% PER MONTH CALCULATED FROM DATE DUE UNTIL PAID. 22
23 TOTAL TAX, PENALTY AND INTEREST DUE
24 TAX DEBIT OR CREDIT (AUTHORIZED MEMO MUST BE ATTACHED) 24
25 TOTAL AMOUNT DUE (LINE 23 PLUS OR MINUS LINE 24) 25
This return DUE on the 1st day of month following period covered by this return TOTAL OF COLUMNS A + B + C + D + E + F LINE 26. TOTAL REMITTED
and becomes DELINQUENT if not transmitted on or before the 20th day. *THIS AREA IS ALSO WITHIN THE CITY OF SHREVEPORT
$
Acct #
STATE TAX I.D.#
OFFICE USE ONLY
REMITTANCES PAYABLE TO
BOSSIER CITY - PARISH
SALES AND USE TAX DIVISION
SIGNATURE OF
INDIVIDUAL OR AGENT DATE
ORIGINAL WARNING: DO NOT use any other taxpayer's return as this will result in improper credit.
DO NOT ignore delinquent notices - Negligence penalties may be imposed.