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% G
RESERVED Boom Town
TOTAL REMITTED
$
OFFICE USE ONLY
LINE 26. REMITTANCES PAYABLE TO BOSSIER CITY - PARISH
OFFICE USE ONLY 4.25% F SALES AND USE TAX DIVISION DATE
POLICE JURY
SCHOOL BOARD LAW ENFORCEMENT
2.5% E*
POLICE JURY
SCHOOL BOARD LAW ENFORCEMENT
YR DATE BUSINESS SOLD
5.25% D
PLAIN DEALING POLICE JURY
SCHOOL BOARD LAW ENFORCEMENT
CONSOLIDATED SALES & USE TAX REPORT FOR BOSSIER PARISH, LA.
COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
OFFIC E USE ONLY
HAUGHTON 5.25%% C
SCHOOL BOARD POLICE JURY
LAW ENFORCEMENT DO NOT use any other taxpayer's return as this will result in impropert credit. DO NOT ignore delinquent notices - Negligence penalties may be imposed.
BENTON 5.25% B STATE TAX I.D.#
SCHOOL BOARD POLICE JURY
MONTH(S) OF PLEASE INDICATE ANY CHANGES BELOW: DATE OUT OF BUSINESS NAME OF NEW OWNER COMMENTS: LAW ENFORCEMENT TOTAL OF COLUMNS A + B + C + D + E + F *THIS AREA IS ALSO WITHIN THE CITY OF SHREVEPORT WARNING:
SIGNATURE OF INDIVIDUAL OR AGENT
5% A
BOSSIER CITY POLICE JURY AUDITED BY
SCHOOL BOARD LAW ENFORCEMENT
1 11 13 14 16 17 19 21 22 24 25
WWW.LAOTA.COM
AND
TOTAL OF COLUMNS
MUST EQUAL LINE 12 DEDUCTIBLE ONLY WHEN
PAYMENT IS NOT DELINQUENT
CALCULATED FROM DATE DUE UNTIL PAID.
5% OF TAX FOR EACH 30 DAYS OR FRACTION THEREOF COMPUTED FROM THE 21st. DELINQUENCY, NOT TO ORIGINAL
WWW.BOSSIERCITY.ORG ALLOWABLE DEDUCTIONS
PHONE NO: 318-741-8549 FAX NO: 318-741-8997
USE PAPER CLIPS TO ATTACH REMITTANCE BOSSIER CITY - PARISH SALES AND USE TAX DIVISION P.O. BOX 71313 BOSSIER CITY, LOUISIANA 71171-1313
SALES AND USE TAX REPORT
ON THE WEB AT
ACCT :
GROSS SALES OF TANGIBLE AND PERSONAL PROPERTY, LEASES, RENTALS AND SERVICES AS REPORTED TO THE STATE OF LOUISIANA SALES FOR RESALE OR FURTHER PROCESSING (CERTIFICATE ON FILE) CASH DISCOUNTS, SALES RETURNS & ALLOWANCES SALES DELIVERED OR SHIPPED OUTSIDE THIS JURISDICTION SALES OF GASOLINE AND MOTOR FUELS SALES TO AGENCIES OF THE US GOVERNMENT, THE STATE OF LOUISIANA AND ITS POLITICAL SUBDIVISIONS SALES OF FOOD PAID FOR WITH USDA FOOD STAMPS OR WIC VOUCHERS. OTHER DEDUCTIONS AUTHORIZED BY LAW (EXPLAIN BRIEFLY) TOTAL ALLOWABLE DEDUCTIONS (LINE 2 THRU 10) ADJUSTED GROSS SALES (LINE 1 MINUS LINE 11) COMPUTATION OF SALES AND USE TAX TOTAL RATE ADJUSTED GROSS SALES IN EACH JURISDICTION PURCHASES SUBJECT TO USE TAX IN EACH JURISDICTION TOTAL (LINE 13 PLUS LINE 14) TAX DUE- MULTIPLY LINE 15 BY % SHOWN IN COLUMN EXCESS TAX COLLECTED TOTAL (LINE 16 PLUS LINE 17) VENDORS COMPENSATION 1% OF LINE 18 NET TAX DUE (LINE 18 MINUS LINE 19) DELINQUENT PENALTY INTEREST .750 % PER MONTH TOTAL TAX, PENALTY AND INTEREST DUE TAX DEBIT OR CREDIT (AUTHORIZED MEMO MUST BE ATTACHED) TOTAL AMOUNT DUE (LINE 23 PLUS OR MINUS LINE 24)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 This return DUE on the 1st day of month following period covered by this return and becomes DELINQUENT if not transmitted on or before the 20th day.
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