PLEASE ENTER CHECK NUMBER SALES AND USE TAX REPORT
CADDO SHREVEPORT SALES & USE TAX COMMISSIONP.O. BOX 104 - SHREVEPORT, LA 71161
PHONE: (318) 865-3312 FAX: (318) 865-1838
FOR GENERAL INQUIRIES EMAIL US AT: CADDO _ TAX@CADDOSALESTAX.ORG
1. Gross Sales of Tangible Personal Property, Leases, Rentals &
Services Reported to the State of Louisiana
ALLOWABLE DEDUCTIONS TO FILE AND PAY ONLINE: WWW.SALESTAXONLINE.COM
2. Sales for Resale (Certificate on file) USE REPORT EFFECTIVE FEBRUARY 1, 2023
3. Cash Discounts, Sales Returns & Allowances ACCOUNT #
4. Sales Delivered or Shipped Outside This Jurisdiction OFFICE USE ONLY
5. Sales of Gasoline and Motor Fuels MONTH / YEAR 20
6. Sales to the U.S. Gov't , State of Louisiana and Political Subdivisions
and Agencies
7. Sales of Food Paid for with USDA Food Stamps or WIC Vouchers STATE TAX I.D. #
OTHER DEDUCTIONS AUTHORIZED BY LAW (Explain Below) PLEASE INDICATE ANY CHANGES BELOW
8. NAME AND ADDRESS OF NEW OWNER OFFICE USE ONLY
9.
10. *Contact the Bossier City-Parish Tax Division for information on the tax due their jurisdiction
11. Total allowable deductions (Lines 2 thru 10) DATE OUT OF BUSINESS OR SOLD that is in addition to the tax collected by this Commission
12. Adjusted gross sales (Line 1 minus 11)
COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
(A): 4.60% (B): 5.35% (C): 5.35% (D): 5.35% (E): 5.35% (S): 5.35% (U): 5.35% (V): 6.35% (W): 4.35% (T): 3.35% (G): 2.75% (F-N):1.85% (X): 5.60% (Q): 4.35% (Y): 4.35% (O): 5.35%
COMPUTATION OF SALES Shreveport Vivian Oil City Mooringsport Greenwood Rodessa Blanchard Ida N. Caddo Hosp Dist Shreveport School Board Shreveport Caddo Fire District # 1 Caddo Fire District # 3 Hosston
School Board School Board School Board School Board School Board School Board School Board School Board School Board School Board Only Law Enf. School Board School Board School Board School Board
AND USE TAX Law Enforcement Law Enforcement Law Enforcement Law Enforcement Law Enforcement Law Enforcement Law Enforcement Law Enforcement Law Enforcement Law Enforcement *(Bossier Parish) *(City of Bossier) Law Enforcement Law Enforcement Law Enforcement Law Enforcement
N Caddo Hosp Dist S.T. District # 1 S.T. District # 1 S.T. District # 1 S.T. District # 1 S.T. District # 1 S.T. District # 1 S.T. District # 1 S.T. District # 1 Mall Econ Dev. Dist. S.T. District # 1 S.T. District # 1 S.T. District # 1
N. Caddo Hosp Dist N. Caddo Hosp Dist Caddo Fire District # 3 N. Caddo Hosp Dist Caddo Fire District # 1 N. Caddo Hosp Dist N. Caddo Hosp Dist
13. Adjusted Gross Sales in Each Jurisdiction
(Totals of all columns must equal LINE 12)
14. Purchases Subject to Use Tax
15. Total (Lines 13 plus 14)
16. TAX DUE -Multiply Line 15 by % Shown
(Each Column)
16a.Manufacturing and Equipment Exclusion OR Farm Equipment COLUMN "G" ONLY: MANUFACTURING MACHINERY AND EQUIPMENT Exclusion or MME - (Certificate Required for Exemption due to COLUMN "O" ONLY: FARM EQUIPMENT EXEMPTION - First
Exemption OR Diaper & Feminine Hygiene Products Exemption restrictions). / DIAPER & FEMININE HYGIENE PRODUCT Exemption Effective July 1, 2022. This reduces the tax reported in Column A by 2.75% of $50,000 of the sales price of certain equipment. (Certificate Required for
16b.(Line 16a. x 2.75% Col G) or the amounts(s) subject to either exemption. (See Instructions) Exemption). This reduces the tax reported in Column O by 1% of the amount(s)
(Line 16a. x 1.00% Col O) subject to the exemption. (See Instructions).
16c.Repairs to tangible personal property shipped
outside the State of Louisiana
16d.Exempt Rate Multiply Line 16c. Col. A & Col. X x 3.1% -
Col. B x 0.35% - Col. G x 2.75% - All other Columns x 1.85%
16e.Diaper & Feminine Hygiene Products COLUMNS "C, D, E, S, U, V, W, T, Q, Y, and O" ONLY: DIAPER
Exemption Eff. July 1, 2022 & FEMININE HYGIENE PRODUCT EXEMPTION: reduces the tax
16f Exempt Rate Multiply Line 16e x 1.50% See Instructions reported by 1.50%. (See Instructions)
16g Net Tax due
(Line 16 minus 16b, 16d, and 16f)
17. Excess Tax Collected
18. TOTAL (Line 16g plus Line 17)
19. Vendor's Compensation (1% of Line 18)
(Allowed only when not delinquent)
20. Net Tax Due (Lines 18 minus 19)
21. Penalty - 5% of tax for each 30 days of delinquency, not to exceed
25% (Multiply line 20 by applicable penalty rate)
22. Interest - .792% (per month) Calculated from due
date until paid (Multiply line 20 by rate)
23. Total Tax, Penalty, & Interest Due
24. Tax Debit or Credit
(Authorized memo must be attached)
25. Total Amount Due
(Line 23 plus or minus Line 24)
26. TOTAL REMITTANCE ATTACHED
AUTHORIZED SIGNATURE: DATE: PHONE # ( ) (Columns A, B, C, D, E, S, U, V, W, T, G, F-N, X, Q, Y, O )
DO NOT use other taxpayer's return as this will result in This return DUE on the 1st day of month following Checks Payable to: CADDO SHREVEPORT SALES & USE TAX COMMISSION
TITLE: improper credit. period covered by this return, and becomes delinquent ( Use Paper Clips to Attach Remittance )
I declare under the penalties for filing false reports that this return (including any DO NOT ignore delinquent notices, Negligence penalties if not transmitted on or before the 20th day.
accompanying schedules and statements) has been examined by me and to the best of my may be imposed. Dishonored Check Charge 1% of the check or $20
knowledge and belief is true, correct and complete return. whichever is greater AUDITED BY OFFICE USE ONLY