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CALCASIEU PARISH SALES AND USE TAX DEPT
P.O. DRAWER 2050 LAKE CHARLES, LA 70602-2050
NOTE: FOR ASSISTANCE CALL (337) 217-4280 FAX TO: (337) 217-4281
ACCOUNT # MONTH OF:
COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
A B C D E F G
COMPUTATION OF SALES & USE TAX Unincorporated Areas City of City of Town of City of Town of City of
Except Ward 1 Lake Charles Sulphur Iowa DeQuincy Vinton Westlake
Round to nearest dollar ALL APPLICABLE LOCAL LEVIES INCLUDED 5.75% 5.75% 5.75% 5.75% 5.75% 5.75% 5.75%
Gross sales of tangible personal property, leases rentals and
1. services as reported to the State of Louisiana. 13. Adjusted gross sales in each jurisdiction (Total of columns must equal Line
(Before Taxes) 1.$ 12).
ALLOWABLE DEDUCTIONS 14. Purchases subject to use tax in each jurisdiction.
2. Sales for resale or further processing. (Certificate on file). 15. Total (Line 13 plus 14).
3. Cash discounts, sales returns and allowances. 16. Tax due (Multiply Line 15 by % shown in column).
4. Sales delivered or shipped outside Calcasieu Parish. Food/Drug exclusion is applicable in Cols A & H only ($ x 1%).
Effective October 1, 2005 Manufacturing Machinery & Equipment
5. Sales of gasoline and motor fuels. 16a. Exclusion applicable in Col B only ($ x 2.25%) Certificate required SEE INSTRUCTIONS FOR COMPUTATIONAL ASSISTANCE AND RESTRICTIONS ASSOCIATED WITH THESE
6. Sales to tax exempt government agencies. for MM&E exclusion due to restrictions. SPECIAL EXCLUSIONS.
7. Purchases paid with Food Stamps or WIC vouchers. 16b. Total (Line 16 minus 16a).
OTHER DEDUCTIONS Authorized by law. (Explain briefly) 17. Excess tax collected.
8. 18. Total (Line 16 plus 17). (Except in column A & H. Line 16b plus Line 17)
9. 19. Vendor's compensation (1% of Line 18. Deductible only when payment is
not delinquent)
10. 20. Net tax due (Line 18 minus Line 19).
11.Total allowable deductions (lines 2 thru10). 11. 21.Penalty(5% of tax on the date the return becomes delinquent, with an additional 5% for
each subsequent 30 day period not to exceed 25% in aggregate)
12.Adjusted gross sales (Line 1 minus 11). 12. 22.Interest (monthly rate of 1.25% or daily average per day from the first day
of the month following the period covered by the return until paid).
23. Total Tax, penalty and interest due.
FREQUENCY: MONTHLY QUARTERLY ANNUAL 24. Tax debit or credit (Authorized memo must be attached).
25. Total amount due (Line 23 plus or minus Line 24).
STATE TAX I.D. # ___________________________ COMPUTATION OF SALES & USE TAX H I J K L M N
OWNER'S SSN _____________________________ Ward 1 Only Hope Economic Dev. Opelram Economic Dev. Executive Economic MorganField Economic Lakefront Economic Nelson Market Economic
Moss Bluff, Gillis, Topsy District District Dev. District Dev. District Dev. District Dev. District
PLEASE INDICATE ANY CHANGES BELOW: ALL APPLICABLE LOCAL LEVIES INCLUDED 4.25% 7.75% 7.75% 7.75% 6.75% 6.75% 6.75%
DATE OUT OF BUSINESS _____________________________________________ 13. Adjusted gross sales in each jurisdiction (Total of columns must equal Line
12).
DATE BUSINESS SOLD _______________________________________________ 14. Purchases subject to use tax in each jurisdiction.
NAME OF NEW OWNER ______________________________________________ 15. Total (Line 13 plus 14).
16. Tax due (Multiply Line 15 by % shown in column).
Food/Drug exclusion is applicable in Cols A & H only ($ x 1%). Effective
COMMENTS: ____________________________________________ 16a.October 1, 2005 Manufacturing Machinery & Equipment Exclusion
________________________________________________________ applicable in Col B only ($ x 2.25%) Certificate required for MM&E SEE INSTRUCTIONS FOR COMPUTATIONAL ASSISTANCE AND RESTRICTIONS ASSOCIATED WITH THESE SPECIAL
exclusion due to restrictions. EXCLUSIONS.
NOTE: 16b. Total (Line 16 minus 16a).
EFFECTIVE 7/1/2021 NEW NELSON MARKET ECONOMIC 17. Excess tax collected.
DEVELOPMENT DISTRICT (COLUMN N) HAS A TAX RATE OF 6.75% 18. Total (Line 16 plus 17). (Except in column A & H. Line 16b plus Line 17)
19. Vendor's compensation (1% of Line 18. Deductible only when payment is
not delinquent)
This Return is due on the 1st day of the month following the period 20. Net tax due (Line 18 minus Line 19).
covered by this return and becomes delinquent if not transmitted on or 21. Penalty(5% of tax on the date the return becomes delinquent, with an additional 5% for
before the 20th day. each subsequent 30 day period not to exceed 25% in aggregate)
I declare under the penalties for filing false reports that this return (including any 22. Interest (monthly rate of 1.25% or daily average per day from the first day
accompanying schedules and statements) has been examined by me and to the best of my of the month following the period covered by the return until paid).
knowledge and belief is a true, correct, and complete return. If the return is prepared by a 23. Total Tax, penalty and interest due.
person other than the taxpayer, his declaration is based on all information relating to the
matters required to be reported in the return of which he has any knowledge. 24. Tax debit or credit (Authorized memo must be attached).
25. Total amount due (Line 23 plus or minus Line 24).
Audited By Total Remittance
Authorized Signature Date 26. Total of Columns
A & B & C & D & E & F & G & H & I & J & K & L & M & N $
Online filing available@ www.salestaxonline.com and https://parishe-file.revenue.louisiana.gov. Check it out today! REMITTANCE PAYABLE TO CALCASIEU PARISH SCHOOL BOARD
Form 7/2021
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