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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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