Sales and Use Tax Report                                            TO FILE AND PAY  ONLINE:
                                                                                                                                                  www.ParishEFile.com
     Parish  of Catahoula                                                                                                                         www.SalesTaxOn li ne.com
     Sales and Use  Tax Department

                                                                                                                                                  PARISH TAX  ACCOUNT  NO

                                                                               Catahoula  Parish  School Board
                                                                               Catahoula Parish Police Jury
                                                                               Catahoula Parish  School Board                                     S RETURN DUE ONTHE 1st
    To avoid penalties be  sure ihat  you                                                                                                         OF THE MONTH FOLLOWING
     transmit this  retum on  or  before the                                                                                                      COVERED BYTHE
     20th  of  each  month  following  the                                                                                                        AND BECOMES
     period covered.                                                                                                                                                        1
             sales of iarrgible  personal  pioperty,  leases, rentais
1. and services  as reported to the State of Louisiana                                           PERIOD COVERED

2. Sales  for resale
3. Cash discounts. sales  returns, & allowances
4. Sales delivered or        d outsrde thrs
5. Sales  of         and motor  fuels
6. Sales to U.S. Gov't..  State oi LA a {s.  'rrri.al subd;i,sons &
7. Food oaid  for with USDA  {ood           or WIC vouchers.

8.

                                                                                                 Mail Address  Chg:
Total allowable deductions  (Line  2 thru 10)
    46iliste.l oross saies  (Line  1 minus 11).

     A: Parish Wide                                                           A
                                                                              PARISH
                                                                              Sales
                                                                              6.OO%

                 sales in each      rsoicllon
'14. Purchases subjeci to use tax in  each  tLjrisdiciion
1  5.  Total         us  14)
1 6. lgdRates per  above X line 1 5)
17.  Excess  tax collected
18. Total
19. Vendor's compensation  (   2.0%  "i,Xi"3;i"i;iili,i:l*i"")
20.  Net tax due          minus Line
21.  DelinOUent penaltV    s%olt?xforea.h30d€y^s_crfractionlhereof
                          :e 4.l,in.  -_:  .  p.  4ei.  1  ". tr rne agg.egtre
22.lnterest  (1.25%  per  rno.  From  due  date until  paid  )
23.  Total tax,  oenaltv  and  inteiest  due
24. Tax debit or ciedil        nreino rnust be attached)
25. Total amount due  (Line  23  plus  or minus line 24)
26.  REMITTANCE ATTACHED  (TOTALS  OF  ALL COLUIVINS)
                                                                                                                                                  LA. TAX IDENTIFICATION NO,
eromrned bi  'ne  ond io ilre b6si Ji rv  lriov/ecige ciic  beief rs  irue, cotreci, ond compiete  fetuin. lf the ie'furn is  prepoled by o persan
other  lhcn fhe foxpayer, his  dec orolion  is  bosed on c; ihe rliofmoiron reloiing lo lhe moliefs required to b'e  reporled in lhe relurn oi
which he hos ony knowledge
WARNING: DO NOT USE ANY OTHERTAXPAYER'S
RETURN ASTHISWILL RESULT 'N iMPROPER CREDIT
                                                                                                                                                  BUSINESS LOCATION
  MAKEYOUR REMITTANCE ON                                                      Catahoula  Parish Sales Tax  Fund                                   FOR TAXPAYER ASSISTANCE CALL:
ONE CHECK PAYABLETO:                                                          P.O. Box  250                                                       31 B-336-6235
                                                                                                                                                  800-826-2732
                                                                              Vidalia,  LA 71373                                                  318-336-9978 FAX