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            IBERIA PARISH SCHOOL BOARD                                                                                                                                                                                                                                                                                   To file and pay online:
                     SALES & USE TAX DEPT.
    P.O. BOX 9770 * NEW IBERIA, LA 70562-9770                                                                                                                                                                                                                                                                            www.Parishe-file.com
    Phone:  (337) 365-2341  *  Fax: (337) 365-6584                                                                                                                                                                                                                                                                                                                or
        SALES TAX INFO.:  WWW.LAOTA.COM
    GROSS SALES OF TANGIBLE PERSONAL PROPERTY, LEASES, RENTALS                                                                                                                                                                                                                                                   www.SalesTaxOnline.com
1.  AND SERVICES AS REPORTED TO THE STATE OF LOUISIANA        1.                    (BEFORE TAXES)      
                                                                                                                                                                                     Account #
                  ALLOWABLE DEDUCTIONS

2. SALES FOR RESALE OR FURTHER PROCESSING (CERTIFICATE ON FILE)                                                                                                                      MONTH: _______________________________
3.  CASH DISCOUNTS, SALES RETURNS AND ALLOWANCES
4. SALES DELIVERED OR SHIPPED OUTSIDE THIS JURISDICTION (DOES NOT APPLY TO REPAIRS.)
5. SALES OF GASOLINE AND MOTOR FUELS
6. SALES TO THE US GOVT. , THE STATE OF LA, ITS POLITICAL SUBDIVISIONS AND AGENCIES
7. PURCHASES PAID WITH FOOD STAMPS OR WIC VOUCHERS
Other Deductions Authorized  by Law (Explain Briefly)
                                                                                                                                                                                                    DO NOT STAPLE OR CLIP CHECK TO FORM
8.                                                                                                                                                                    Date Business Discontinued                                     Date Business Sold                                                                                Name of Puchaser
9.  
10.                                                                                                                                                                   Business Location Change                                       Mailing Address Change                                                                            Change in Name of Business
11. TOTAL ALLOWABLE  DEDUCTIONS(LINE 2 THROUGH LINE 10)               11.
12.  ADJUSTED GROSS SALES (LINE 1 MINUS LINE 11)                                                                                                                                                 COMPLETE ONLY COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
                                                                                                                                                                                                                                                                                                          NEW IBERIA ANNEX
                                                                                                                                                       DELCAMBRE                     LOREAUVILLE                   SCHOOL BOARD                                EDDPARISHSCHOOL#1 IBERIAMOSQUITOBOARDPARISHSCHOOL BOARD
    COMPUTATION OF SALES AND USESCHOOLTAXBOARD                                                                                                         PARISHSCHOOLMOSQUITOBOARD     PARISHSCHOOLMOSQUITOBOARD     PARISHPARISHPARISHRECREATIONMOSQUITOGARBAGE PARISH RECREATION                          PARISH MOSQUITO
                                                                   PARISH MOSQUITO
                                                                   SHERIFF’S DEPT
                                                                   A. 5.00%            B. 4.50%                                                        C. 3.75%                      D. 4.25%                      E. 3.25%                                    F. 4.25%                                   G. 5.25%                     PARISHPARISHSCHOOLSHERIFF’SHWY NEWK.RECREATION14-EDDMOSQUITOIBERIABOARD5.75%DEPT#1
                                                                   NEW IBERIA          PARISHPARISHSCHOOLSHERIFF’SJEANERETTERECREATIONMOSQUITOBOARDDEPTPARISHSHERIFF’SRECREATIONDEPT PARISHSHERIFF’SRECREATIONDEPT SHERIFF’S DEPT                              PARISHSHERIFF’SGARBAGEDEPT                 PARISHSHERIFF’SRECREATIONDEPT
13.ADJUSTED GROSS SALES                Total of Columns
    IN EACH JURISDICTION               Must equal line 12
14. PURCHASES SUBJECT TO USE TAX 
    IN EACH JURSIDICTION
15. TOTAL(LINE 13 PLUS 14)
16. TAX DUE      MULTIPLY LINE 15 BY
            % SHOWN IN PROPER COLUMN
17. EXCESS TAX COLLECTED
18. TOTAL (LINE 16 PLUS LINE 17)
19. VENDORS  COMPENSATION             DEDUCTIBLE ONLY WHEN
    1% OF LINE 18                     PAYMENT NOT DELINQUENT
20. NET TAX DUE (LINE18 MINUS LINE 19)
21. DELINQUENT     5%OF TAX FOR EACH 30 DAYS OR FRACTION THEREOF,
    PENALTY       Delinquency not to exceed 25% in the aggregate
22. INTEREST - 1.25% PER MONTH (DAILY RATE OF.000411 FROM DUE DATE)
23. TOTAL TAX, PENALTY AND INTEREST DUE
24. TAX DEBIT OR CREDIT (AUTHORIZED MEMO MUST BE ATTACHED)
25. TOTAL AMOUNT DUE (LINE 23 PLUS OR MINUS LINE 24)
   This return is DUE on the 1st day of the month following the period covered by this AUDITED BY                                                                                                                                                                                                                        Line 26       TOTAL REMITTED
                                                                                                                                                             TOTAL OF COLUMNS A + B + C + D + E + F + G + K            
   return, and becomes DELINQUENT if not transmitted on or before the 20th day.
   Remittances Payable to: Iberia Parish Sales & Use Tax Department                                                                                    DISHONORED CHECK CHARGE - 1%  OF THE CHECK OR $20 - WHICHEVER IS GREATER
                                                                                                                                                                                                                                                                                                                                       $

Signature of Individual or Agent_________________________________________          Date______________________________    State Tax ID#   ________________________________






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