LAFAYETTE PARISH SCHOOL SYSTEM Period:
P.O. BOX 52706 FOR USE BEGINNING JULY 1, 2021 - COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
LAFAYETTE, LA 70505-2706 Revised 7/1/2021 LOCAL RATE A - (1) - 4% B - (2) - 5.5% C - (3) - 5% D - (4) - 4.5% E - (5) - 2.5% F - (6) - 5% G - (7) - 6% H - (8) - 5% I - (9) - 3% J - (10) - 4%
OFFICE (337) 521-7353 ** EDD-BROUSSARD
AMBASSADOR CAFFERY
CHECK # COMPUTATION OF CITY OF LAFAYETTE EXTENSION SUB- * I - 10 @ MM 103 EDD * CITY OF BROUSSARD CITY OF BROUSSARD CITY OF CARENCRO *** I - 49 - EDD *** TOWN OF DUSON TOWN OF DUSON CITY OF SCOTT
SALES AND USE TAX SCHOOL BOARD DISTRICT NO. 1 ** CITY OF LAFAYETTE SCHOOL BOARD WITHIN SCHOOL BOARD CITY OF CARENCRO SCHOOL BOAD WITHIN SCHOOL BOARD
CITY OF BROUSSARD SCHOOL BOARD ST. MARTIN PARISH SCHOOL BOARD ACADIA PARISH
SCHOOL BOARD
CHECK AMOUNT 13. Adjusted Gross Sales in Each Jurisdiction
(Totals of all columns must equal LINE 12)
14. Purchases Subject to Use Tax in Each Jurisdiction
1. Gross Sales of Tangible Personal Property, Leases,
Rentals & Services Reported to the State of Louisiana $ 15. Total (Line 13 plus Line 14)
ALLOWABLE DEDUCTIONS 16. TAX DUE - Multiply (Line 15 X Rate Shown in Reporting Column)
2. Sales for Resale 16a. Sales of Food for Preparation in the home and Prescription Drugs No No
3. Cash Discounts, Sales Returns & Allowances 16b. EXEMPT RATE for Line 16a. 2% 1% 2% 1% Food & Drug 1% 1% 1% Food & Drug 1%
4. Sales Delivered Outside This Jurisdiction 16c. Amount of LINE 16a. DEDUCTIBLE (LINE 16a. X 16b.) Deductions Deductions
5. Sales of Gasoline and Motor Fuels 16d. NET TAX DUE (Line 16 less Line 16c.)
6. Sales to the U.S. Government and State of Louisiana 17. Excess Tax Collected
7 . Sales of food paid with (USDA) stamps or WIC vouchers 18. TOTAL (Line 16d. plus Line 17)
OTHER DEDUCTIONS AUTHORIZED BY LAW (explain) 19. Vendor's Compensation Rate 1% No Vendors Comp. 0.80% No Vendors Comp. No Vendors Comp. No Vendors Comp. No Vendors Comp. 1% 1.67% No Vendors Comp.
8 19a. Vendor's Compensation (allowed only when not delinquent) No Vendors Comp. No Vendors Comp. No Vendors Comp. No Vendors Comp. No Vendors Comp. No Vendors Comp.
9 20. Net Tax Due (Line 18 minus Line 19)
21. Penalty - 5% per month past due to a max of 25%
10 (Multiply line 20 by applicable penalty rate)
22. Interest: 1% per month from due date until paid
11. Total allowable deductions (Lines 2 thru 10) (Multiply line 20 by applicable interest rate)
12. Adjusted gross sales (Line 1 minus 11) 23. Total Tax, Penalty & Interest Due
LAFAYETTE PARISH SCHOOL SYSTEM 24. Tax Debit or Credit (Authorized memo must be attached)
MAKE ALL REMITTANCES SALES TAX DIVISION 25. Total Amount Due (Line 23 plus or minus Line 24)
P.O. BOX 52706
PAYABLE TO LAFAYETTE, LA 70505-2706 FOR USE BEGINNING JULY 1, 2021 - COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
NO STAPLES Revised 7/1/2021 LOCAL RATE K - (11) - 5% L - (12) - 5% M - (13) - 5.50% N - (14) - 4% O - (15) - 5% P - (16) - 5% Q - (17) - 5% R - (18) - 5% S - (19) - 6% T - (20)
(UNINCORPORATED
AREA)
www.laota.com or ***APPOLLO - EDD*** # DESTINATION POINT - CITY OF YOUNGSVILLE LAFAYETTE PARISH DOWNTOWN EDD CITY UNIVERSITY GATEWAY NORTHWAY EDD CITY HOLY ROSARY EDD TRAPPEY EDD CITY OF
SALES TAX INFO: OR PAPER CLIPS COMPUTATION OF CITY OF SCOTT EDD # SCHOOL BOARD SHERIFF (LAW ENF.) OF LAFAYETTE & EDD CITY OF OF LAFAYETTE & CITY OF LAFAYETTE & LAFAYETTE & SCHOOL
lpssonline.com To avoid penalties, SALES AND USE TAX SCHOOL BOARD SCHOOL BOARD DIST. SCHOOL BOARD LAFAYETTE & SCHOOL SCHOOL BOARD SCHOOL BOARD BOARD
CITY OF SCOTT
SCHOOL BOARD BOARD
your envelope must
have an official 13. Adjusted Gross Sales in Each Jurisdiction
postmark dated on (Totals of all columns must equal LINE 12)
(ALL) or before the 20th 14. Purchases Subject to Use Tax in Each Jurisdiction
following the period 15. Total (Line 13 plus Line 14)
covered by the return.
Correspondence and Account changes 16. TAX DUE - Multiply (Line 15 X Rate Shown in Reporting Column)
mail to: If the 20th falls on a 16a. Sales of Food for Preparation in the home and Prescription Drugs
P.O. BOX 3883 weekend, the report
LAFAYETTE, LA 70502-3883 due date is extended 16b. EXEMPT RATE for Line 16a. 1% 1% 1% 1% 2% 2% 2% 2% 2%
through the next 16c. Amount of LINE 16a. DEDUCTIBLE (LINE 16a. X 16b.)
work day.
Date Business Sold Name & Address of Purchaser 16d. NET TAX DUE (Line 16 less Line 16c.)
17. Excess Tax Collected
Date Business Discontinued Business Location Change 18. TOTAL (Line 16d. plus Line 17)
19. Vendor's Compensation Rate No Vendors Comp. No Vendors Comp. No Vendors Comp. 0.50% 0.80% 0.80% 0.80% 0.80% 0.67%
19a. Vendor's Compensation (allowed only when not delinquent) No Vendors Comp.
Business Name Change Mailing Address Change 20. Net Tax Due (Line 18 minus Line 19)
21. Penalty - 5% per month past due to a max of 25%
(Multiply line 20 by applicable penalty rate)
22. Interest: 1% per month from due date until paid
W A R N I N G (Multiply line 20 by applicable interest rate)
DO NOT use any other Taxpayer's report as this will result in improper credit. 23. Total Tax, Penalty & Interest Due
DO NOT ignore delinquent notices - Negligent penalties may be imposed. 24. Tax Debit or Credit (Authorized memo must be attached)
I declare under the penalties for filing false reports that this return (including any accompanying schedules 25. Total Amount Due (Line 23 plus or minus Line 24)
and statements) has been examined by me and to the best of my knowledge and belief is true correct and
complete. If the return is prepared by a person other than the taxpayer, his declaration is based on all the OFFICE USE ONLY:
information relating to the matters required to be reported on the return of which he has any knowledge.
AUTHORIZED SIGNATURE TITLE 26. Totals of Columns 1 thru 19 (Have you used the proper columns?)
DATE: PHONE NO. & EXT. OF PREPARER: CONFIRMATION # STATE TAX I.D. #