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     LAFAYETTE PARISH SCHOOL SYSTEM                                         PERIOD:
                      P.O. BOX 52706                                                                                                                                       FOR USE BEGINNING FEBRUARY 1, 2020  -  COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
             LAFAYETTE, LA 70505-2706                                                                                   Revised 2/1/2020                 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%
              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 ***
                                                                                                                                                                                                                                                                                                                                                   CITY OF CARENCRO
                                                                                                                                                            SALES AND USE TAX                                  SCHOOL BOARD       DISTRICT NO. 1  ** CITY OF LAFAYETTE           SCHOOL BOARD            WITHIN                SCHOOL BOARD        SCHOOL BOARD
                                                                                                                                                                                                                                  CITY OF BROUSSARD  SCHOOL BOARD                                        ST. MARTIN 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
 3.  Cash Discounts, Sales Returns & Allowances                                                                         16b. EXEMPT RATE for Line 16a.                                                         2%                 1%                 2%                          1%                      Food & Drug           1%                  1%
 4.  Sales Delivered  Outside This Jurisdiction                                                                         16c. Amount of LINE 16a. DEDUCTIBLE  (LINE 16a. X 16b.)                                                                                                                          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.
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.
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 FEBRUARY 1, 2020  -  COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
                                                                                            NO STAPLES                  Revised 2/1/2020                 LOCAL RATE                                            H - (8) - 5%       I - (9) - 3%       J - (10) - 4%               K - (11) - 5%           L - (12) - 5%         M - (13) - 5.50%    N - (14) - 4%
 
                                               www.laota.com                                or                                                                 COMPUTATION OF                                                     TOWN OF DUSON      CITY OF SCOTT               **** APPOLLO - EDD **** # DESTINATION POINT -                     (UNINCORPORATED AREA) 
             SALES TAX INFO:                OR 
                                                                                                                                                                                                               SCHOOL BOARD                                                                              CITY OF SCOTT         SCHOOL BOARD        SHERIFF (LAW ENF.) DIST.
                                               lpssonline.com                               PAPER CLIPS                                                     SALES AND USE TAX                                  TOWN OF DUSON      WITHIN             SCHOOL BOARD                CITY OF SCOTT           EDD #                 CITY OF YOUNGSVILLE LAFAYETTE PARISH
                                                                                     To avoid penalties,                                                                                                                          ACADIA PARISH                                  SCHOOL BOARD            SCHOOL BOARD                              SCHOOL 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                                     No 
                       P.O. BOX 3883                                                 weekend, the report
              LAFAYETTE, LA 70502-3883                                               due date is extended               16b. EXEMPT RATE for Line 16a.                                                         1%                 Food and Drug      1%                          1%                          1%                1%                  1%
                                                                                     through the next 
                                                                                            work day.                   16c. Amount of LINE 16a. DEDUCTIBLE  (LINE 16a. X 16b.)                                                   Deductions
             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                                                        1%                 1.67%              No Vendors Comp.            0.20%                   0.20%                 No Vendors Comp.    1%
                                                                                                                        19a. Vendor's Compensation   (allowed only when not delinquent)                                                              No Vendors Comp.                                                          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 and       25.  Total Amount Due (Line 23 plus or minus Line 24)
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 information relating to the                                                                                                                                                         TOTAL REMITTANCE                               OFFICE USE ONLY
matters required to be reported on the return of which he has any knowledge.
    AUTHORIZED SIGNATURE                                                       TITLE                                    26.  Totals of Columns  1 thru 14                    (Have you used the proper columns?)
                                                                                                                                                                                                                                                                                $
    DATE:                                                     PHONE NO. & EXT. OF PREPARER:                             CONFIRMATION #                                                    STATE TAX I.D. #






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