LIVINGSTON PARISH PUBLIC SCHOOL SYSTEM PERIOD ENDING: COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
P.O. BOX 1030 LOCAL RATE A - 5.5% B - 4.5% C - 4.5% D - 5.5% E - 5.5% F - 4% G - 5.5% H - 5%
LIVINGSTON, LA 70754
OFFICE (225) 686-3043 FAX (225) 686-0438
COMPUTATION OF Within the Ward 2 Ward 1 Within the Within the All other Within the Within the
City of (Within Drainage Tax Dist. No. 5
SALES AND USE TAX Denham Springs District No. 1) (Excluding City of Town of areas of Village of Albany Town of
City of Walker) Walker Springfield Livingston Parish Livingston
Business Name:
13. ADJUSTED GROSS SALES IN EACH JURISDICTION
(Totals of columns must equal LINE 12)
Livingston Account Number: 14. PURCHASES SUBJECT TO USE TAX IN EACH JURISDICTION
1. Gross Sales of Tangible Personal Property, Leases, Rentals & Services $ 15. TOTAL (Line 13 plus Line 14)
Reported to the State of Louisiana
ALLOWABLE DEDUCTIONS 16. TAX - ( ___ % Line 15) (Multiply Line 15 by percent shown at top of column)
2. Sale for Resale 17. EXCESS TAX COLLECTED
3. Cash Discounts, Sales Returns & Allowances 18. TOTAL (Line 16 plus Line 17)
4. Sales Delivered or Shipped Outside of Livingston Parish 19. Vendor's Compensation
(1% of Line 18 deductible only when payment is not delinquent)
5. Sales of Gasoline and Motor Fuels 20. NET TAX DUE (Line 18 minus Line 19)
6. Sales to the U.S. Government and State of Louisiana 21. DELINQUENT PENALTY (5% of tax for each 30 days or fraction thereof of
delinquency, not to exceed 25% in the aggregate)
7. Sales of food paid with (USDA) stamps or WIC vouchers 22. INTEREST (1 1/4 per month or fractional part thereof from date due until
paid)
8. 23. TOTAL TAX, PENALTY and INTEREST DUE
10. 24. TOTAL DEBIT OR CREDIT (Authorized memo must be attached)
11. Total allowable deductions (Lines 2 thru 10) $ 25. TOTAL AMOUNT DUE (Line 23 plus or minus Line 24) $ $ $ $ $ $ $ $
12. Adjusted gross sales (Line 1 minus 11) $ COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
NO STAPLES or PAPER CLIPS LOCAL RATE I - 5.5% J - 4.5% K - 6% L - 6% M - 5% O - 6.5% P - 4.5%
FREE parishe-file.revenue.louisiana.gov To avoid penalties,
your envelope must
ONLINE OR have an official COMPUTATION OF School Tax Ward 1 City of Walker City of School Tax District No. Juban Crossing Econ. School Tax District No.
District Tax Dist. #6
FILING: www.salestaxonline.com postmark dated on SALES AND USE TAX No. 22 Drainage Dist. #2 Annexed Areas Denham Springs 33 Dev. District 24
or before the 20th Annexed Areas
following the period
SALES TAX INFO: lataonline.org covered by the return. 13. ADJUSTED GROSS SALES IN EACH JURISDICTION
If the 20th falls on a (Totals of columns must equal LINE 12)
weekend, the report
due date is extended 14. PURCHASES SUBJECT TO USE TAX IN EACH JURISDICTION Effective
through the next
Date Business Sold Name & Address of Purchaser 15. TOTAL (Line 13 plus Line 14) 10/1/2021,
16. TAX - ( ___ % Line 15) (Multiply Line 15 by percent shown at top of column) Taxpayers
17. EXCESS TAX COLLECTED previously
Date Business Discontinued Business Location Change 18. TOTAL (Line 16 plus Line 17) filing in
Column N
(1% of Line 18 deductible only when payment is not delinquent)
19. Vendor's Compensation will now file
20. NET TAX DUE (Line 18 minus Line 19) in Column L.
Business Name Change Mailing Address Change 21. DELINQUENT PENALTY (5% of tax for each 30 days or fraction thereof of
delinquency, not to exceed 25% in the aggregate)
22. INTEREST (1 1/4 per month or fractional part thereof from date due until
paid)
23. TOTAL TAX, PENALTY and INTEREST DUE
WARNING
DO NOT use any other Taxpayer's report as this will result in improper credit. 24. TOTAL DEBIT OR CREDIT (Authorized memo must be attached)
DO NOT ignore delinquent notices - Negligent penalties may be imposed.
I declare under the penalties for filing fake reports that this return (including accompanying schedules and statements) has been 25. TOTAL AMOUNT DUE (Line 23 plus or minus Line 24) $ $ $ $ $ $ $
examined by me and to the best of my knowledge and belief is true and correct and complete. If the return is prepared by a person other AUTHORIZED SIGNATURE TITLE DATE OFFICE USE ONLY TOTAL REMITTANCE
than the taxpayer, his declaration is based on all the information relating to the matters required to be reported on the return of which
he has any knowledge.
STATE TAX I.D. # $
PLEASE REFERENCE LIVINGSTON ACCOUNT NUMBER ON CHECK