1. Gross Sales of tangible property. Leases, rentals and
Services as reported to the State of Louisiana.
ALLOWABLE DEDUCTIONS
2. Sales For Resale
3. Cash Discounts, Sales Returns, and Allowances MOREHOUSE SALES/USE TAX COMMISSION
4. Sales Delivered or shipped Outside This Jurisdiction P.O. Box 672
5. Sales of Gasoline and Motor Fuels Bastrop, LA 71221-0672
6. Sales to agencies of the U.S. Govt., the State of LA., and it political subdivisions Phone: (318) 283-5957 ยท Fax: (318) 283-6183
7. Sales of food paid for with USDA Food Stamps or WIC Vouchers Email: mwilson@morehousesalestax.com
OTHER DEDUCTIONS AUTHORIZED BY LAW (EXPLAIN BRIEFLY)
8
9 ACCOUNT NO.: FILING PERIOD:
10
11. TOTAL ALLOWABLE DEDUCTIONS (Lines 2 through 10) To avoid penalties, returns must be transmitted on or before the 20th day following the period covered.
12. ADJUSTED GROSS SALES (Line 1 minus Line 11)
Column A Column B Column C Column D Column E Column F Column G
TAX JURISDICTIONS Bastrop Bastrop Mer Rouge Bonita Collinston Rural Oak Ridge
Incl Tax Dist #1 Excl Tax Dist #1
COMPUTATION OF SALES & USE TAX CITY I.P. ONLY 5.50% 5.50% 5.50% 4.00% 3.50%
6.00% 5.50%
13. Adjusted Gross Sales FROM LINE 12 FOR Each Jurisdiction
14. Purchases Subject To Use Tax In Each Jurisdiction
15. TOTAL (Line 13 plus line 14)
16. TAX (Line 15 times applicable %)
17. Excess Tax Collected
18. TOTAL (Line 16 plus line 17)
19. Vendor's Compensation (1.1% of line 18 deductible only when payment is not delinquent)
20. NET TAX DUE (Line 18 minus line 19)
21. Delinquent Penalty (5%of tax for each 30 days or fraction thereof of delinquency,
not to exceed 25% in the aggregate)
22. INTEREST 15% per annum / 1.25% per month or a fraction thereof
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)
26. Amount Remitted
I declare under penalties for filing false reports that this return and attachments Signature of Taxpayer Signature of Preparer other than Taxpayer
has been examined by me and to the best of my knowledge & belief is a correct
and complete return. If prepared by a person other than the taxpayer, his
declaration is based on all information relating to matters required to be reported Date Reviewed By Contact Phone # State Sales Tax Identification Number
in the return of which he is knowledgeable.
FREQUENCY
MONTH ENDING: Final Return
WARNING! Make Remittance Payable To:
DO NOT USE ANY OTHER TAX- ACCOUNT NO.: MOREHOUSE SALES/USE TAX COMMISSION
P.O. BOX 672
PAYERS RETURN AS THIS WILL ACCOUNT NAME:
RESULT IN IMPROPER CREDIT Bastrop, LA 71221-0672