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                                                                                                                                                                              Rev 2/2014 
FORM 8030 
                                                                               CITY OF NEW ORLEANS                         Check here if amended return. 
BUSINESS NAME:                                            DUE BEFORE MARCH 1st   /   To file online go to www.nola.gov

                                                TAX PERIOD:                                                      ACCOUNT #:
L    Occupational License Tax Renewal                                                                                      - Do not use  ($) signs -
L1  Gross Rentals from previous calendar year                                                                         L1
                                                                                                                                                                              .00
L2  Less Allowable Deductions (see instructions)                                                                      L2
                                                                                                                                                                              .00
L3  ADJUSTED GROSS RECEIPTS (line L1 minus line L2; if business was in operation for the entire previous calendar     L3
    year, go to line L5)                                                                                                   (A) Opening Date                                (B) Days in Operation.00
L4  If business started during the previous calendar year, enter opening date and the number of days in operation     L4A                                                  L4B
                                                                                                                           M      M      D      D      Y      Y
L5  ANNUAL TAXABLE GROSS RECEIPTS (if line L4 is complete, divide line L3 by L4(B) and multiply by 365; if in 
    operation for the entire previous year, enter the amount from line L3)                                            L5
                                                                                                                                                                              .00
    OCCUPATIONAL LICENSE TAX DUE (the tax is based on the amount on line L5, use TAX 
L6  TABLE listed on L6A to the right )                                                                       L6A      L6
                                                                                                                                                                              .00
L7  PENALTY (5% of line L6 per month, not to exceed 25%)                                                              L7
                                                                                                                                                                              .00
L8  INTEREST (1.25% of line L6 per month)                                                                             L8
                                                                                                                                                                              .00
L9  TOTAL PENALTY AND INTEREST (line L7 plus line L8)                                                                 L9
                                                                                                                                                                              .00
L10 TOTAL AMOUNT DUE (line L6 plus line L9)                                                                           L10 
                                                                                                                                                                              .00
R    Hotel / Motel Occupational License Tax Renewal
R1  Total number of sleeping rooms (see instructions)                                                                 R1
R2  HOTEL/MOTEL LICENSE TAX DUE (multiply line R1 by $2.00)                                                           R2
                                                                                                                                                                              .00
R3  PENALTY (5% of line R2 per month, not to exceed 25%)                                                              R3
                                                                                                                                                                              .00
R4  INTEREST (1.25% of line R2 per month)                                                                             R4
                                                                                                                                                                              .00
R5  TOTAL PENALTY AND INTEREST (line R3 plus line R4)                                                                 R5
                                                                                                                                                                              .00
R6  TOTAL AMOUNT DUE (line R2 plus line R5)                                                                           R6
                                                                                                                                                                              .00
C    Chain Store License Tax Renewal
C1  Total number of chain stores (see instructions)                                                                   C1
    CHAIN STORE LICENSE TAX DUE (the tax is based on the total number of chain 
C2  stores reported on line C1, use chain store TAX TABLE )                                                           C2
                                                                                                                                                                              .00
C3  PENALTY (5% of line C2 per month, not to exceed 25%)                                                              C3
                                                                                                                                                                              .00
C4  INTEREST (1% of line C2 per month)                                                                                C4
                                                                                                                                                                              .00
C5  TOTAL PENALTY AND INTEREST (line C3 plus line C4)                                                                 C5
                                                                                                                                                                              .00
C6  TOTAL AMOUNT DUE (line C2 plus line C5)                                                                           C6
                                                                                                                                                                              .00
V    Video Poker Occupational License Tax Renewal (see instructions for lines V1 to V3)
V1       Code Number        4 5 1 1                         Sub-Code                                                  V1
                                                                                                                                                                              .00
V2       Code Number        4 5 1 1                         Sub-Code             0 1                                  V2
                                                                                                                                                                              .00
V3       Code Number        4 5 1 1                         Sub-Code             0 2                                  V3
                                                                                                                                                                              .00
V4  VIDEO POKER LICENSE TAX DUE (add lines V1 through V3)                                                             V4
                                                                                                                                                                              .00
V5  PENALTY (5% of line V4 per month, not to exceed 25%)                                                              V5
                                                                                                                                                                              .00
V6  INTEREST (1.25% of line V4 per month)                                                                             V6
                                                                                                                                                                              .00
V7  TOTAL PENALTY AND INTEREST (line V5 plus line V6)                                                                 V7
                                                                                                                                                                              .00
V8  TOTAL AMOUNT DUE (line V4 plus line V7)                                                                           V8
                                                                                                                                                                              .00
T1  TOTAL PAYMENT DUE (line L10 plus line R6 plus line C6 plus line V8)                                               T1
                                                                                                                                                                              .00
To avoid interest and penalties, this return must be received with remittance  before March 1st of each year.  DO NOT use any other taxpayer's return, as this may result in an improper posting of your 
payment. No return will be accepted unless signed by the taxpayer or authorized agent. I hereby certify under penalties of perjury that the information reported in this return is, to the best of my 
knowledge, true and correct.
DATE                                             TAXPAYER SIGNATURE            DATE                                   SIGNATURE OF PREPARER (IF NOT TAXPAYER)

                                                                   * PLEASE SEND SEPARATE CHECKS FOR EACH REMITTANCE FORM *                                                



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OCCUPATIONAL LICENSE RENEWAL FORM 8030 INSTRUCTIONS                                          EXAMPLE: ABC Inc. owns a total of 31 stores as of January 1, 2014: six (6) stores in Tennessee,
This form is scanned by a machine.  Please print your numbers within the indicated space as 
shown below:                                                                                 twenty (20) stores in Georgia, three (3) stores in Jefferson Parish and two (2) stores in New
                                                                                             Orleans. Based on the Chain Store Tax Table, ABC Inc. must pay $15.00 before March 1, 2014,
                                                                                             for each store in New Orleans for the tax year 2014
             1 2 3 4 5 6 7 8 9.00                                                            Date Owned         Total Stores New Orleans         Stores Outside 2014 Chain Store
                                                                                             As Of              Owned         Stores             New Orleans    Tax Due Per Store
Round off the amount to the nearest dollar.  Do not use dollar signs ($).                    01/01/14           31                2                    29                    15
         SECTION L - OCCUPATIONAL LICENSE TAX RENEWAL                                        Line C1. NUMBER OF CHAIN STORES: Enter the total number of stores owned in the United
Any person doing business in the City of New Orleans must pay an annual occupational         States as of January 1 of the current tax year.
license tax as required by Chapter 150, Article VII of the Code of the City of New Orleans.  Line C2. CHAIN STORE LICENSE TAX DUE: The tax is based on the total number of stores
Line L1. GROSS RECEIPTS FOR PREVIOUS CALENDAR YEAR: Enter total gross receipts, gross        reported on line C1. Use the chain store license tax table to determine the amount of tax due.
fees, gross commissions, gross sales, gross premiums, gross income earned, loans made,       Line C3. PENALTY: If the payment is not made before March 1 of the tax year due, multiply the
whether received or accrued during the previous year.                                        amount on line C2 by 5% for each month or fraction of a month from March 1 until paid, not to
Line L2. LESS ALLOWABLE DEDUCTIONS:   Enter the allowable deductions on this line.           exceed 25%.
Allowable deductions from gross receipts are sales shipped/delivered outside Louisiana,      Line C4. INTEREST: If the payment is not made before March 1 of the tax year due, multiply the
sales returns, cash discounts and other deductions allowed by Section 150-971 of the City    amount on line C2 by 1% for each month or fraction of a month from March 1 until paid.
Code.                                                                                        Line C5. TOTAL PENALTY AND INTEREST: Add line C3 and line C4.
Line L3. ADJUSTED GROSS RECEIPTS: Subtract line L2 from line L1. If the business was in      Line C6. TOTAL AMOUNT DUE: Add line C2 and line C5. 
operation the entire previous calendar year, skip line L4 (A) and line L4 (B) and continue on
line L5.
Line L4 (A). OPENING DATE: If you began operating your business last year, enter the
opening date of the business as month, date and year (MMDDYY).                                                  SECTION V - VIDEO POKER OCCUPATIONAL
Line L4 (B). NUMBER OF DAYS IN OPERATION: Enter number of days the business was in                                            LICENSE TAX RENEWAL
operation last year.                                                                         Any person engaged in the business of operating coin-operated mechanical or electronic
Line L5. ANNUAL TAXABLE GROSS RECEIPTS: If you skipped line L4, enter the amount from        devices shall pay an occupational license fee for each machine as required by Chapter 150,
line L3. If you completed line L4, divide line L3 by line L4 (B) and multiply by 365 to      Article VII of the Code of the City of New Orleans.
determine the annual taxable gross receipts.                                                 For lines V1 through V3: Enter $50.00 for each video poker device being renewed.
Line L6. OCCUPATIONAL LICENSE TAX DUE: Compare the amount on line L5 with the tax            Line V4. VIDEO POKER LICENSE TAX DUE: Add lines V1 through V3.
table as indicated on the form to determine the amount of tax due.                           Line V5. PENALTY: If payment is not made before March 1 of the tax year due, multiply the
Line L7. PENALTY: If payment is not made before March 1 of the current tax year, multiply    amount on line V4 by 5% for each month or fraction of a month from March 1 until paid, not to
the amount on line L6 by 5% for each month or fraction of a month from March 1 until         exceed 25%.
paid, not to exceed 25%.                                                                     Line V6. INTEREST: If payment is not made before March 1 of the tax year due, multiply the
Line L8. INTEREST: If payment is not made before March 1 of the current tax year, multiply   amount on line V4 by 1.25% for for each month or fraction of a month from March 1 until paid.
the amount on line L6 by 1.25% for each for each month or fraction of a month from           Line V7. TOTAL PENALTY AND INTEREST: Add line V5 and line V6.
March 1 until paid.                                                                          Line V8. TOTAL AMOUNT DUE: Add line V4 and line V7.
Line L9. TOTAL PENALTY AND INTEREST: Add line L7 and line L8.                                Line T1. TOTAL PAYMENT DUE: Add lines L10, R6, C6, and V8.
Line L10. TOTAL AMOUNT DUE: Add line L6 and line L9.

SECTION R - HOTEL/MOTEL OCCUPATIONAL LICENSE TAX RENEWAL
Any person operating a hotel, motel, rooming house, or boarding house having six (6) or
more sleeping rooms shall pay an annual license tax of $2.00 for each sleeping room as
required by Chapter 150, Article VII of the Code of the City of New Orleans.
Line R1. NUMBER OF ROOMS FOR RENTAL: Enter the total number of sleeping rooms in
the hotel.
Line R2. HOTEL/MOTEL LICENSE TAX DUE: Multiply Line R1 times $2.00.
Line R3. PENALTY: If the payment is not made before March 1 of the current tax year,
multiply the amount on line R2 by 5% for each for each month or fraction of a month from
March 1 until paid, not to exceed 25%.
Line R4. INTEREST: If the payment is not made before March 1 of the current tax year,
multiply the amount on line R2 by 1.25% for each for each month or fraction of a month
from March 1 until paid.
Line R5. TOTAL PENALTY AND INTEREST: Add line R3 and line R4.
Line R6. TOTAL AMOUNT DUE: Add line R2 and line R5. 

             SECTION C - CHAIN STORE LICENSE TAX RENEWAL
A chain of stores is two (2) or more stores of the same name and under the same
ownership where the same line of goods, wares or merchandise or commodities are
sold at retail. As required by Chapter 150, Article IX, anyone owning a chain of stores
must pay an annual chain store tax for each store in New Orleans. The tax is based on
the total number of stores owned, whether operated in the city or not and whether
within the state or not, as of January 1 of each year.

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