Make All Remittances
The return DUE on the 1st day of                     St. Charles Parish School Board                                      Payable To
month following period covered by
     the return and becomes                          St. Charles Parish Council                                             ST. CHARLES PARISH
   DELINQUENT On 21st day.                                                                                                SCHOOL BOARD
                                        SALES AND USE TAX REPORT                                                          SALES TAX DEPARTMENT

BILLING CYCLE                                 ACCOUNT NUMBER                         MONTH OF
1.  GROSS SALES OF TANGIBLE PROPERTY, LEASES, RENTALS, AND SERVICES AS 
    REPORTED TO THE STATE OF LOUISIANA
                       ALLOWABLE DEDUCTIONS
2.  SALES FOR RESALE
3.  SALES RETURNS & ALLOWANCES, CASH DISCOUNTS
4.  SALES DELIVERED OR SHIPPED OUTSIDE THIS JURISDICTION
5.  SALES OF GASOLINE OR MOTOR FUELS
6.  SALES TO U.S. GOV'T AND STATE OF LOUISIANA
7.  FOOD STAMPS & W.I.C. SALES
8.  DIRECT PAY PERMIT SALES
     OTHER DEDUCTIONS AUTHORIZED BY LAW (EXPLAIN BRIEFLY)
9.
10.
11. TOTAL ALLOWABLE DEDUCTIONS (lines 2 thru 10)
                                 COMPUTATION OF SALES AND USE TAX
12 ADJUSTED GROSS SALES (line 1 minus line 11)
13.
14. PURCHASES SUBJECT TO USE TAX IN EACH JURISDICTION
15. TOTAL (line 12 plus line 14)
16. TAX (5% of line 15)
17. EXCESS TAX COLLECTED
18. TOTAL (line 16 plus line 17)
19. VENDOR'S COMPENSATION (1.0% of line 18 if 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 exced 25% in the aggregate)
22. INTEREST (15% per annum from due date until paid)
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)
I declare under penalties for filing false reports that this return (including any accompanying schedules and statements) has been examined by me and to 
the best of my knowledge and belief is a true, correct and complete return. If the return is prepared by a person other than the taxpayer, his declaration is 
based on all the information relating to the matters requiring to be reported in the return for which he has my knowledge.
    TO AVOID PENALTIES RETURN SHOULD BE TRANSMITTED ON OR BEFORE THE 20TH DAY FOLLOWING THE PERIOD COVERED.
Date Sign Here                                               Signature of Preparer Other Than Taxpayer                    Reviewed By

ST. CHARLES PARISH SCHOOL BOARD
                                                                                                                          NON-PROFIT ORG
    SALES AND USE TAX DEPARTMENT                                                                                            U.S. POSTAGE
     13855 River Road                                                                                                     PAID
     LULING, LA 70070                                                                                                     Luling, LA
    (985) 785-3118 or (985) 785-3125                                                                                      Permit No. 9
     ADDRESS SERVICE REQUESTED