Office Contact Information: Union Parish Sales and Use Tax Commission
Phone: 318-251-8624 P.O. Box 903
Fax: 318-251-8698
Ruston, LA 71273-0903
File Online at:
www.parishe-file.louisiana.gov SALES AND USE TAX REPORT
1. Gross sales of Tangible Personal Pr operty, Leases, Rentals and Services as
Reported to the State of Louisiana 1. Month of:
ALLOWABLE DEDUCTIONS
2. Sales for Resale or Further Processing (Certificate on File)
3. Cash Discounts, Sales Returns & Allowances
4. Sales Delivered or Shipped Outside this Jurisdiction (Does not apply to Repairs)
5. Sales of Gasoline or Motor Fuels
6. Sales to the U.S. Govt., the State of LA, its Political Subdivisions and Agencies
7. Sales of Food Paid for with USDA Food Stamps or WIC Vouchers
OTHER DEDUCTIONS AUTHORIZED BY LAW (EXPLAIN BRIEFLY)
8. Date Business Discontinued Date Business Sold Name of Purchaser
9.
10. Business Location Change Mailing Address Change Change in Name of Business
11. Total Allowable Deductions (Line 2 t hru 10) 11.
12. Adjusted Gross Sales (Line 1 MINUS Line 11) COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
TOTAL LOCAL RATE A. 5.0% B. 7.0% C. 7.0% D. 6.0% E. 6.0%
Computation of Sales MUNICIPALITY TAX Town of Farmerville Town of Bernice Town of Marion Village- Junction City
and Use Tax PARISH WIDE TAX Police Jury Police Jury Police Jury Police Jury Police Jury
COMPLETE ONLY THOSE COLUMNS IN PARISH WIDE TAX School Board School Board School Board School Board School Board
WHICH TAXABLE ACTIVITY OCCURS Sheriff s Office Sheriff’s Office Sheriff s Office Sheriff’s Office Sheriff’s Office
PARISH WIDE TAX
13. Adjusted Gross Sales in Each Jurisdiction Total of Columns 13.
Must Equal Line 12
14. Purchases Subject to Use Tax In Each Jurisdiction 14.
15. TOTAL (Line 13 Plus Line 14)
16. Tax Due – Multiply Line 15 by % Shown in Column 16.
17. Excess Tax Collected 17.
18. TOTAL (Line 16 Plus Line 17)
19. Vendors Compensation 2% of Line 18 Deductible Only When 19.
Payment is not Delinquent
20. Net Tax Due (Line 18 Minus Line 19)
21. Delinquent Penalty 5% of tax on date the return becomes delinquent, with an additional 21.
5% for each subsequent 30 day per iod, not to exceed 25%
22. Interest Due: .0164% daily rate per day from the first day of the month in which tax is 22.
due until paid
23. Total Tax, Penalty and Interest Due (Line 20 Plus Lines 21 & 22)
24. Tax Debit or Credit (Authorized Memo MUST be Attached) 24.
25. TOTAL AMOUNT DUE (Line 23 Plus or Minus Line 24) 25.
This return DUE on the 1 stday of the month following the period covered by this
return, and becomes DELINQUENT if not transmitt ed on or before the 20 thday . AUDITED BY TOTAL OF COLUMNS A + B + C + D + E LINE 26. TOTAL REMITTED
Remittances Payable to UNION PARISH SALES and USE TAX COMMISSION DISHONORED WHICHEVER
SIGNATURE OF CHECK CHARGE 1% OF THE CHECK OR $30 IS GREATER
INDIVIDUAL $
OR AGENT _______________________________________________________ DATE _______________________ STATE TAX I.D. # ___________ _____________________