1.
2.
3.
ACCOUNT #
4.
5.
20
6.
7.
8.
9.
10.
11.
12.
(A): 4.60% (B): 5.35% (C): 5.35% (D): 5.35% (E): 5.35% (S): 5.35% (U): 5.35% (V): 6.35% (W): 4.35% (T): 3.35% (G): 2.75%
(F-N):1.85%
(X): 5.60% (Q): 4.35% (Y): 4.35%
Shreveport Vivian Oil City Mooringsport Greenwood Rodessa Blanchard Ida N. Caddo Hosp Dist
Shreveport School Board Shreveport Caddo Fire District # 1 Caddo Fire District # 3
School Board School Board School Board School Board School Board School Board School Board School Board School Board School Board
Only Law Enf. School Board School Board School Board
Law Enforcement Law Enforcement Law Enforcement Law Enforcement Law Enforcement Law Enforcement Law Enforcement Law Enforcement Law Enforcement Law Enforcement
*(Bossier Parish) *(City of Bossier) Law Enforcement Law Enforcement Law Enforcement
N Caddo Hosp Dist S.T. District # 1 S.T. District # 1 S.T. District # 1 S.T. District # 1 S.T. District # 1 S.T. District # 1 S.T. District # 1 S.T. District # 1 Mall Econ Dev. Dist. S.T. District # 1 S.T. District # 1
N. Caddo Hosp Dist N. Caddo Hosp Dist Caddo Fire District # 3 N. Caddo Hosp Dist Caddo Fire District # 1 N. Caddo Hosp Dist
13.
14.
15.
16.
16a.
16b.
16c.
16d.
16e.
17.
18.
19.
20.
21.
22.
23.
24.
25.
PLEASE ENTER CHECK NUMBER
COMPLETE ONLY THOSE COLUMNS IN WHICH TAXABLE ACTIVITY OCCURS
NAME AND ADDRESS OF NEW OWNER
OFFICE USE ONLY
*
Contact the Bossier City-Parish Tax Division for information on the tax due their
jurisdiction that is in addition to the tax collected by this Commission
CADDO SHREVEPORT SALES & USE TAX COMMISSION
Cash Discounts, Sales Returns & Allowances
SALES AND USE TAX REPORT
TO FILE AND PAY ONLINE: WWW.SALESTAXONLINE.COM
Gross Sales of Tangible Personal Property, Leases, Rentals &
Services Reported to the State of Louisiana
ALLOWABLE DEDUCTIONS
Sales for Resale (Certificate on file)
FOR GENERAL INQUIRIES EMAIL US AT: CADDO _ TAX@CADDOSALESTAX.ORG
P.O. BOX 104 - SHREVEPORT, LA 71161
PHONE: (318) 865-3312 FAX: (318) 865-1838
OTHER DEDUCTIONS AUTHORIZED BY LAW (Explain Below)
PLEASE INDICATE ANY CHANGES BELOW
Sales Delivered or Shipped Outside This Jurisdiction
Sales of Gasoline and Motor Fuels
Sales to the U.S. Gov't , State of Louisiana and Political
Subdivisions and Agencies
Sales of Food Paid for with USDA Food Stamps or WIC Vouchers
OFFICE USE ONLY
Total allowable deductions (Lines 2 thru 10)
DATE OUT OF BUSINESS OR SOLD
Adjusted gross sales (Line 1 minus 11)
COMPUTATION OF SALES
AND USE TAX
Adjusted Gross Sales in Each Jurisdiction
(Totals of all columns must equal LINE 12)
Purchases Subject to Use Tax
Total (Lines 13 plus 14)
TAX DUE -Multiply Line 15 by % Shown
(Each Column)
Interest - .729% (per month) Calculated from due
date until paid (Multiply line 20 by rate)
(Line 16a. x 2.75%)
Repairs to tangible personal property shipped
outside the State of Louisiana
Exempt Rate Multiply Line 16c. Col. A & Col. X x 3.1% -
Col. B x 0.35% - Col. G x 2.75% - All other Columns x 1.85%
Net Tax due
(Line 16 minus 16b and 16d)
Manufacturing and Equipment Exclusion - Column G Only-
Certificate Required for exclusion due to restrictions
Excess Tax Collected
TOTAL (Line 16e plus Line 17)
Vendor's Compensation (1% of Line 18)
(Allowed only when not delinquent)
Net Tax Due (Lines 18 minus 19)
Penalty - 5% of tax for each 30 days of delinquency, not to exceed
25% (Multiply line 20 by applicable penalty rate)
Total Tax, Penalty, & Interest Due
Tax Debit or Credit
(Authorized memo must be attached)
Total Amount Due
(Line 23 plus or minus Line 24)
AUTHORIZED SIGNATURE: DATE: PHONE # ( )
TITLE:
DO NOT use other taxpayer's return as this will result in
improper credit.
DO NOT
ignore delinquent notices, Negligence penalties
may be imposed.
26. TOTAL REMITTANCE ATTACHED
(
Columns
A, B, C, D, E, S, U, V, W, T, G, F-N, X, Q, Y)
This return DUE on the 1st day of month following
period covered by this return, and becomes delinquent
if not transmitted on or before the 20th day. Dishonored
Check Charge 1% of the check or $20 whichever is
greater
Checks Payable to: CADDO SHREVEPORT SALES & USE TAX COMMISSION
( Use Paper Clips to Attach Remittance )
I declare under the 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 true, correct and complete return.
AUDITED BY
OFFICE USE ONLY