Form R-1035 Fillable Consumer Use Tax Return and Payment Coupon
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

(mm/dd/yyyy) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) 4303Signature Address attached worksheet to track your purchases Keep the worksheet for your records Enter the total purchase price from the work sheet Baton Rouge LA 70821 3138 box at the top of the form compact discs records clothing appliances furniture and other home furnishings sporting goods jewelry etc Out of state retailers CONSUMER USE TAX Consumer use Tax WorksheeT Date (mm/dd/yyyy) Date of Purchase (mm/dd/yyyy) Department of Revenue Department of Revenue to local governments is in lieu of the actual local rate in effect in your area and is payable regardless of whether Detach & send payment to: for sales tax may not use this consumer use tax return to report their use tax The tax must be reported on the dealer s state and local in state retailers who have to charge the sales tax Individuals in Louisiana are responsible for paying use tax on an out of state purchase include mail order companies television shopping networks firms selling over the Internet and retailers located outside Louisiana Individuals who operate a business and qualify as a dealer under Louisiana Revised Statute 47:301(4) and are required to be registered Items that are subject to sales tax include computers and other electronic equipment canned software books audio and video tapes Louisiana Consumer Use Tax Louisiana Department of Revenue Louisiana state sales tax Louisiana Revised Statute 47:302(K) requires you to file and pay a Consumer Use Tax directly to the Louisiana on the coupon Multiply that total by 8 percent ( 08) The resulting figure is the amount of Consumer Use Tax you owe You may use the on the designated line on the coupon Detach and mail the completed coupon along with your payment to the address listed in the black P O Box 3138 Phone Number PLEASE PRINT OR TYPE Price Purchase amount Purchase amount Questions concerning Consumer Use Tax should be directed to the nearest regional office of the Louisiana Department of Revenue or R 1035 (10/11) R S 47:302(K) sales tax returns Social Security Number State Tax Rate x 08 the actual combined state and local rate in your area is equal to higher than or lower than 8 percent The Louisiana use tax is calculated at the rate of 8 percent This 8 percent rate which includes 4 percent to be distributed by the The Louisiana use tax was enacted in 1934 to prevent retailers located out of state from having an unfair competitive advantage against To pay your Consumer Use Tax complete the payment coupon in this brochure Enter the information requested in the spaces provided to the Special Programs Division at (225) 219 7462 or (225) 219 6236 (TDD) ToTaL Total Purchase Total Use Tax Due Use this schedule to track your purchases DO NOT MAIL THIS FORM when the item purchased is subject to the Louisiana sales tax and the retailer making the sale does not collect sales tax on the sale