OCCUPATIONAL LICENSE APPLICATION FOR OFFICE USE ONLY ACCOUNT NUMBER MAIL ORIGINAL AND REMITTANCE TO: Post Office Box 1718 Gonzales, LA 70707 Gonzales, LA 225.621.2635 Fax 225.621.2644 Donaldsonville, LA 225.473.8630 ASCENSION PARISH SALES & USE TAX AUTHORITY COLLECTOR OF OCCUPATIONAL LICENSE TAX FOR 1. Reason for applying: PARISH OF ASCENSION A. Started new business D. Purchased ongoing business: B. Opening additional location Name of previous owner C. Other ____________________________ Trade name of previous business ______________________________ Parish account number ______________________________________ 2. A. Legal name (s): (Individual, partners, or corporation) _________________________________________________________________ B. Trade name of business: __________________________________________________________________________________ C. Business location address (Street –Not P.O. Box), City and State, Zip, Telephone: _________________________________________________________________________________________________________ D. Address for receiving correspondence (If same as location write “Same”), City and State, Zip: _________________________________________________________________________________________________________ A. Individual B. Partnership C. Corporation D. LLC E. LLP F. Non‐Profit 3. Type of organization: 4. If sole owner (individual) : Name ______________________________________________SSN___________________________ Home address___________________________________________________________ Telephone _______________________ 5. If Corporation, LLC, LLP, or Partnership, attach a listing of all officers, members, managers, or partners. This list shall include the following information: Name, title, social security #, home address, and telephone #. 6. First date sales will be made from this location: ___________________ Date business first started operations: ______________ 7. Describe in detail your business (type of sales, activity, or service you perform):________________________________________________ ________________________________________________________________________________________________________ 8. Class of license being applied for (Ex.: Hotel, Peddler, etc. See back of this page for classes.): _______________________________________ 9. If your business will have any of the following: Video Games, Flipper Machines, Electronic Pinball, or Pool Table, fill out an additional application for Amusement Machines License(s). COMPLETE ONE OF THE FOLLOWING: Business opened on or prior to June 30 of current year Business opened on or after July 1 of current year NEW EXISTING BUSINESS $50 Due $25 Due $100 Due (The above are Temporary License fees. A Permanent License will be issued after being open 30 days and will be based on those gross receipts multiplied by the remaining months in the calendar year.) Flat Fee Business (Fireworks Stand, Peddler, or Special Event) If business opened more than 30 days ago during current year: Enter gross receipts (1st 30 days in business for current year) Less Allowed Deductions (See back.) Adjusted Gross Receipts $___________ Multiply adj gross receipts by number of months (___) remaining in year amounts to taxable sales of If business opened during the previous calendar year: Enter gross receipts (prior year total) Less Allowed Deductions (See back.) $___________ Adjusted Gross Receipts Divide adj gross receipts by number of days in operation (___)—[daily sales figure] Multiply daily sales by 365 to annualized tax basis of If business opened on or prior to January 1 of previous calendar year: Enter gross receipts (prior year total) Less Allowed Deductions (See back.) $___________ Taxable sales of TAX DUE (TABLE ____) PENALTY ( ___ %) INTEREST ( ___ %) TOTAL DUE CHECK # REV. 07/12 ALL RENEWAL APPLICATIONS ARE DUE JANUARY 1 AND BECOME DELINQUENT MARCH 1ST. LICENSES NOT PAID BEFORE THE DELINQUENT DATE BEAR INTEREST AND PENALTY AS FOLLOWS: A. PENALTY – 5% FOR EACH 30 DAYS OR FRACTION THEROF. MAX 25%. B. INTEREST‐ 1.25 % FOR EACH 30 DAYS. 15% PER YEAR. $_____________ $_____________ $_____________ $_____________ $_____________ $_____________ $_____________ $_____________ $_____________ LICENSE WILL BE ISSUED ONLY UPON RECEIPT OF COMPLETED APPLICATION Acknowledgement of Other Regulatory Rules for Ascension Parish Completion of this application and the payment of the proposed tax for issuance of an occupational license does not create any vested right to open or operate any business in the Parish of Ascension. Applicant herein may be affected by the Ascension Parish subdivision regulations, zoning laws, building codes, alcohol or other types of regulatory rules that may impact or prevent operation of this particular business. Applicant acknowledges that additional permits or compliance with other regulatory rules may be required to operate this particular business. Please initial to accept: This is to affirm the statements made herein are correct. Signature of Owner or Authorized Agent X Type Abstractor Academy of Music Accountants Advertising Agency Advisory Service Air Hockey Table Air Transportation Ambulance Service Amusement Device, Mech Amusement Hall Amusement Park Answering Service Appraiser Architects Arena Armored Car Service Attorneys-At-Law Auctioneer Auditing Freight Bills Auto Auction Auto Club Auto Title Service Auto for Hire Bacteriologists Bail Bondsmen Barber Shop Barge Line Baseball Machine Baseball Park Beauty Parlor for Dogs Beauty School Beauty Shop Bill Boards Billiard Table Billing Agency Blue Prints Boat Carriers-Freight Boat Carriers-Passengers Boat Landing Boat Launching Boat Mariner Boats-Retail Bonding Companies Booking Agency Bowling Alley, Coin-Operated Broker Building Materials-Wholesale Building Materials-Retai Bus Line Business Schools Cable Television Campgrounds Car Wash Carpet Cleaning Catering Service Chemical Engineers Chemists Chiropodists Circus Civil Engineers Cleaning Service Coffee Houses Coin Operated Laundry Cold Storage Collection Agency Commercial Artists Commercial Rating Agency Commission Broker Common Carrier Computer Service Concession Consultant Consulting Psychologist Consumer Service Contractor-Cost Plus Contractor-Direct. Drill Contractor-Diving Contractor-Food Serv. Mgr. Contractor-Janitorial Service Contractor-Lump Sum Contractor-Oil Field Serv. Contractor-Pest Control Contractor-Temp. Labor Contractor-Testing Contractor-Testing Lab. Convention Promotion Con Copy Systems Cotton Pickery Credit Bureaus Custodial Service Dance Hall Dealer in Stock & Bonds Table 1 1 0.1% of Gross 1 1 $20.00 each 1 1 $20/$50 1 1 1 1 0.1% of Gross 1 1 0.1% of Gross 4 0.1% of Gross 1 1 1 1 0.1% of Gross 1 1 1 $20.00 1 1 1 1 1 $20.00 1 1 1 1 1 1 1 1 1 1 $20.00 4 2 2 1 1 1 1 1 1 1 0.1% of Gross 0.1% of Gross 0.1% of Gross $100.00 0.1% of Gross 1 1 1 1 1 1 1 4 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 1 1 4 1 1 1 4 Type Debt Adjusters Decorator Delivery Service Dentists Detective Agency Dispatcher Display Rooms Dist./Light, Heat or Power Distiller of Alcohol Distributor of Electricity Distributor of Gas Distributor of Water Document Examiner Dog Kennel or Grooming Draying Drilling/Svc. Oil Well Driving School Electric Phonograph Electrical Engineers Electra Plating Service Elevator, Service to Employees Screening Employment Agency Engineers Engraver Exhibition Show Figure Salon Film Developing Film Production Finance Company Financial Management Finger Printing & ID's Firing Range Flea Market Participants Food Broker Freezer Locker Freight Forwarding Freight Transportation Funeral Director Future Broker Garage Garden Service Geological Service Go Cart Computer Game Golf Course Golf Practice Range Grain Commission House Grain Elevator Hauling Hawkers Health Studio/Health Club Horse Show Hospitals (for profit) Hotel House Moving Information Service Inspection & Testing Instructional Schools Insurance Adjuster Inventory Service Investment Counseling Irrigation Company Itinerant Vendors Vendors of Agriculture Products and Seafood Products Jeweler Juke Box K-9 Training For Dog Laboratories Landscaping Service Launderette Laundry Leasing Movable Property Letter Service Lift Service Limousine Service Lithographers Livestock Auctions Mailing & Composing Room Management Control Management Training Manufacturer's Agent Marine Surveyors Masseur Meat Cutting Mechanical Amusement Device Mechanical Engineers Mechanical Ride Mechanical Shoot Gallery Medical Transportation Svc. Merchandise Broker Table 1 1 1 0.1% of Gross 1 1 $100.00 5 4 5 5 5 1 1 1 2 1 $20.00 0.1% of Gross 1 1 1 1 0.1% of Gross 1 1 1 1 1 3 1 1 1 1 4 1 1 1 1 4 1 1 1 $20.00 $50.00 1 1 4 2 1 $100.00 1 1 1 $2.00/rm 2 1 1 1 1 1 1 1 $100.00 $100.00 1 $20.00 1 1 1 1 1 1 1 1 1 0.1% of Gross 4 1 1 1 4 1 1 1 $20.00/$50.00 0.1% of Gross $20.00 $20.00 1 4 Type Merry Go Round Messenger Service Miniature Golf Mobile Homes, Trlrs, Retail Modeling Agency Money Broker Monitor Service Monogramming Mortgage Broker Motel Motor Freight Line Motor Veh. Dlr., Wholesale Motor Vehicle Carriers Motor Vehicle Dlr, Retail Motor Vehicle Rentals Motor Vehicle Repainting Motor Vehicle Repair Motor Vehicle Storage Moving & Storage Nursing Homes Oculists Office Building Renta Oil & Gas Lease Broker Opera House Operator of Office Bldgs Operator of Office Bldgs Osteopaths Packing & Crating Serv. Parking Lot Patrol Service Pawn Broker Peddler Petroleum Inspection Photo Lab Photographer Physicians Pin Ball Machine Pipe Inspection Pipe Line Common Carrier Pistols & Cartridges, Retail Polygraph Examiner Pool Table Printers Private Investigator Private Postal Service Private Swim Club Produce Peddler Product Commission House Professional Schools Public Weigher Race Track Railways Real Estate Broker Recording Studio Refrigerated Lockers Renting Immovable Property Renting Immovable Property Renting Immovable Property Repair Shop Rescue Service Restaurant Retail Dealer Retail Dealer-Aircraft Retail Dealer-No Fixed Place Retail Dlr.-Certain Cons. Retail Motor Vehicles Retail Pistols/Cartridges Retail Trailer Dealer Retail to Farmers Retail to Institutions Riding Academy Rooming House Sales Promotion Sales of Membership Sales of Warranty Salvage Yard Schools, Proprietary Self Defense Service Selling Cemetery Lots Service Businesses Service to Elevators Ship Chandler Shipbuilders Shooting Gallery, Mechanical Shooting Gallery/Range Sightseeing Tours Sign Painter Sitter Service Skating Rink Slaughter House Speedway Raceway Stable Table $20.00 1 1, Max $800.00 1 4 1 1 4 $2.00/rm 1 2 1 1 1 1 1 1 1 1/3 Gross + $2/rm 0.1% of Gross 1 4 1 4 1 0.1% of Gross 1 1 1 1 $100.00 1 1 1 0.1% of Gross $20.00 1 1 1 1 $20.00 0.1% of Gross 1 1 1 $100.00 4 1 1 1 1 4 1 1 4 2 1 1 1 1 1 1 $100.00 2 1 1 1 2 2 1 $2.00/rm 1 1 1 1 1 1 1 1 1 1 2 $20.00 1 1 1 1 1 4 1 1 Type Steam Cleaning Steam Laundering Steam Pressing Stock & Bond Broker Stock & Bond Dealer Storage Surety Companies Swim Club, Private Swimming Pool Swimming Pool Service TV Cable Service Tattooing Taxicab Taxidermist Telephone Theater Theatrical Booking Tourist Attraction Tourist Courts Tow Boats Towing Transportation Transportation by Boat Trash/Garbage Pickup Travel Agency Traveling Show Tree Cutting Trolleys Trucking Truck Escort Service Truck Washing Tug Boats Undertaker Utility Company Vending Machine Oprtrs Veterinarians Video Games Warehouse Washateria Security Service Wholesale Aircraft Dlr Wholesale Dealer Wholesale Mtr Vehicles Wholesale Pistols & Cart Wired Music Service Wrecker Service Wrecking Yard Table 1 1 1 4 4 1 1 1 1 1 1 1 1 1 5 1 1 1 $2.00/rm 1 1 1 1 1 1 $100.00 1 1 1 1 1 1 1 5 1 0.1% of Gross $50.00 1 1 1 2 2 2 2 1 1 1 This list is not intended to include all business types. If you are unsure of your business type, please contact the Authority for assistance. INSTRUCTIONS 1. COMPLETE QUESTIONS 1 THROUGH 9. 2. SELECT EITHER NEW OR EXISTING BUSINESS AND COMPLETE THE APPROPRIATE SECTION. a.If you are a new business, the amount of license tax to be paid is stated. b. If you are an existing business registering for the first time, once the amount of sales receipts or commissions subject to license tax has been established, refer to the attached classification chart to determine the appropriate tax table. Find the occupational license tax due from the appropriate table below. 3. Make your remittance payable to "Ascension Parish Sales Tax". 5. Sign and initial your application and return the original copy along with your remittance. TABLE 1 RETAIL DEALERS RS 47:354 If The Gross Sales Are: As Much As The Annual But License Less Than Shall Be $0 50,000 50,000 75,000 75,000 100,000 100,000 150,000 150,000 200,000 200,000 250,000 250,000 300,000 300,000 400,000 400,000 500,000 500,000 600,000 600,000 750,000 750,000 1,000,000 1,000,000 1,500,000 1,500,000 2,000,000 2,000,000 2,500,000 2,500,000 3,000,000 3,000,000 3,500,000 3,500,000 4,000,000 4,000,000 4,500,000 4,500,000 5,000,000 5,000,000 5,500,000 5,500,000 ********* 50 60 90 120 180 250 300 360 500 650 800 900 1200 1,800 2,400 3,000 3,600 4,200 4,800 5,400 6,000 6,200 TABLE 2 WHOLESALE DEALERS The Annual But License Less Than Shall Be $0 100,000 100,000 150,000 150,000 250,000 250,000 500,000 500,000 600,000 600,000 800,000 800,000 1,000,000 1,000,000 1,500,000 1,500,000 2,000,000 2,000,000 2,500,000 2,500,000 3,000,000 3,000,000 4,000,000 4,000,000 5,000,000 5,000,000 5,500,000 5,500,000 6,000,000 6,000,000 6,500,000 6,500,000 7,000,000 7,000,000 7,500,000 7,500,000 8,000,000 8,000,000 9,000,000 9,000,000 10,000,000 10,000,000 11,000,000 11,000,000 12,000,000 12,000,000 13,000,000 13,000,000 14,000,000 14,000,000 ************ Note: Contractors Minimum Tax $50.00 Maximum Tax $750.00 TABLE 4 Commission Brokerage RS 47:356 RS 47:357 If The Gross Sales Are: As Much As RS 47:355 Contractors If The Gross Sales Are: As Much As Tax Tables TABLE 3 Lending Business 50 75 100 150 200 250 300 400 500 700 900 1,000 1,250 1,800 2,400 3,000 3,600 4,200 4,800 5,200 5,600 6,000 6,400 6,800 7,200 7,500 The Annual But License Less Than Shall Be If The Gross Sales Are: As Much As The Annual But License Less Than Shall Be 1. Private Investment Agency-$500 R.S. 47:359 (A) $0 250,000 500,000 750,000 1,000,000 1,250,000 1,500,000 1,750,000 2,000,000 2,250,000 2,500,000 3,000,000 3,500,000 4,000,000 4,500,000 5,000,000 5,500,000 6,000,000 6,500,000 7,000,000 7,500,000 8,000,000 250,000 500,000 750,000 1,000,000 1,250,000 1,500,000 1,750,000 2,000,000 2,250,000 2,500,000 3,000,000 3,500,000 4,000,000 4,500,000 5,000,000 5,500,000 6,000,000 6,500,000 7,000,000 7,500,000 8,000,000 8,500,000 50 100 150 200 250 300 350 400 450 500 550 600 650 700 750 800 850 900 950 1,000 1,050 1,100 $0 15,000 20,000 25,000 30,000 40,000 50,000 65,000 80,000 100,000 125,000 150,000 175,000 200,000 250,000 300,000 350,000 400,000 450,000 500,000 550,000 600,000 15,000 20,000 25,000 30,000 40,000 50,000 65,000 80,000 100,000 125,000 150,000 175,000 200,000 250,000 300,000 350,000 400,000 450,000 500,000 550,000 600,000 650,000 50 70 90 115 137 180 225 300 360 450 600 675 750 900 1,050 1,200 1,400 1,600 1,800 2,000 2,200 2,400 8,500,000 9,000,000 1,150 650,000 700,000 2,600 9,000,000 9,500,000 10,000,000 11,000,000 12,000,000 13,000,000 9,500,000 10,000,000 11,000,000 12,000,000 13,000,000 14,000,000 1,200 1,250 1,350 1,450 1,550 1,650 700,000 750,000 750,000 800,000 800,000 850,000 850,000 900,000 900,000 950,000 950,000 *********** 2,800 3,000 3,200 3,400 3,600 3,700 14,000,000 15,000,000 16,000,000 17,000,000 18,000,000 19,000,000 20,000,000 25,000,000 30,000,000 35,000,000 15,000,000 16,000,000 17,000,000 18,000,000 19,000,000 20,000,000 25,000,000 30,000,000 35,000,000 ************ 1,750 1,850 1,950 2,050 2,150 2,250 2,500 3,000 3,500 3,700 Businesses under Sections 47:354 & 47:355 with less than $2,500.00 of annual gross receipts (one full year) shall pay no license taxes for the current year. The business shall continue to file an application for each year. TABLE 5 Flat Fees- Calculation 5 Public Utilities 2. Peddlers and Itinerant Venders-$100 Includes: Selling by Display of samples R.S. 47:359 ( C ) Peddling Hawking R.S. 47:359 ( C ) Itinerant Venders R.S. 47:359 ( C ) 3. Amusement Machines- 47:359 4. Professional Sports-$1000 R.S. 47:359 (G) 5. Circuses, Concerts, Carnivals and Special Events-$100 R.S. 47:359 (H) 6. Hotels, Motels, and Rooming Houses $2.00 per room R. S. 47:359 (I) (Use Calculation 4) Nursing Homes-$2.00 per room R.S. 47:359(1) plus 1/3 of gross receipts R.S. 47:354 Pawnbroker- Basis shall include total loans plus retail sales with a minimum license of $300 R.S. 47:354 RS 47:358 If The Gross Sales Are: As Much As $0 20,000 25,000 37,500 50,000 75,000 100,000 150,000 200,000 250,000 500,000 750,000 1,000,000 1,250,000 1,500,000 1,750,000 2,000,000 2,250,000 2,500,000 The Annual But License Less Than Shall Be 20,000 25,000 37,500 50,000 75,000 100,000 150,000 200,000 250,000 500,000 750,000 1,000,000 1,250,000 1,500,000 1,750,000 2,000,000 2,250,000 2,500,000 ************ 50 60 75 115 150 200 300 450 650 750 1,500 2,250 3,000 3,750 4,500 5,250 6,000 6,900 7,500 Other Professional Businesses License tax shall be one-tenth of one percent of the annual gross receipts for professional fees for services rendered Minimum Tax Maximum Tax $50.00 $2000.00 Including but not limited to the following businesses: Printers, Lithographers, Editors, Publishers, Attorneys-At-Law, Accountants, Oculist, Physicians, Osteopaths, Dentists, Chiropodist, Bacteriologists, Veterinarians, Chemist, Architects, and Civil Mechanical, Chemical or Electrical Engineers engaged in the practice of their profession as an individual, or as a firm, partnership, or corporation. ( The tax levied herein shall be levied only on the business and not separately on any individual who is employed by or is a member of the taxpayer which conducts its business as a firm, partnership, or corporation. NOTE: WHEN A BUSINESS HAD STARTED ON OR AFTER JULY 1ST OF ANY YEAR, THE INITIAL TAX DUE SHALL BE ONE HALF OF THE MINIMUM ANNUAL RATE. ALLOWED DEDUCTIONS 1. Petroleum taxes as defined in R.S. 47:361.A 2. For Undertaking and Funeral directing refer to R.S. 47:361 B 3. For applicable deductions in the brokerage of stocks and bonds see R.S. 47:361.C 4. Retail Sales of Motor Vehicles and Boats with gross receipts exceeding $700,000.00 refer to R.S. 47:361D
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