Seller'S Monthly Return Form - City Of Kotzebue
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1CITY OF KOTZEBUE
PO BOX 46
KOTZEBUE, ALASKA 99752
907-442-3401
SELLER’S MONTHLY RETURN
AS REQUIRED BY KOTZEBUE MUNICPAL CODE KMC §3.20
ALCOHOL
BED
PULL TAB
RENTAL
RETAIL
(CHECK ONE)
Receipt Date:_________________
Receipt Number:_________________
Postmarked:_________________
6% BED TAX IS IN ADDITION TO 6% SALES TAX
BED TAX AND SALES TAX MUST BE REPORTED ON 2 SEPARATE FORMS EACH MONTH.
Return this form with tax remittance to City Hall on or before the last day of the month following the
taxable month.
Business:
Month
Name:
Year:
Address:
City/State/Zip
Total Gross cash receipts from sales
1.
1.$
Less: Total Gross Receipts from NON-TAXABLE sales
2.
2.$<
>
TOTAL TAXABLE GROSS CASH RECEIPTS (Line 1 minus Line 2)
3.
3.$
Six Percent (6%) of Line 3
A.
A.$
Less: Five percent (5%) of Line A (Not to exceed 100.00)
B.
B.$<
>
BALANCE (Subtract Line B from Line A) ( TOTAL TAX DUE)
C.
C.$
Sales Tax remitted with this return
D.
D.$
Line B may be deducted ONLY when Return is filed and taxes paid/postmarked ON or BEFFORE the fourteenth
TH
(14
) of the month following any taxable month.
The following affidavit must be made by Seller or other persons having personal knowledge of Seller’s Business.
I,
, do solemnly affirm that I am
of
making the
Foregoing report; that I have knowledge, information and believe all the things stated therein are true.
SIGNATURE
DATE
REV 02-28-07 CO1JRea
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