CITY AND BOROUGH OF SITKA
100 LINCOLN ST - SITKA , AK 99835 907-747-1840
QUARTERLY SALES TAX RETURN INCLUDE ALL SALES & SERVICE FOR QUARTER.
See reverse side for instructions and exemptions.
9
Check here if no business activity this period. Sign, Date,
Quarter ending___________________,20______
and return form on time to avoid late filing penalty.
ACCT # _____________________________
CHANGES:
9
NAME :
ADDRESS_______________________________
9
Mailing_______________________________
9
Physical______________________________
9
OWNERSHIP:
Sold or Permanently closed. Please
ADDRESS:
complete information on back of this form.
_______________________________________________________________________________________
5%
6%
1. GROSS RECEIPTS (EXCLUDING TAX)
A. Sales / Service...............................................
B. Rental (Long term)................................…....
XXXXXXXXXXX
C. Rentals less than 30 days....................…......
2. TOTAL GROSS RECEIPTS
3. LESS EXEMPTIONS
A. Wholesale.....................................................
B. Long Term Residential Rentals.…………….
C. Outside municipality....................................
D. Senior citizens with CBS exemption card…..
E. Government agencies...................................
F. Government supported exempt agencies…..
G. Sales over the taxable limit $1000......…......
H. Other exemptions -attach list- .........…........
4. TOTAL EXEMPTIONS
(
)
(
)
5. Net Taxable Receipts
(Line 2 less line 4)
X .05
X .06
6. Calculate Tax (multiply line 5 by tax rate)
7. Fish Box Tax: _________ containers x $10.00 sales tax
.........................................….....….......
$ ________________
8. Subtotal Tax (add line 6 columns 1 & 2 and Line 7)
A. Less tax paid: first month ……………………………………………………………
(_________________)
B.
second month………………………………………………………….
(_________________)
C. Credit from previous returns…………………………………………………………..
(_________________)
D. Less discount 3% of line 8……………………………………………………….……..
(_________________)
**
allowed only if timely monthly payments were made - maximum $100
________________
9. Add: Penalty: (5% per month or part thereof to 25% - see back for minimum)......................
_______________
10. Add: Interest: (12% of delinquent tax per annum)................…….............................................
_____________
11. Amount due from previous return............................................................................…................
12. TOTAL TAX DUE WITH RETURN
$ ________________
............................................….........…………...
I declare, subject to penalties prescribed by ordinance, that this return
(including any attachments) has been examined by me and to the best of my
knowledge is a true, correct and complete return.
Paid preparer
signature
Signature of
owner or agent
Printed Name
Printed Name
Date ______________ Contact phone #
Date______________________ Contact phone #_______
___________