SALES TAX AND TRANSIENT OCCUPANCY TAX RETURN FORM
QUARTER ENDING March 31, 2015
PLEASE FILL OUT AND RETURN THIS FORM SHOWING ANY CHANGES TO THE BUSINESS NAME, INDIVIDUAL NAME OR ADDRESS BY
CROSSING OUT THE OLD INFORMATION AND WRITING IN THE NEW INFORMATION. IF YOU HAVE NOT MADE ANY SALES OR COLLECTED
ANY RENTS OR FEES FOR SERVICES DURING THIS QUARTER, PLEASE INDICATE IN THE APPROPRIATE SPACES AND RETURN THIS FORM
ENTER NAME and ADDRESS
SALES TAX CALCULATION
1.
Gross Receipts – SALES ……………………………………………______________________
2.
Gross Receipts – RENTS ………………………..…………………..______________________
3.
Gross Receipts – SERVICES ……………………………………….______________________
4.
TOTAL GROSS RECEIPTS.............................................................._____________________
5.
LESS Exempt Sales
Exempt Seniors 65 and above with exempt card ……………..__________________
Resale/Wholesale exempt sales……………………………….__________________
Single sale amount in excess of $7500.00…………………….__________________
Sales to State, Federal, or Municipal government entity...........__________________
Sales delivered outside the City ……………………………….__________________
Other (must describe)………………………………………….__________________
6.
TOTAL Exempt Sales…………………………………….….__________________
7.
TOTAL Taxable Sales, (Gross Receipts less Exempt sales) …….……...__________________
8.
SALES TAX DUE ….. (.06 x Amount Shown on previous Line ) …………………………_________________
Sales returns and payments are due by the end of the calendar month following the close of the sales tax quarter (taxes collected for
the quarter ending March 31, 2015 are due by April 31, 2015. Penalties: (1) Within five working days after delinquency date 6%, (2)
More than five working days up to and including thirty days after delinquency date 15%, (3) More than thirty days up to and including
sixty days after delinquency date 20%, (4) More than sixty days after delinquency date 25%
.
I affirm, subject to the penalties prescribed in the City of Thorne Bay
Ordinances that this is a true, correct, and complete sales tax return.
______________________________________________
Signature of Firm Member, Owner, or Authorized Agent
SALES TAX NUMBER:
COMPLETE THIS SECTION ONLY IF THIS IS A FINAL RETURN
Date Business Discontinued ______________________Reason Business Discontinued _____________________________________
Name and Address of Purchaser _________________________________________________________________________________
FOR OFFICE USE ONLY
Date received _____________________ By ____________________ If Mailed, Postmark Date _____________________________
Cash ______________________ Check Number _______________ Amount Remitted: ____________________________________
CITY OF THORNE BAY
P.O. BOX 19110
THORNE BAY, ALASKA 9991