Form 566 - Salmon Enhancement Tax Return Form - 2016
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1Salmon Enhancement
566
Tax Return
Form
Taxpayer Name
Fisheries Business License #
FEIN
SSN
Business Location/Vessel Name
Contact Person
Mailing Address
Contact Email
City
State
ZIP Code
Contact Phone
Contact Cell
Type of Return
Month/Year resource originally purchased
Month/Year bonus payment made
Amended
No Activity
Bonus
Month:____________ Year:__________
Month:____________ Year:__________
(attach explanation)
Type of Business
Check One
Please note the different due dates
Month/Year salmon purchased:
Licensed Buyer Month:___________ Year: 2017
Monthly tax – due last day of month following month of purchase
Yearly tax – due March 31st of following year
Fisherman
Year salmon exported/sold: 2016
Exempt Purchases
Use this section to report all salmon harvested under a special harvest area entry permit issued under AS 16.43.400.
Pounds of Salmon
Value of Salmon
Example: Salmon purchased from government agencies, salmon hatcheries or
a fishing derby.
Tax Calculation
Where Caught
Purchased or Exported
Salmon Enhancement
Tax
(A)
(B)
(C)
(D)
(E)
(F)
Region
Pounds
Value
Pounds
Value
Rate
Tax (Column D x E)
1 Southern Southeast
$
$
.03
$
2 Northern Southeast
$
$
.03
$
3 Prince William Sound
$
$
.02
$
4 Cook Inlet
$
$
.02
$
5 Kodiak
$
$
.02
$
6 Chignik
$
$
.02
$
7 Yakutat
$
$
.02
$
8 Outside
$
$
N/A
N/A
9 Total (add lines 1-8)
$
$
N/A
$
(Totals on line 9, columns A and B must equal totals on line 9, columns C and D)
10 Amended and Bonus returns only. Taxes previously paid for this period
$ (
)
11 Total Tax Liability (Refund) Due (subtract line 10 from line 9, column F)
$
Note: If your liability is $100,000 or more, you must pay online using Revenue Online at or by wire transfer.
Check if you are paying by:
Revenue Online (confirmation #
)
Wire transfer (date
)
I declare under penalty of unsworn falsification that this report, including all accompanying schedules and statements, has
been examined by me, and to the best of my knowledge and belief is true, correct and complete.
Signature
Printed Name
Title
Date
Pay online through Revenue Online at or make check payable to the State of Alaska.
If not filing this form through Revenue Online, mail to:
Tax Division, Alaska Department of Revenue, PO Box 110420, Juneau AK 99811-0420
• 907.465.2320
0405-566 01-01-17
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