Sales Tax Return Form - City Of North Pole Page 2

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CITY OF NORTH POLE SALES TAX RETURN
This return must be received, with payment, by the last day of the of the following quarter taxes were collected
to:
CITY OF NORTH POLE
125 SNOWMAN LANE
NORTH POLE, AK 99705
Please type or print business name and address:
____________________________________________________
PERIOD ENDING:
____________________________________________________
ACCT. NUMBER:___________________
____________________________________________________
c Check here if change of address/phone number. New owners must apply for business license.
1.
Gross Sales for Quarter Ending:
_________
$ __________________
2.
Credit Card Service Fees
$ __________________
3.
Non-Taxable Sales (see chp.4, Sec. 4.08.020 & 4.08.050 of North Pole Code)
$ __________________
4.
Gross Taxable Sales
$ __________________
(Subtract lines two and three from line one, show difference here)
5.
Sales Tax Due (4% of line four)
$ __________________
(Multiply line four by 4%, show amount here)
6.
Penalties (Calculate the following charges based on line five)
a.
Returns 1—30 days past due add $25 or 10% of sales tax due, whichever
is greater. Incomplete returns add an additional penalty of $15.
$ __________________
b.
Returns 31 - 60 days past due add $50 or 20% of sales tax due,
whichever is greater, in addition to all previous fees and penalties.
$ __________________
c.
Returns 61 days past due add $50 in addition
to all previous fees and penalties.
$ __________________
TOTAL PENALTIES DUE
7.
$ __________________
TOTAL SALES TAX/PENALTIES DUE
8.
$ __________________
(Add lines five and seven, show amount here)
Interest at the rate of 15% per annum, applied monthly, shall accrue on all delinquent taxes, fees, and
penalties starting from the due date until paid in full.
I DECLARE, SUBJECT TO THE PENALTIES PRESCRIBED, THAT THIS RETURN (INCLUDING
ACCOMPANYING STATEMENTS) HAS BEEN EXAMINED BY ME, AND TO THE BEST OF MY
KNOWLEDGE AND BELIEF IS A TRUE, CORRECT, AND COMPLETE RETURN.
Date: ______________
Owner/Agent: _____________________________________________
Please keep this copy for your records.

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