Consumers 4% Tax On Sales And Services Form Alaska

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CITY OF PELICAN
P.O. BOX 737
PELICAN, ALASKA 99832
CONSUMERS 4% TAX ON SALES AND SERVICES
Pelican Code of Ordinances
Title 3, Chapters 20 & 22
TO:
For quarter ending –
Type of Business –
______________________________________________________________________________________
Disregard items not applicable to your business.
___ Check here if NO Business Activity this period. Sign, date, and RETURN form timely to AVOID LATE FILING FEE
.
Sales Tax
1.
Gross Revenue From Retail Sales
$___________
2.
Gross Revenue From Services Rendered, Including materials
$___________
3.
Other Revenues (explain)
$___________
TOTAL REVENUES
$__________
4.
5.
LESS DEDUCTIONS CLAIMED - sales to U.S. Government,
City of Pelican, State of Alaska and or other – label and explain
or attach statement
$___________
NET TAXABLE REVENUES
$__________
6.
7. COMPUTATION OF TAX 4% OF LINE 6
$__________
8.
Gross Revenue From Fish Box Flat Rate of $10.00 per package
$___________
9. PENALTY:
$25 if not filed by the last day of the
month following the end of each quarter.
$____________
10. INTEREST: 15% FROM THE DATE OF Delinquency until paid
( 15% of line 7 per annum)
$___________
11. TOTAL AMOUNT OF TAX REMITTED:
$__________
I, declare, subject to the penalties prescribed in the above Ordinance that this return (including any
accompanying statements) has been examined by me and to the best of my knowledge and belief is a
true, correct and complete return.
____________________________________
______________
Firm Member, Owner or Agent Signature
Date
REVISED 7/14/2008

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