CITY OF NUNAM IQUA
P.O Box 26,
Nunam Iqua, Alaska 99666‐0026
(907)498‐4226, Fax (907)498‐4250
SELLER’S MONTHLY RETURN
Name:
_______________________
For office use only
_______________________
Rec’d_____20___by________
Amount Rec’d____________
_______________________
Receipt No. ________ ck# ____
Type of Business: ________________
Month Ending: __________________
Disregard below Item Not Applicable to Business Report
Total retail Sales of Good & Service.. $________________
1.
Less Exemption Section 03.03.025…. $________________
2.
Total Taxable Retail Sales & Rental of
3.
Good & Service…………………………………… $_________________
COMPUTATION OF TAX
A. 4% of Line 3………………………………………… $__________________
th
B. Interest at 5% if paid after the 20
……. $__________________
C. Penalty………………………………………………. $___________________
Remit with Report (Total Due)…………… $____________________
D.
I, ______________________do solemnly swear that I am _______________________
Of __________________________ make the forgoing report: penalties of perjury, I
declare I have examined this return and to the best of my knowledge and belief, it is
true, correct and complete.
________________________
________________
Signature
Date