Transient Occupancy Tax Return Form - City & Borough Of Wrangell

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CITY & BOROUGH OF WRANGELL
P.O. Box 531 Wrangell, Alaska 99929
Phone: 907-874-2381 ~ Fax: 907-874-3952
Transient Occupancy Tax Return
Name ______________________
Quarter ending date________________
Address ______________________
Due date
_________________
______________________
1.
Total Number of Transient Room Nights Rented for:
(include government, but do not include monthly rents)
st
nd
rd
1
Month of Quarter
2
Month of Quarter
3
Month of Quarter
Total Rented for Quarter
+
+
=
2.
Total Gross Rent of Transient Room Nights Rented for:
(include government, but do not include monthly rents)
st
nd
rd
1
Month of Quarter
2
Month of Quarter
3
Month of Quarter
Total Gross Rents for Quarter
+
+
=
3.
Less Number of Transient Room Nights Rented and PAID for by Municipal, State & Federal Government:
(need proof of exemption attached)
st
nd
rd
1
Month of Quarter
2
Month of Quarter
3
Month of Quarter
Total Exempt for Quarter
+
+
=
4.
Less Gross Rent of Transient Room Nights Rented and PAID for by Municipal, State & Federal
Government:
(need proof of exemption attached)
st
nd
rd
Total Gross Rents Exempt for Quarter
1
Month of Quarter
2
Month of Quarter
3
Month of Quarter
+
+
=
Net Gross for Quarter
5.
Total Amount of Taxable Revenue
(Line 2 Total – (minus) Line 4 total)
=
=
Total Transient Tax
6.
Transient Tax Amount Owed
(Line 5 X 6%)
I declare under penalty of making a false statement that to the best of my knowledge and belief, the statements
herein are correct and true.
Signed: ______________________________
Date: _________________________
In the event a return is not made or the tax is not paid for any quarter within the following calendar month, the return is
considered delinquent.
**DO NOT WRITE BETWEEN THESE LINES – FOR BOROUGH USE ONLY**
Penalty
$
Interest
$
Total Tax Amount
$
Total Amount Paid
$
Principal Amount Still Owed
$
Revised June 2008

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