Application Form For Certificate Of Registration Sales, Services, And Rental Tax - City Of Kodiak - Alaska

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APPLICATION FOR CERTIFICATE OF REGISTRATION
SALES, SERVICES, AND RENTAL TAX
KODIAK CITY CODE 3.08 SALES TAX
MAIL TO:
CITY OF KODIAK – SALES TAX OFFICE
710 MILL BAY ROAD, ROOM 211
NEW APPLICATION
P.O. BOX 1397
KODIAK, ALASKA 99615
UPDATED APPLICATION
PHONE: 907-486-8655
FAX: 907-486-8600
Date of Application:
Account Number (Issued by City):
Name of Business:
Physical Address of
Business in Kodiak:
# Street
City
State
Zip
Mailing Address of
Business:
# Street (PO Box)
City
State
Zip
Email:
Phone:
Cell:
Fax:
Name of Owner:
Owner’s Contact Number:
Owner’s Mailing Address:
# Street (PO Box)
City
State
Zip
Type of Business Activity:
Date Business Started
(In Kodiak)
Type Of Organization:
Individual
Company
Social Security Number
(Individual)
Employer Identification
Number (EIN)
NAICS Code: ___ ___ ___ ___ ___ ___
Line of Business Code:
Alaska Business License
Business Activity for the State of Alaska
___ ___
Number:
Must Submit Code with or without Business License
Drivers License Number &
Owner’s Date of Birth:
State of Owner:
mm/dd/yyyy
TO BE COMPLETED IF A PARTNERSHIP OR CORPORATION (Use additional sheet if needed)
1. Name:
Title:
Mailing
Physical
Address:
Address:
Phone:
2. Name:
Title:
Mailing
Physical
Address:
Address:
Phone:
3. Name:
Title:
Mailing
Physical
Address:
Address:
Phone:
I AGREE TO ABIDE BY THE CITY OF KODIAK CODE FOR SALES TAX SECTION 3.08
OWNER’S
DATE:
SIGNATURE:
REQUIRED RETURNS MUST BE SUBMITTED REGARDLESS IF SALES ARE MADE ON OR BEFORE THE DUE DATE TO
AVOID PENALTY AND INTEREST CHARGES.

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