Seller'S Monthly Sales Tax Return Form - Alaska
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1CITY OF ____________________
FOR OFFICE USE ONLY
Rec’d __________________, 20___
P.O. Box _____
________________, Alaska
Phone: 000-0000
By ___________________________
Receipt No:________ Amt. Rec’d: _______
Chapter 19
S 10 (B)
___________________________________________________________________________________________________
SELLER’S MONTHLY SALES TAX RETURN:
Gambell Code of Ordinances Chapter 19
(available in the office of the City Clerk)
DUE ON OR BEFORE THE 20th OF EACH MONTH
___________________________________________________________________________________________________
NAME: _____________________________________
For Month Ending:_____________________, 20___
Individual or Firm
ADDRESS:_____________________________________________________________________
===========================================================================
GROSS RECEIPTS SUBJECT TO SALES TAX:
1. (a) Gross Sales (cash and credit)-----------------------------------------------------
$
(b) From Collections on Credit Sales
(deducted on line 3 of previous returns)
2. TOTAL GROSS RECEIPTS (Total from lines 1)---------------------------------
$
3. DEDUCTIONS
(a) Sales for Resale within __________________
(b) Sales outside __________________
(c) Sales to Government Agencies
(d) Exempt by Ordinance
(e) Other Deductions (Explain)
4. TOTAL DEDUCTIONS CLAIMED------------------------------------------------
$
5. Net subject to Sales Tax
(Subtract line 4 total from line 1 total)-----------------------------------------------
$
CALCULATION OF TAX, PENALTY, AND INTEREST
6. 3% of line 5 (sales tax owed this return)---------------------------------------------
$
7. Interest (8% of line 6 per month from time return due)---------------------------
$
8. Additional Penalty as Stated in Chapter 19 and explained------------------------
$
by notice from Clerk------------------------------------------------------------------
$
9. Total Sales Tax Due (total of lines 6, 7 and 8)--------------------------------------
$
TOTAL AMOUNT PAID WITH RETURN (should be the same as line 9)-------
$
I, __________________________________________ do solemnly swear that I am _________________________
of _____________________________________________
(position held)
(individual, firm, partnership)
in making the foregoing report under 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)
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