City of Napakiak
P.O. Box 34009
Napakiak, AK 99634
(907)589‐2611 phone
(907)589‐2612 fax
MONTHLY SALES TAX RETURN
FOR THE MONTH OF _____________________
TH
THIS REPORT IS FOR THE PRIOR MONTH IS DUE BY THE 10
OF EACH MONTH.
SUBMITTED BY:________________________________
FIRM NAME:__________________________________
ALASKA BUSINESS LICENCE #_______________________
ADDRESS:_____________________________________
____________________________________________
TYPE OF BUSINESS:______________________________
SALES:
GROSS SALES, SERVICE, AND RENTALS:________________
COMPUTATION OF TAX
AMOUNT OF TAX DUE: 4% x GROSS SALES:________________________________
NET TAXES DUE AND TAX REMITTED
CERTIFICATION: I DECLARE THAT THIS RETURN (INCLUDING ANY ACCOMPANYING STATEMENTS.) TO
THE BEST OF MY KNOWLEDGE AND BELIEF, IS A TRUE, CORRECT AND COMPLETE RETURN.
SIGNATURE:___________________________________________________
DATE:________________________________________________________