Tobacco Excise Tax Return Form - City Of Juneau, Alaska printable pdf download

Tobacco Excise Tax Return Form - City Of Juneau, Alaska

FOR OFFICE USE ONLY

AMOUNT OF CHECK $

APPLY TO ACCOUNT CODE 221-30000120

TOBACCO EXCISE TAX RETURN

COMPANY:__________________________________________

FOR THE QUARTER ENDING:__________________

Wholesale Tobacco Price

Less:

Volume Discounts

Other Price Reductions

Subtotal

(

)

Adjusted Wholesale Price

Less:

Military Sales

Returned Merchandise

Amount Prohibited from Taxation by Other Laws

Wholesaled Outside the Borough

Subtotal

(

)

Taxable Sales

Tax Rate @ 6% (Multiply above line by x .06)

X .06

Tobacco Excise Tax Due

Penalty (Payment Made Past Due Date: 5% per Month to Maximum of 25%)

Interest (Payment Made Past Due Date: 1.25% per Month, 15% per Annum)

Prior Month Adjustments

Total Amount Due with Return

I certify under penalty of perjury that this return, including all accompanying schedules, has been examined by me and to the best

of my knowledge and belief is a true, correct and complete return of all cigarette and tobacco products imported into the City and

Borough of Juneau, Alaska during the period specified above.

DATE

SIGNATURE OF FIRM MEMBER, OWNER OR AGENT

PHONE NUMBER

Note: This return must be filed by each Taxpayer who imports or acquires tobacco products in the City and Borough of

Juneau, even if no products were imported during the months covered.

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Tobacco Excise Tax Return Form - City Of Juneau, Alaska