Statement Of Appeal - Sales Tax Appeals Board

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CITY AND BOROUGH OF JUNEAU, ALASKA
Office of the Municipal Clerk
155 South Seward Street, Juneau, Alaska 99801
Phone (907) 586-5278 FAX (907) 586-4552
City_Clerk@ci.juneau.ak.us
STATEMENT OF APPEAL
SALES TAX APPEALS BOARD
THIS FORM AND THE REQUIRED ATTACHMENTS MUST BE SUBMITTED TO THE CLERK’S OFFICE,
Room 202, Municipal Building or mailed to the above address within 20 days calendar days from either
the date the decision or action was mailed to the appellant by the Sales Tax Office, or the date the
appellant first learned of the decision or action, whichever is earlier.
Please Print
Name of Business: __________________________________________
Phone: ________________
Sales Tax Account Number: ___________________________________
Appellant's Name: ___________________________________________
Phone: ________________
Address (mailing):____________________________________________________________________
Fax: ___________________________ e-mail address: ______________________________________
Are you represented by another party? ____no ____yes (if yes please list contact information below)
Name: _____________________________________________________________________________
Address (mailing):____________________________________________________________________
Phone:_________________ Fax: _______________ e-mail address: ___________________________
Type of Appeal:
Penalty and Interest
Audit Results
Exempt Sales Interpretation
Filing Requirements
Ordinance Interpretation
Collection Actions
Dollar Amount of Appeal: $
Date Appellant Learned of Decision/Action by Sales Tax Office:
Date Served on City Clerk:
Clerk’s initials:
STATEMENT OF APPEAL: The statement of appeal shall have attached to it:
1.
A copy of all relevant sales tax ordinance sections, or a statement of relevant sales tax ordinance
sections; a written statement in ordinary and concise language of how the position taken by the Sales
Tax Office does not comply with the ordinance, including the particular circumstances, events, or
occurrences which show the appellant has complied with the ordinance;
2.
If penalties and/or interest are being disputed, a written statement in ordinary and concise language
explaining why penalties and/or interest are inappropriate.
3.
Any documents supporting the appellant’s position; and
4.
The signature of the appellant. (below)
The Statement of Appeal, with attachments, presents your case to the Sales Tax Appeals Board. The
case must clearly show you have followed the requirements of the Sales Tax Ordinance and what decision
you wish the board to make. You are entitled to representation before the board.
The Board may dismiss
an appeal if the appellant does not state the grounds upon which relief is requested or provide sufficient
supportive documentation. An appeal may also be dismissed if the Board determines that the matter falls
outside the scope of the Boards authority.
Date: __________________
Signature: _________________________________________
The Municipal Clerk's Office (586-5278) can answer any questions you may have regarding appeal procedures.
I:\WP\CLERKS\Boards\BOARD FOLDERS\Sales Tax Board of Appeals\FORMS\2012-07-26_Statement_of_Appeal_Form.doc

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