Sales Tax Return Form - City Of Thorne Bay - 2012

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SALES TAX RETURN FORM
QUARTER ENDING March 30, 2012
PLEASE FILL OUT AND RETURN THIS FORM - WRITING IN YOUR INFORMATION. IF YOU HAVE NOT MADE ANY SALES OR COLLECTED ANY
RENTS OR FEES FOR SERVICES DURING THIS QUARTER, PLEASE INDICATE IN THE APPROPRIATE SPACES AND RETURN THIS FORM.
Enter Name & Address:
Gross Receipts – SALES …………………………………………………..________________________
1.
Gross Receipts – RENTS ………………………..………………………...________________________
2.
Gross Receipts – SERVICES ……………………………………………..________________________
3.
TOTAL Gross Receipts (1+2+3) ………………………………………….________________________
4.
LESS Exempt Sales ………………………………………………………..________________________
5.
(Example: Senior Citizen Sales, Resale/Wholesale Sales
or other sales exempted by the Thorne Bay Municipal Code)
TOTAL Taxable Sales, Rents, Services ………….………………………..________________________
6.
SALES TAX DUE ………………………………………………………...________________________
7.
(.06 x Amount Shown on Line 6)
Sales tax returns and payments are due by the end of the calendar month following the close of the sales tax quarter (taxes
collected for the quarter ending March 30, 2012 are due by April 30, 2012)
Penalties: (1) Within five working days after
delinquency date 6%, (2) More than five working days up to and including thirty days after delinquency date 15%, (3) More than
thirty days up to and including sixty days after delinquency date 20%, (4) More than sixty days after delinquency date 25%.
I affirm, subject to the penalties prescribed in the City of Thorne Bay
Ordinances that this is a true, correct, and complete sales tax return.
______________________________________________
Signature of Firm Member, Owner, or Authorized Agent
SALES TAX NUMBER:
COMPLETE THIS SECTION ONLY IF THIS IS A FINAL RETURN
Date Business Discontinued ______________________Reason Business Discontinued _____________________________________
Name and Address of Purchaser _________________________________________________________________________________
FOR OFFICE USE ONLY
Date received _____________________ By ____________________ If Mailed, Postmark Date ______________________________
Cash ______________________ Check Number _______________ Amount Remitted: _____________________________________
CITY OF THORNE BAY
P.O. BOX 19110
THORNE BAY, ALASKA 99919

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