Kotlik City Council
P.O. Box 20268
Kotlik, AK 99620‐0268
(907) 899‐4313
(907) 899‐4925 Fax
TYPE OF BUSINESS:
RETAIL SALES
Month
REPORT FOR MONTH ENDING
NAME:
ADDRESS:
Month
Day
Year
1. GROSS SALES
2. LESS ALL Non‐Taxable Sales
a. Sales Under $.25
b. Sales to Government Agencies
(Federal, State, Local)
c. Sales for Resale
d. Other Sales Exempt by Ordinance
3. Total All Non‐Taxable Sales
4. Net Taxable Sales (Line 1 less line 3)
5. Amount of Tax Due (3% of Line 4)
6. PENALTY: Interest shall accrue on Sales taxes not remitted
when due at the reate of 15% per year until paid in full, and sall
be assessed against the seller.
7. Interest 20% of the delinquency shall be assessed against
the seller
8. Total of lines 5 through 7
9. Net taxes Due
TOTAL AMOUNT REMITTED
Date:
Firm Member, Owner, or Agent