Transient Room Tax Form - City Of Kodiak - Ordinance 676

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City of Kodiak
TRANSIENT ROOM TAX ORDINANCE 676
710 Mill Bay Road, Rm 213
Kodiak City Code Chapter 3.08
P.O. Box 1397
Kodiak, AK 99615
Phone: (907) 486-8655
Fax: (907) 486-8600
For the period:
to
Form must be returned by
even when
no sales tax is due.
If final return, check box
Last Day of Business
Reason:
If sold, to whom:
REVENUE:
1.)
Gross revenue from rentals
1.)
LIST DETAIL OF DEDUCTIONS:
2.)
Sales or Services to Senior Citizens with valid Senior Exemption Cards
2.)
3.)
Sales, Services or Rentals to Government
3.)
4.)
Sales tax collected if included in gross revenues
4.)
5.)
Other Allowable Deductions, please explain
5.)
6.)
Total Deductions
6.)
CALCULATED TAX AND PAYMENT:
7.)
Calculated net revenue (line 1 minus line 6)
7.)
8.)
Computed tax (5% of line 7)
8.)
9.)
Discount (2% of line 8, if paid on or before due date noted above)
9.)
10.)
Total Penalty and Interest -
For expanation see bottom of page. Note 1
10.)
11.)
Amount Remitted
11.)
Cash
or Check #
1. Failure to remit taxes collected on or before due date will result in a penalty of 5% per month or fraction of month
during which the tax remains unpaid, until a total of 20% is accrued. In addition, the principal amount will accrue
15% interest per annum
Date:
Printed Name:
Signature:
RETURN THIS COPY TO THE CITY OF KODIAK

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