Quarterly Sales Tax Return Form - City And Borough Of Sitka Page 2
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3CITY AND BOROUGH OF SITKA
100 LINCOLN ST - SITKA , AK 99835 907-747-1840
QUARTERLY SALES TAX RETURN INCLUDE ALL SALES & SERVICE FOR QUARTER.
See reverse side for instructions and exemptions.
9
Check here if no business activity this period. Sign, Date,
and return form on time to avoid late filing penalty.
Quarter ending___________________,20______
ACCT # _____________________________
CHANGES:
9
NAME :
ADDRESS_______________________________
9
Mailing_______________________________
9
Physical______________________________
9
OWNERSHIP:
Sold or Permanently closed. Please
ADDRESS:
complete information on back of this form.
_______________________________________________________________________________________
1. GROSS RECEIPTS (EXCLUDING TAX)
5%
6%
A. Sales .............................................................
B. Service..........................................................
C. Rental (Long term)................................…....
XXXXXXXXXXX
D. Rentals less than 30 days....................…......
(ATTACH BED TAX FORM)
2. TOTAL GROSS RECEIPTS
3. LESS EXEMPTIONS
A. Wholesale.....................................................
B. Outside municipality....................................
C. Senior citizens with CBS exemption card…..
D. Government agencies...................................
E. Government supported exempt agencies…..
F. Sales over the taxable limit $1000......…......
G. Other exemptions -attach list- .........…........
4. TOTAL EXEMPTIONS
(
)
(
)
5. Net Taxable Receipts
(Line 2 less line 4)
X .05
X .06
6. Tax
(multiply line 5 by tax rate)
..............................................................….....….......
$ ________________
7. Subtotal tax add line 6. column 1 & 2
A. Less tax paid: first month __________________________
(________________)
B.
second month _______________________
(________________)
C. Less discount 3% of line 7 **
(
)
**
allowed only if timely monthly payments were made - maximum $100
________________
8. Add: Penalty: (5% per month or part thereof to 25% - see back for minimum).......................
_______________
9. Add: Interest: (12% of delinquent tax per annum)..................…….............................................
_____________
10. Amount due or credit from previous return...........................................................…................
11. TOTAL TAX DUE WITH RETURN
$ ________________
............................................….........…………...
I declare, subject to penalties prescribed by ordinance, that this return
(including any attachments) has been examined by me and to the best of my
knowledge is a true, correct and complete return.
Paid preparer
signature
Signature of
Firm member,
owner or agent
Printed Name
Printed Name
Date ______________ Contact phone #
Date______________________ Contact phone #_______
___________
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