Seller'S Monthly Sales Tax Return Form - City Of Nome

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NAME
do solemnly swear that I am
of
report. Under penalties of perjury, I declare have examined this return and to the best of my knowledge and belief, it is correct and complete.
City of Nome
P0 Box 281
Nome AK 99762
(907) 443-6603
FAX (907) 443-5345
SELLER’S MONTHLY SALES TAX RETURN
Chapter 17.10, Nome Code of Ordinances
Available at the Office of the City Clerk and online
DUE ON OR BEFORE THE 20TH OF EACH MONTH
Phone
Email Address:
Month Ending:
SALES TAX ID
(Business/Owner Name)
Exemptions
NC0 17.10.030(a)
Type of Sales/Service:
Total Gross Sales
Exceptions
NCO 17.10.020
Taxable Sales
Sales Tax Due
1.
Services (5%)
$
$
$
$
$
2.
Fuel/Oil (5%)
$
$
$
$
$
3.
Liquor (5%)
$
$
$
$
$
4.
Recreation Vehicles/Boats (5%)
$
$
$
$
$
5
Food (5%)
-____________________
$
$
$
$
-______________________
6.
Soft Goods/Sporting Goods (5%)
$
$
$
$
$
7.
Pull Tabs/Bingo (5%)
$
$
$
$
$
8.
Construction)Building Materials (5%)
$
$
$
$
$
9.
Restaurant (5%)
$
$
$
$
$
10. Hotel/Motel/B&B (5%)
$
$
$
$
$
11.GiftShop(5%)
$
$
$
$
$
12. Utilities (4%)
$
$
$
$
$
13. Other (5%)
$
$
$
$
—
$
TOTALS 1-13
$
$
$
$
$
A Credit of up to a maximum of $35.00 per month may be applied. A Credit is deducted ONLY when the RETURN is filed and TAX PAID
Total Sales Tax Due
$
on or before the 20th of the month following the calendar month of the taxable transaction.
.
.
.
.
3% Credit
Penalty is 5% of the sales tax due and owing for delinquency of less than one month, 10% for delinquency in excess of one month, 15%
for delinquency of three months or more. If no tax is owed, the penalty for late filing of a zero return will be $50.00.
Penalty
$
Interest
$
HOTEL/MOTEL TAX REPORT FORM
Total Due
Chapter 17.30 Nome Code of Ordinances
Available at the Office of the City Clerk and online
Exemptions
Exceptions NCO
Total Gross Sales
NCO17.10.030(a).(1)
(Not Applicable)
Taxable Sales
HOTEL/MOTEL TAX DUE (6%)
Income
$
$
$
$
$
Penalty is 5% of the sales tax due and owing for delinquency of less than one month, 10% for delinquency in excess of one month, 15%
for delinquency of three months or more.
$
Penalty
Interest
Total Due
TOTAL REMITTED
$
$
$
...‘-.. .,

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