Sales Tax Return Sheet

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Account Number
Period Ending
Business Name
Finance Department Sales Tax Division
$
155 S. Seward St., Juneau, AK 99801-1397
TOTAL AMOUNT REMITTED
SALES TAX RETURN
Make Checks Payable to:
Click Here for Instructions
CBJ
*Tax Rate Table
155 S. Seward Street
Prior to 1/1/97
4%
Juneau, AK 99801
1/1/97 - 9/30/98
5%
10/1/98 - 12/31/98
4%
1/1/99 - 12/31/00 5%
Check here if no business activity this period, sign, date, and return form timely to avoid late filing fee.
Column 1
Column 2
Areawide Sales
Areawide Sales
4%
5%
1. GROSS SALES: (do not include sales tax collected or returned merchandise) ..................
2. LESS all exempt sales:
A. Resale of:
-Goods......................................................................................................................
-Services...................................................................................................................
B. Government agencies.....................................................................................................
C. Out of borough (Goods - order placed from and delivery made outside CBJ)...............
D. Senior citizens with CBJ exemption cards.....................................................................
E. Non-profit agencies with CBJ exemption cards .............................................................
F. Non-residents with CBJ exemption cards.......................................................................
G. Other exemptions, specify by code number on lines below:...........................................
......
3. TOTAL EXEMPT SALES ................................................................................................ (
) (
)
4. NET TAXABLE SALES (line 1 less line 3).......................................................................
5. TAX RATE* .......................................................................................................................
x4%
x5%
6. CALCUALTE TAX............................................................................................................
7. TOTAL TAX (add columns 1 & 2).....................................................................................
8. OPTIONAL COLLECTION DISCOUNT IF FILED AND PAID TIMELY
(1% of total tax due to maximum of $100 - all can take minimum of $10) ..........................
9. Credits from prior periods.
......
Check with the sales tax office before taking a credit for verification.
10. Late fee ($25 per period)......................................................................................................
11. Late payment penalty and interest .......................................................................................
12. Adjusted subtotal amount (summary of lines 7 thru 11).......................................................
13. Deposits Paid .......................................................................................................................
(
)
14. TOTAL AMOUNT DUE WITH RETURN .....................................................................
15. Business Name
16. Sales Tax Account Number
Period Ending
17. I declare subject to the penalties prescribed in City & Borough of Juneau ordinances that this return (including any accompanying
statements) has been examined by me, and to the best of my knowledge and belief, is a true correct and complete return.
DATE ______________ SIGNATURE ________________________________________PHONE NUMBER

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