Sales Tax Reporting Form - State Of Alaska printable pdf download

Sales Tax Reporting Form - State Of Alaska

CITY OF SELAWIK

P.O. Box 49, Selawik AK 99770

(907) 484-2132/2123, FAX# 484-2209

E-mail: cos1@gci.net

SALES TAX REPORTING FORM

For the Month Ending:______________, ________

Name of Business:

FOR OFFICE USE ONLY

___________________________________

Received on:__________, _______

Address:____________________________

By:_________________________

OK As Submitted_________ (____)

_________________________________________________

Further Checked:_________ (____)

Telephone Number(_____) ______-________ext:____

1.Total gross receipts from retail sales (Goods, wares, and merchandise)………….

2.Total gross cash receipts from service combined with other things of value

(including apartment rentals)……………………………………………………….…..

3.Total gross receipts from entertainment & amusement

(including coin-operated machines & punch boards)………………………...……...

4. …………………………………..

TOTAL TAXABLE GROSS CASH RECEIPTS:

COMPUTATION OF TAX

Note: Line B may be deducted only when

A. ……………………….3% of line 4:

report is made and tax paid prior to the 16th

B. ………………………..% of line A:

of the month following any taxable month.

C. Balance(Subtract line B from A):

D. ………..Remitted with this report:

The following affidavit must be made by seller or other person having personal knowledgeof sellers business.

I, __________________________________ do solemnly swear that I am ____________________________________

Name of individual

Position Held

of __________________________________________________________

(Individual, form, partnership, or corporation)

making the forgoing report: That I have personal knowledge of the business reported; and to the best of my knowledge,

information, and belief all things therein stated are true.

___________________________________________________

Signature of the above individual

SUBSCRIBED ans SWORN to, before me on _________________.

Revised 10/01 rnr

Sales Tax Reporting Form - State Of Alaska