Sales Tax Return Form - City Of Kotzebue - Alaska

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Postmarked:
Receipt Date:
Receipt Number:
CITY OF KOTZEBUE
PO BOX 46
KOTZEBUE, ALASKA 99752
907-442-3401
SALES TAX RETURN
KOTZEBUE MUNICPAL CODE KMC §3.20
ALCOHOL
BED
GAMING
RENTAL
RETAIL
SERVICE
(Bed Tax and Sales Tax Must Be Reported on Two Separate Returns Each Month)
Business:
Month/Year:
1.
Gross Revenue
1.
$
2.
Exempt Sales (Itemize Exemptions and Attach to Return)
2.
$
3.
Net Taxable Revenue (Line 1 less Line 2)
3.
$
4.
Sales Tax Computation (6% of Line 3)
4.
$
5.
Credit Adjustments
5a. Less: Credit for Prompt Payment (5% of Line 4) Not to Exceed 100.00
5a.
$
(Credit applies only if return filed and taxes paid by the 14th of the following month)
5b.
$
5b. Less: Previous Credit Balance
5c. $
5c. Total Credit Adjustments (Line 5a through 5b)
6.
Debit Adjustments
6a. $
6a. Add: Interest for Late Payment (Line 4 x daily rate x days late)
(Multiply line 4 by daily rate of .00029 and by number of days late)
6b. Add: Penalty for Late Payment (10% of line 4)
6b.
$
6c. Add: Previous Balance Due
6c.
$
6d. Total Debit Adjustments (Lines 6a through 6c)
6d. $
7.
Total Tax Due (Line 4 minus Line 5c plus Line 6d)
7.
$
Disclosure and Signature:
I declare, under penalty of perjury, that this return (including any attachments) has been examined by me. To the best of
my knowledge and belief it is a true, correct, and complete return.
Owner or Agent Signature (Required by KMC 3.20.280(a))
Date
Printed Name of Owner or Agent
NOTICE: The sales tax return and related remittance are due by the last business day of the month following the month for which the return was
prepared. Sales tax received after the due date becomes delinquent and is subject to penalties and interest. KMC 3.20.280(c)(d)
Updated February 14, 2012

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