Form 0405-210 - Commercial Passenger Vessel Excise Tax Monthly Return Page 2

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210
Taxpayer Name
Vessel Name
Period Ending (year/month)
Schedule B - Voyage Information
Begin Date
End Date
Total # of
Voyage #
Port of Origin
Final Port
(MM/DD/YYYY)
(MM/DD/YYYY)
Passengers
Total from additional sheets (see instructions)
Total
0
Schedule C - Ports of Call Detail
(Report first 7 ports only)
Alaska Port Codes
Voyage # (Schedule B) Alaska Port of Call
Alaska Port Code
Number of Passengers
Anchorage
ANC
Port 1
Dutch Harbor/Unalaska
DH
Port 2
Haines
HNS
Port 3
Homer
HOM
Port 4
Juneau
JNU
Port 5
Ketchikan
KTN
Port 6
Kodiak
KDK
Port 7
Metlakatla
MET
Nome
NOM
Port 1
Petersburg
PTB
Port 2
Point Sophia/Icy
PTS
Port 3
Straits/Hoonah
Port 4
Seward
SEW
Port 5
Sitka
SIT
Port 6
Skagway
SKG
Port 7
St. Matthew
STM
Valdez
VDZ
Port 1
Whittier
WHT
Port 2
Wrangell
WRG
Port 3
Yakutat
YAK
Port 4
Port 5
Port 6
Port 7
Continued on next page.
210
Retain a copy for your records
0405-210 Revised 01/11 • page 2

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