Form 566 - Salmon Enhancement Tax Return - Alaska Department Of Revenue

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Salmon Enhancement
566
Tax Return
Form
Taxpayer Name
Fisheries Business License #
EIN
SSN
Business Location/Vessel Name
Contact Person
Mailing Address
Contact Email
City
State
Zip Code
Contact Phone
Contact Mobile
Type of Return
Month/Year resource originally purchased
Month/Year bonus payment made
Amended
Bonus
No Activity
Month:____________ Year:__________
Month:____________ Year:__________
(attach explanation)
Type of Business
Check One
Please note the different due dates
Month/Year salmon purchased:
Licensed Buyer Month:___________ Year: 2016
Monthly tax - due last day of month following month of purchase
Year salmon exported/sold: 2015
Fisherman
Yearly tax - due March 31st of following year
Exempt Purchases
Use this section to report all salmon harvested under a special harvest area entry permit issued under AS 16.43.400.
Pounds of Salmon
Value of Salmon
Example: Salmon purchased from government agencies, salmon
hatcheries or a fishing derby.
Tax Calculation
Caught
Purchased or Exported
Salmon Enhancement
Tax
(A)
(B)
(C)
(D)
(E)
(F)
Region
Pounds
Value
Pounds
Value
Rate
Tax (Column D x E)
1 Southern Southeast
$
$
.03
$
2 Northern Southeast
$
$
.03
$
3 Prince William Sound
$
$
.02
$
4 Cook Inlet
$
$
.02
$
5 Kodiak
$
$
.02
$
6 Chignik
$
$
.02
$
7 Yakutat
$
$
.02
$
8 Outside
$
$
N/A
N/A
9 Total (add lines 1-8)
$
$
N/A
$
(Totals on line 9, columns A and B must equal totals on line 9, columns C and D)
10 Amended and Bonus returns only. Taxes previously paid for this period
$ (
)
11 Total Tax Liability (Refund) Due (subtract line 10 from line 9, column F)
$
Note: If your total combined liability is $100,000 or more you must pay using the Revenue Online at or by
wire transfer.
Check if you are paying by
Revenue Online (confirmation number ______________)
Wire Transfer (date ____________)
I certify under penalty of unsworn falsification that this return, including all accompanying schedules and attachments, has been examined by
me and to the best of my knowledge and belief is true and complete.
Signature
Printed Name
Title
Date
Pay online at or make check payable to State of Alaska
Mail to: Alaska Department of Revenue, PO Box 110420, Juneau AK 99811-0420
0405-566 Rev 01/01/16

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