City of Kodiak – Sales Tax Office
REPORT OF TRANSIENT ROOM RENTALS (BED TAX)
Bed & Breakfast, Hotel and Motel Rentals – 5% TAX
710 Mill Bay Road, Room 211
Box 1397
Kodiak, AK 99615
Phone: (907) 486-8655
Fax: (907) 486-8600
For the period
to
Business
Name
DBA
FORM DUE ON OR BEFORE
even when
Address
No sales tax is due. Must be postmarked on or before due date.
If final return, check box
Last day of Business
Address
Reason:
City
If sold, to whom:
Business Type
REVENUE (Transient Room Rentals):
1.) Gross revenue from Transient Room Rentals
1.)
LIST DETAIL OF DEDUCTIONS:
2.) Transient Room Rentals to Senior Citizens with valid Exemption Certificate
2.)
3.) Transient Room Rentals to Government
3.)
4.) Other Allowable Deductions, please explain _______________________
4.)
5.) Total Deductions (add lines 2, 3, and 4)
5.)
CALCULATED TAX AND PAYMENT:
6.) Calculated Taxable revenue (line 1 minus line 5)
6.)
7.) Computed tax (5% of line 6)
7.)
8.) Total Penalty – (5% of line 7, on tax due and unpaid for each month or fraction of month)
8.)
9.) Total Interest – (1.25% of line 14 will be charged monthly after due date noted above)
9.)
10.) Discount
10.)
(2% of line 7, if paid and remitted on or before due date noted above with NO CURRENT BALANCE DUE)
11.) Total Sales Tax Due (add line 7, add line 8, add line 9, and subtract line 10 if applicable)
11.)
12.) Amount Remitted (Payable to the City of Kodiak)
Cash
or Check #
12.)
Date:
Printed Name:
Signature:
RETURN SIGNED ORIGINAL TO THE CITY OF KODIAK WITH PAYMENT POSTMARKED ON OR BEFORE THE DUE DATE ABOVE