Quarterly Sales Tax Return - City Of Larsen Bay

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City of Larsen Bay
Quarterly Sales Tax Return
Instructions:
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Return together with TAX payment on or before the 15
of the month following the quarter.
Name of Business: _________________________________________________________________
Alaska Business License Number: _____________________________________________________
For the quarter ending ______________________________, 2017
Total Quarterly Gross Receipts
1. Goods, Merchandise and Service
Total Gross Cash Receipts from Retail Sales
$_______________
Total Taxable Gross Cash Receipts
$_______________
Tax Computation
A. 3% of Total Taxable Gross Cash Receipts
$_______________
B. Total Tax Paid
$_______________
C. Balance Owed
$_______________
D. Interest Penalty Due (5%)
for period ____________to ___________
$_______________
Interest Penalty Enclosed
$_______________
Interest Penalty Due
$_______________
Certification: The following statement must be made by the seller or the person having personal
knowledge of the sellers business:
I, __________________________________________________, do hereby certify that I am the
_______________________________
of
___________________________________________
(Position Held)
(Company)
making the report above: That I have personal knowledge of the business activity reported; and to the
best of my knowledge, all things stated herein are true.

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