City Sales Tax License - City Of Chevak

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CITY OF CHEVAK, ALASKA
P.O. BOX 136
CHEVAK, AK. 99563
(907) 858-7128
FAX: (907) 858-7245
CITY SALES TAX LICENSE
All questions must be answered. Please print.
1.
Name of Applicant: _____________________________________________________________________
2.
Address: ______________________________________________________________________________
3.
Telephone Number: _____________________________________________________________________
4.
Type of Business: _______________________________________________________________________
5.
State of Alaska Business License number/year: ________________________________________________
6.
Person responsible for filing our Seller’s Monthly Return of Sales Tax Collected: ____________________
7.
Signature: ________________________
Date:___________________________
______________________________________________________________________________________________
____________________________________________________________________________________________
For City Use Only
Year: _______________
Month
Date
Date Payment
Date of Notice
Deficiency
Penalty
Return Received
Received
by clerk
Amount
Amount
January
February
March
April
May
June
July
August
September
October
November
December
(Appendix A)

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