Form 578 - Seafood Marketing Assessment Annual Return - 2015

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2015 Seafood Marketing Assessment
578
Annual Return
Form
Due March 31, 2016
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)
Tax Calculation
Total value of seafood products listed in column C. If less than $50,000, you are not required to file this form.
1
1
Stop here if less than $50,000.
2
Assessment. Multiply the value on line 1 by .5% (.005). This is your Seafood Marketing Assessment.
2
3
Amended and Bonus returns only. Taxes previously paid for this period
3
4
Total Tax Liability (Refund) Due (subtract line 3 from line 2)
4
Electronic Payment Information
Note: If your combined liability is $150,000 or more you must pay using Revenue Online at or by wire transfer.
Check if you are paying by
Revenue Online (confirmation#__________________)
Wire transfer (date _______________)
I declare under penalty of unsworn falsification that the information provided in this return has been reviewed by me, and to
the best of my knowledge and belief is true, correct and complete.
Taxpayer/Officer/Member Signature
Date
Printed Name
Printed Title
Instructions
The seafood marketing assessment is computed on the aggregate value of all seafood resources.
Amended Reports - To correct a previously filed Alaska Seafood Marketing Assessment report, check the amended box above and
attach a statement explaining the reason for the amendment. Complete the report using the corrected amounts.
Bonus or Other Additional Payments to Fishermen - To report bonus or additional payments made to fishermen, check the bonus box
above. Complete and submit the form using the corrected amounts. Bonus returns should be submitted to the department along with tax
due no later than the last day of the month following the month in which the payments were made.
Pay online at or make check payable to State of Alaska
Mail to: Alaska Department of Revenue, PO Box 110420, Juneau AK 99811-0420
0405-578 Rev 01/01/16

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