Form 0405-200 - Tire Fees Quarterly Return
Download a blank fillable Form 0405-200 - Tire Fees Quarterly Return in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 0405-200 - Tire Fees Quarterly Return with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3Save
Reset
Print
DEPARTMENT USE ONLY
Alaska
ENV
200
Tire Fees Quarterly Return
FSN
Due Date: 30th of the month following the end of the calendar quarter
AK Business License #
Calendar Quarter Ending
EIN
Check if amended return
and attach explanation
SSN
Name
Telephone Number
Fax Number
Mailing Address
Contact Person
Title
City
State
Zip Code
Contact Telephone Number
Email Address
Fee Calculation - All New Tires Including All New Studded Tires
1. Total number of new tires sold (including all new studded tires)
1
Number of new tires sold to exempt persons and resellers (from Column D, Supporting Schedule of
2.
2
Exempt Sales)
3. Number of taxable new tires sold (subtract line 2 from line 1)
3
4. Tire fee rate per tire
4
2.50
5. Total tire fees on new tires (multiply line 3 by line 4)
5
Fee Calculation - New Studded Tires and Installation of Studs
6. Total number of new studded tires sold
6
7. Total number of stud installations performed
7
Number of studded tires sold & installations performed for exempt persons & resellers (from Column E,
8.
8
Supporting Schedule of Exempt Sales)
9. Number of taxable studded tires sold & stud installations performed (add lines 6 and 7, subtract line 8)
9
10. Studded tire fee rate per tire
10
5.00
11. Total tire fees on studded tires and stud installations (multiply line 9 by line 10)
11
12. Total tire fees and studded tire fees (add lines 5 and 11)
12
13. Timely payment credit: 5% of line 12, not to exceed $900
13
14. Total tire fees due this quarter (subtract line 13 from line 12)
14
15. AMENDED RETURNS ONLY - Tire Fees previously paid for this calendar quarter
15
16. Amount Due (subtract line 15 from line 14)
16
Electronic Payment Information
Note: If your liability exceeds $ 100,000, you must pay online at or by wire transfer.
Check if you are paying by
OTIS (confirmation # ___________________________)
Wire transfer (date ___________________)
I declare under penalty of perjury that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge
and belief it is true, correct and complete.
Signature
Printed Name
Date
DEPARTMENT USE ONLY
VALIDATION
PMD
File and Pay online at
200
Mail to: Alaska Department of Revenue, PO Box 110420, Juneau AK 99811-0420
0405-200 Rev 10/12 - page 1
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial