Form 0405-574 - Fisheries Business Tax Annual Return - 2013
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574:12 19 13
Alaska
574
2013 Fisheries Business Tax
DEPARTMENT USE ONLY
ENV
Annual Return
FSN
Due April 1, 2014
Taxpayer Name
License No.
EIN
SSN
Business Location/Vessel Name
Contact Person
Mailing Address
Contact Email
City
State
Zip Code
Fax Number
Mobile Number
Phone Number
Type of Return
Month/Year resource originally purchased
Month/Year bonus payment made
Amended
Bonus
Original
Month:____________ Year:__________
Month:____________ Year:__________
(attach explanation)
Tax Liability
1a. Established. Enter amount from Part 1, line 8
1a
0.00
1b. Developing. Enter amount from Part 2, line 8
1b
0.00
1c. Gross fisheries business tax liability. Add lines 1a and 1b
1c
0.00
Credits
2a. A.W. “Winn” Brindle credit. Schedule WB, line 4
2a
2b. Alaska Education credit. Schedule EC, line 6
2b
2c. Salmon Credits from Schedule SPD
2c
2d. Film Production Credit (attach certificate)
2d
2e. Total Credits. Add lines 2a through 2d
2e
Total Liability
3. Net fisheries business tax. Subtract line 2e from 1c
3
0.00
4. Salmon credit recapture from Schedule SPD
4
0.00
5. Total liability. Add lines 3 & 4
5
0.00
Payment
6
6. Total payments from part 3, line 12
Amount Due
Amount due
7
0.00
7. If line 6 is less than or equal to line 5, subtract line 6 from line 5
Overpayment
Amount overpaid
8a
8a. If line 6 is greater than line 5, subtract line 5 from line 6
8b. Amount of overpayment to be credited to next tax year
8b
8c. Amount of overpayment to be applied to Seafood Marketing Assessment Return
8c
8d. Amount of overpayment to be refunded
8d
Note: If your combined liability exceeds $150,000, you must pay using the Online Tax Information (OTIS) at or by wire transfer.
Check if you are paying by
OTIS (confirmation #
)
Wire transfer (date
)
I declare under penalty of unsworn falsification that this return, including all accompanying schedules and statements, has been examined by
me and to the best of my knowledge and belief is true, correct and complete.
Taxpayer/Officer/Member Signature
Date
Print Name
Print Title
Department use only PMD
Validation
Pay online at or make check payable to State of Alaska
574
Mail to: Alaska Department of Revenue, PO Box 110420, Juneau AK 99811-0420
0405-574 Rev 12/19/13 - page 1
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