"6% Sales Tax Report Form" - Dillingham, Alaska

6% Sales Tax Report Form is a legal document that was released by the Alaska Department of Revenue - a government authority operating within Alaska. The form may be used strictly within Dillingham.

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CITY OF DILLINGHAM
PO Box 889, Dillingham, AK 99576 Phone (907) 842-5225 Fax (907) 842-5691
6% SALES TAX REPORT
Returns must be filed by the last day of the calendar month following the month of collection, or not later than the first day City Hall is
open for regular business. A postmark will be accepted as evidence of timely filing.
Business Name
Name
Period Ending – Month _____ Day _____ Year _____
Business ID
Address
FIN, EIN, or SSN
Type of Business
Final Return
Monthly
Quarterly
Seasonal
Last report for season.
Date business expected to resume ____________
1. Gross Sales
$
(1)
Receipts from all sources including but not limited to retail sales of merchandise. Services rendered, including
material furnished, rentals of property and equipment. (Do NOT include sales tax collected.)
2. Less All Non-Taxable Sales
(Include Sales Tax Exemption Log)
a. Sales to Exempt Organization(s)
$
b. Exempt Sales (e.g. Food Stamps, WIC, Resale)
$
c. Sales in Excess of $2,000 (Enter Amount of Excess Only and Attach Log)
$
3. Total Non-Taxable Sales
$
(3)
(Total a, b, c)
4. Net Taxable Sales
$
(4)
(Subtract Line 3 from Line 1)
5. Amount of Tax Due
$
(5)
(6% of Line 4)
6. Penalty
$
(6)
(5% of tax due -Line 5- per month of delinquency)
7. Interest
$
(7)
(10.5% per annum from date of delinquency per DMC 4.20.220)
8. Total Penalty and Interest
$
(8)
(Add line 6 and 7)
9. Adjustments From Previous Month
$
(9)
Attach Statement(s)
10. Total Lines 5, 8, 9
$
(10)
11. Less Collection Discount
1% of line 5 not to exceed $100 if paying on time and if past due sales
tax or penalties are not due and there are no existing sales tax related
$
(11)
delinquencies
12. Total Due
$
(12)
(Subtract line 11 from 10)
Total Amount Remitted
$
I declare subject to the penalties prescribed in the City of Dillingham ordinances, that this report (including any accompanying log), has
been examined by me, and to the best of my knowledge and belief, is a true correct and complete report.
Date
Signed
Office Use Only
City Agent Initials
Sess. #
/ Paid:
Check
Cash
Visa
MC
CITY OF DILLINGHAM
PO Box 889, Dillingham, AK 99576 Phone (907) 842-5225 Fax (907) 842-5691
6% SALES TAX REPORT
Returns must be filed by the last day of the calendar month following the month of collection, or not later than the first day City Hall is
open for regular business. A postmark will be accepted as evidence of timely filing.
Business Name
Name
Period Ending – Month _____ Day _____ Year _____
Business ID
Address
FIN, EIN, or SSN
Type of Business
Final Return
Monthly
Quarterly
Seasonal
Last report for season.
Date business expected to resume ____________
1. Gross Sales
$
(1)
Receipts from all sources including but not limited to retail sales of merchandise. Services rendered, including
material furnished, rentals of property and equipment. (Do NOT include sales tax collected.)
2. Less All Non-Taxable Sales
(Include Sales Tax Exemption Log)
a. Sales to Exempt Organization(s)
$
b. Exempt Sales (e.g. Food Stamps, WIC, Resale)
$
c. Sales in Excess of $2,000 (Enter Amount of Excess Only and Attach Log)
$
3. Total Non-Taxable Sales
$
(3)
(Total a, b, c)
4. Net Taxable Sales
$
(4)
(Subtract Line 3 from Line 1)
5. Amount of Tax Due
$
(5)
(6% of Line 4)
6. Penalty
$
(6)
(5% of tax due -Line 5- per month of delinquency)
7. Interest
$
(7)
(10.5% per annum from date of delinquency per DMC 4.20.220)
8. Total Penalty and Interest
$
(8)
(Add line 6 and 7)
9. Adjustments From Previous Month
$
(9)
Attach Statement(s)
10. Total Lines 5, 8, 9
$
(10)
11. Less Collection Discount
1% of line 5 not to exceed $100 if paying on time and if past due sales
tax or penalties are not due and there are no existing sales tax related
$
(11)
delinquencies
12. Total Due
$
(12)
(Subtract line 11 from 10)
Total Amount Remitted
$
I declare subject to the penalties prescribed in the City of Dillingham ordinances, that this report (including any accompanying log), has
been examined by me, and to the best of my knowledge and belief, is a true correct and complete report.
Date
Signed
Office Use Only
City Agent Initials
Sess. #
/ Paid:
Check
Cash
Visa
MC
CITY OF DILLINGHAM
PO Box 889, Dillingham, AK 99576 Phone (907) 842-5225 Fax (907) 842-5691
Sales Tax Exemption Log
Business Name _____________________ Ending Month/Quarter/Seasonal ____________________ Year ___________
Invoice(s) over $2,000
Exempt Sales
Amount
Name of
Exemption
Sales to Exempt
(e.g. F/S, WIC)
Subtract the
Transferred
Date
Invoice
Customer/Organization
Number
Organization(s)
and Resale
Invoice Total
$2,000
to line C
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Total of Each Exemption:
Transfer Totals to Line 2 of Sales Tax Report:
A
B
C
Submit Exemption Log to the City of Dillingham with your Sales Tax Remittance
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