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DO NOT FAX OR EMAIL THIS FORM - SUBMIT ORIGINAL FORM ONLY
Date BusinessSold or Closed: / /
BOROUGH AND CITIES JOINT SALES TAX RETURNKenai Peninsula Borough
144 North Binkley, Soldotna, Alaska 99669-7520(907) 714-2175 or (800) 478-4441 ext. 2175
www.kpb.us/salestax
DUE BY:
SIGNATURE REQUIRED DATE
OWNER / AGENT I declare, subject to the penalties prescribed that this return (including anyaccompanying statements) has been examined by me and to the best of myknowledge and belief is a true, correct and complete return.
DO NOT FAX OR EMAIL THIS FORM - SUBMIT ORIGINAL FORM ONLY
Request to pre-file No Sales (1 year maximum)
No longer conducting business.
M M D D Y Y Y Y
Business Sold To:
Corrected
Amended
RETURN HAS NO SALES
DBA:
M M Y Y Y Y
Registration #
Additional JurisdictionEntry Blocks on the Back.Use only if needed.
Cash
CK#
CK
E-Check
Credit Card
FOR OFFICE USE ONLY
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#
Total Remitted
Notes:
ONLY ROUND SALES FIGURES TO THE NEAREST DOLLAR (for lines 1, 2, and 3)
1. GROSS SALES (NOT INCLUDING SALES TAX)
2. NON-TAXABLE SALES
B) Sales for Resale
C) Government Agencies
D) Excess of Individual Sales Over $500.00
G) TOTAL NON-TAXABLES
3. TAXABLE SALES (LINE 1 MINUS LINE 2G)
5. SALES TAX - DO NOT ROUND
E) Non-Prepared Food
4. ENTER TAX RATES (rate from table)
JURISDICTION CODE(from Table)
A) Sales outside the Borough
F) Other (Specify)
8. TOTAL DUE
7. ADJUSTMENTS
9. TOTAL REMITTED
6. TOTAL SALES TAX (ALL JURISDICTIONS, Front & Back)
A) CREDIT FOR PROMPT REMITTANCE (5% OF LINE 6)
C) INTEREST / OTHER
D) PREVIOUS BALANCE DUE
B) PENALTY FOR LATE REMITTANCE
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$1000 MAX PER QUARTER; MUST BE IN COMPLIANCE
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For Filing Period Ended
From Period Thru Period
Jurisdiction Code RateSeldovia - Winter 10 2.00% (October-March)
Seldovia-Summer 11 4.50% (April-September)
Homer 20 4.85%Kenai 30 3.00%Seward 40 4.00%Soldotna 70 3.00%Soldotna MJ 75 1.50%Borough 99 3.00%
58195
DO NOT FAX OR EMAIL THIS FORM - SUBMIT ORIGINAL FORM ONLY
Page 2
1. GROSS SALES (NOT INCLUDING SALES TAX)
2. NON-TAXABLE SALES
B) Sales for Resale
C) Government Agencies
D) Excess of Individual Sales Over $500.00
G) TOTAL NON-TAXABLES
3. TAXABLE SALES (LINE 1 MINUS LINE 2G)
5. SALES TAX - DO NOT ROUND
E) Non-Prepared Food
4. ENTER TAX RATES (rate from table)
JURISDICTION CODE(from Table)
A) Sales outside the Borough
F) Other (Specify)
1. GROSS SALES (NOT INCLUDING SALES TAX)
2. NON-TAXABLE SALES
B) Sales for Resale
C) Government Agencies
D) Excess of Individual Sales Over $500.00
G) TOTAL NON-TAXABLES
3. TAXABLE SALES (LINE 1 MINUS LINE 2G)
5. SALES TAX - DO NOT ROUND
E) Non-Prepared Food
4. ENTER TAX RATES (rate from table)
JURISDICTION CODE(from Table)
A) Sales outside the Borough
F) Other (Specify)
DBA:
Registration #
ONLY ROUND SALES FIGURES TO THE NEAREST DOLLAR (for lines 1, 2, and 3)
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For Filing Period Ended
Jurisdiction Code RateSeldovia - Winter 10 2.00% (October-March)
Seldovia-Summer 11 4.50% (April-September)
Homer 20 4.85%Kenai 30 3.00%Seward 40 4.00%Soldotna 70 3.00%Soldotna MJ 75 1.50%Borough 99 3.00%
58195
