CITY OF NORTH POLE SALES TAX RETURN 
     This return must be received, with payment, by the last day of the following month taxes were collected to: 
                                                                  
                                        CITY OF NORTH POLE 
                                                                                     
                                        125 SNOWMAN LANE 
 
                                        NORTH POLE, AK 99705 
 
BUSINESS NAME, ADDRESS & EMAIL: 
 
____________________________________________________                    DATE:____________________________        
 
____________________________________________________                    ACCT. NUMBER:___________________ 
 
____________________________________________________ 
 
  Check here if change of address/phone number.  New owners must apply for business license. 
 
1.    Gross Sales for  Month :      _________________                                 $ __________________ 
 
2.    Credit Card Service Fees                                                        $ __________________ 
 
3.    Non-Taxable Sales (see chp.4, Sec. 4.08.020 & 4.08.050 of North Pole Code)      $ __________________ 
 
4.    Gross Taxable Sales                                                             $ __________________ 
      (Subtract lines two and three from line one) 
 
5.    Sales Tax Due (5% of line four)                                                 $ __________________ 
      ($10 cap per transaction)                                  
 
6.    Fees: (Calculate the following charges based on line five) 
 
      a. Returns 1 - 29 days past due add $25 or .00875 of sales tax due,  
         whichever is greater, in addition to the total amount due 
                         .   Incomplete returns add an additional penalty of $15.     $ __________________ 
 
      b. Returns 30- 60 days past due add $50 or .00875 of sales tax due, 
         whichever is greater, in addition to all previous fees and penalties.        $ __________________ 
         Incomplete returns will incur an additional penalty of $15. 
 
      c. Returns 61 days past due will incur a reoccurring monthly fee of $50  
         in addition to all previous fees, interest.  Sellers failing to  
         file complete returns & full remittance will be subject to revocation of  
         their business license and a lien against the seller’s property will be  
         administered.                                                                $ __________________ 
 
7.    TOTAL FEES DUE                                                                  $ __________________ 
 
8.    TOTAL SALES TAX/FEES DUE                                                        $ __________________ 
      (Add lines 5,6 & 7 show amount here) 
 
Interest at the rate of 10.5% per annum, applied monthly, shall accrue on all delinquent taxes & fees starting from the 
due date until paid in full. 
 
I DECLARE, SUBJECT TO THE FEES PRESCRIBED, THAT THIS RETURN (INCLUDING  
ACCOMPANYING STATEMENTS) HAS BEEN EXAMINED BY ME, AND TO THE BEST OF MY 
KNOWLEDGE AND BELIEF IS A TRUE, CORRECT, AND COMPLETE RETURN. 
 
DATE: ______________          OWNER/AGENT: _____________________________________________                          
 
                              PHONE NUMBER :_____________________________________________ 
                               
                              EMAIL:____________________________________________________