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 Quarter :                                                       $                      
 
 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 (5.5% of line four)                                               $                      
        ($11 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:                                                     
 
                                 P   HONE NUMBER:                                                 
 
                                 EMAIL: