Click to Clear Form
BOROUGH AND CITIES JOINT SALES TAX RETURN
Kenai Peninsula Borough
58195 144 North Binkley, Soldotna, Alaska 99669-7520
(907) 714-2175 or (800) 478-4441 ext. 2175
www.kpb.us/salestax For Filing Period Ended Registration #
Request to pre-file No Sales (1 year maximum)
From Period Thru Period
M M Y Y Y Y
RETURN HAS NO SALES
DBA:
No longer conducting business. Corrected
Date Business
Sold or Closed: / / Amended DUE BY:
M M D D Y Y Y Y
Business Sold To:
ONLY ROUND SALES FIGURES TO THE NEAREST DOLLAR (for lines 1, 2, and 3)
JURISDICTION CODE
(from Table) 9 9
1. GROSS SALES
(NOT INCLUDING SALES TAX) , , .00 , , .00 , , .00
2. NON-TAXABLE SALES
A) Sales outside the Borough
, , .00 , , .00 , , .00
B) Sales for Resale
, , .00 , , .00 , , .00
C) Government Agencies
, , .00 , , .00 , , .00
D) Excess of Individual Sales
Over $500.00 , , .00 , , .00 , , .00
E) Non-Prepared Food
, , .00 , , .00 , , .00
F) Other (Specify)
, , .00 , , .00 , , .00
G) TOTAL NON-TAXABLES
, , .00 , , .00 , , .00
3. TAXABLE SALES
(LINE 1 MINUS LINE 2G) , , .00 , , .00 , , .00
4. ENTER TAX RATES
(rate from table) 3 0 0. % . % . %
5. SALES TAX - DO NOT ROUND , , . , , . , , .
6. TOTAL SALES TAX
(ALL JURISDICTIONS, Front & Back) , , . FOR OFFICE USE ONLY
7. ADJUSTMENTS $1000 MAX PER QUARTER; MUST BE IN COMPLIANCE
A) CREDIT FOR PROMPT Cash , , .
REMITTANCE (5% OF LINE 6) , , .
B) PENALTY FOR LATE CK# , , .
REMITTANCE , , .
C) INTEREST / OTHER CK#
, , . , , .
D) PREVIOUS BALANCE DUE E-Check
, , . , , .
8. TOTAL DUE Credit Card , , .
, , .
9. TOTAL REMITTED Total Remitted , , .
Jurisdiction Code Rate Additional Jurisdiction Notes:
Seldovia - Winter 10 2.00% Entry Blocks on the Back.
(October - March) Use only if needed.
Seldovia - Summer 11 6.50%
(April - September)
Homer 20 4.85%
Kenai 30 3.00%
Seward 40 4.00%
Soldotna 70 3.00%
Soldotna - Marijuana 75 1.50%
Borough 99 3.00%
OWNER / AGENT I declare, subject to the penalties prescribed that this return (including any
accompanying statements) has been examined by me and to the best of my
knowledge and belief is a true, correct and complete return.
SIGNATURE REQUIRED DATE
DO NOT FAX OR EMAIL THIS FORM - SUBMIT ORIGINAL FORM ONLYDO NOT FAX OR EMAIL THIS FORM - SUBMIT ORIGINAL FORM ONLY