KETCHIKAN GATEWAY BOROUGH
                            1900 FIRST AVENUE, SUITE 118
                            KETCHIKAN , ALASKA 99901

                            TRANSIENT OCCUPANCY TAX RETURN
                         CHAPTER 4.55 TRANSIENT OCCUPANCY TAX

   ACCOUNT                                                                      QUARTER/MONTH

                            RETURN & REMITTANCE DUE NO LATER THAN          

                            BOROUGH                                             SAXMAN             CITY

1. GROSS RENTALS                                0.00                                      0.00                  0.00

2. LESS NON-TAXABLE RENTALS                     0.00                                      0.00                  0.00

3. TOTAL TAXABLE RENTALS                        0.00                                      0.00                  0.00

4. TAX CITY   7%                                                                                                0.00

   TAX  SAXMAN  4%                                                                        0.000.00

   TAX  BOROUGH  4%                             0.000.00

5. PENALTY                                      0%                                        0%                    0%

6. INTEREST                                     0%                                        0%                    0%

7. TOTAL AMOUNT REMITTED                        0.000.00                                  0.000.00              0.000.00

                                   INSTRUCTIONS
1. GROSS RENTALS            The amount paid as monetary consideration for the use of a room in a Hotel/Motel or other 
                            place of accommodation including bed and breakfast facilities by a transient
2. LESS NON-TAXABLE RENTALS Rentals on a monthly basis (subject to sales tax but not transient occupancy tax); or private 
                            single family dwellings and vacation cabins that are on a casual and isolated basis 
3. TOTAL TAXABLE RENTALS    Subtract Lines 2  from Line 1
4. TAX CITY   7%            Multiply 7% of Line 3 if business is located in the City
   TAX  SAXMAN  4%          Multiply 4% of Line 3 if business is located in Saxman
   TAX  BOROUGH  4%         Multiply 4% of Line 3 if business is located in the Borough
5. PENALTY                  If delinquent within 7 working days, add 1% of line 4
                            If delinquent more than 7 working days, add 15% of line 4 plus 5% monthly until 25% has 
                            accrued
6. INTEREST                 If delinquent add 1% per month (12% per annum) of line 4
7. TOTAL AMOUNT REMITTED    Add lines 4, 5 and 6

   This is a seasonal business. Please file 'no activity' returns for the quarters ending:

   This business is closed. This is the final return. Date business closed: 

   I DECLARE, SUBJECT TO THE PENALTIES PRESCRIBED, THAT THIS RETURN HAS BEEN EXAMINED BY ME, AND TO 
   THE BEST OF MY KNOWLEDGE AND BELIEF, IS A TRUE, CORRECT 

   BY/TITLE                                     DATE