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NOTICE: Wasilla Municipal Code Chapter 5.16 details the 
application, exceptions, collections & remittance of sales tax.                                                            City of Wasilla                                                          
              FOR PERIOD ENDING:                                      DUE DATE: 
                                                                                                                                 ALL RETURNS MUST BE FILED – INCLUDING NO SALES 
                                                                                                                                                                        Sales Tax Return
                                                                                                                                                             FOR ASSISTANCE CALL 907.373.9088
                                                                                                                                                                                                      
ADMINISTRATOR COMMENTS:                                                                                                    [1]   GROSS SALES (not including tax):                                    
You must report zero sales, rents or services for the report month.  
Sign and date.  Report is due in our office by the due date which is                                                       [2]   EXEMPT SALES:                                                       
noted above.                                                                                                                                                 a.  Sales to government                 
                                                                                                                                                                  agencies 
                                                                                                                                                             b.  Amount over first $500              
                                                                                                                                                                  of each separate sales 
BUSINESS NAME & ADDRESS:                                                                                                                                     c.  Non-profit organization             
                                                                                                                                                                  exemptions 
 
                                                                                                                                                             d.  Sales for resale                    
                                                                                                                                                                    (wholesale) 
 
                                                                                                                                                             e.  Other claimed                       
                                                                                                                                                                  exemptions 
                                     
     CHANGE IN ADDRESS (EDIT ABOVE ADDRESS)                                                                                                                  TOTAL EXEMPT SALES                      
                                                                                                                                                              (add items 2a through 2e) 
SALES TAX NO.:                                                                                                             [3]   NET TAXABLE SALES (line 1 less line 2)                              

             REQUEST TO PRE-FILE ZERO                                                                                      [4]   3% SALES TAX DUE                                                    
      SALES THROUGH:  (CURRENT TAX YEAR ONLY)                   ________        _______                                                    (3% or .03 of line 3) 
                                                                 Month            Year                                     [5]   ADJUSTMENTS:                                                        
                                                                                                                                                             a.  Credit for prompt  
  CLOSE SALES TAX ACCOUNT:                                                                                                                                                                           (                                             ) 
                                                                                                                                                                   payment  (2% up to $100) 
        BUSINESS NO LONGER OPERATING IN WASILLA (date of final sale) _________________                                                                       b.  Penalty for late payment            
                                                                                                                                                                  (5% per month not to exceed  
     BUSINESS CLOSED…………(date closed) _____________________________________                                                                                         25%) 
                                                                                                                                                             c.  Interest for late payment           
    BUSINESS SOLD……………. (date of sale) _____________________________________                                                                                    (see instructions for calculation) 
                                                                        (sold to) _______________________________________ 
I CERTIFY UNDER PENALTY OF PERJURY THAT THIS RETURN (INCLUDING ANY                                                                                           d.  Other adjustments                   
ACCOMPANYING STATEMENTS) HAS BEEN EXAMINED BY ME AND TO THE BEST OF MY 
KNOWLEDGE AND BELIEF IS A TRUE, CORRECT AND COMPLETE RETURN. 
SIGNATURE                                                                                                                                                    TOTAL ADJUSTMENTS                       
                                                                                                                                                              (add items 5a through 5d) 
DATE                                                        PHONE                                                          [6]  TOTAL TAX AND ADJUSTMENTS DUE                                        
                                                                                                                                     (add line 4 and line 5) 

                                            IF SALES TAX DUE IS ZERO, THE COMPLETED SALES TAX RETURN CAN BE EMAILED OR FAXED 
                                                                EMAIL:  SalesTax@ci.wasilla.ak.us                         FAX:  (907) 373-9085 
                                                    MAKE COPY FOR YOUR RECORDS THEN MAIL COMPLETED FORM WITH PAYMENT TO:   
                                                                      City of Wasilla,  290 E Herning Avenue, Wasilla AK 99654 
 
GENERAL:  The Sales Tax Return is used to report and remit sales tax collected on behalf of the City of Wasilla.  A zero return must be filed for each reporting period even when no tax is due.  
IfINSTRUCTIONS:you do not receive a return, contact the city at (907) 373-9088 before the due date to avoid late filing penalties. Sales tax must be received by the city no later than 5 p.m. on the last 
business day of the month immediately following the reporting period month.  (5.16.120 C) 
CHANGE OF OWNERSHIP: If there has been a change of ownership do not use the return with the name and account number of the former owner.  Send the return with a notice of change 
to the City of Wasilla.  A business license application will be sent to the business, this registers your business for sales tax reporting. 
CHANGE OF ADDRESS OR BUSINESS STATUS: If you change your location or mailing address or discontinue business, complete those areas on the return as necessary.  New addresses will 
receive an updated license. 
ITEM 1:          Enter the total gross sales, service or rents during the reporting period, not including sales tax, whether for cash or credit.  If your gross amount includes sales tax, divide that 
                 amount by 1.030 for your gross not including tax. (5.16.100) 
ITEM 1A:         Sales to government agencies. (5.16.050 A9) 
ITEM 2B:         Sales exceeding first $500 of each separate sale, service or rent. (5.16.035) 
ITEM 2C:         Sales, services or rents to Non Profit customers. (5.16.050 B 5&6) Must have a current tax exempt card from City of Wasilla. 
ITEM 2D:         Wholesale sales, for resale by others. (5.16.050 B 1,2,7&8) Must have a current tax exempt card from the City of Wasilla. 
ITEM 2E:         All other allowable exemptions. (5.16.050 A &B) 
ITEM 4:          Enter the sales tax due by multiplying line 3 by 3% (3.0%) or (.03). (5.16.030) 
ITEM 5A:         Credit is based on total monthly taxable sales from all locations covered by each license.  To qualify for the credit you must file a correct return and pay the sales tax on or before 
                 the due date.  To figure the credit multiply the tax due on line 4 by 2% or (.02).  This credit is limited to $100 per reporting period. (5.16.120 E) 
ITEM 5B:         Penalty for late payment is 5% per partial or full month until a cumulative late penalty payment of 25% is reached.  To figure the penalties multiply line 4 by the appropriate 
                 penalty.   Penalties begin on the first day after due date of return. (5.16.120 D) 
ITEM 5C:         Interest for late payment is 15% per annum.  To figure the interest multiply line 4 by 15% (.15), divide that by 365, then multiply by the number of days the sales tax is past due. 
                 Interest begins on the first day after due date of return. (5.16.120 D) 
ITEM 5D:         Enter any previous balance owing or any credit due from amended returns. 
ITEM      6:     Enter the total of lines 4 and line 5. 
SUBMITTING RETURN AND PAYMENT:  Make check or money order for the amount on line 6 payable to the CITY OF WASILLA.  Credit cards will not be accepted for payment of sales tax.  
Checks returned by the bank will be subject to a fee of $25 and other penalties that apply.  When you provide a check as payment, you authorize us either to use information from your 
check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction.  Mail return with payment to the City of Wasilla Finance Department.  
For inquiries, call (907) 373-9080.  Sales tax not received on or before the due date is delinquent.  QUESTIONS:  If you have any questions regarding this return, contact the city before the 
due date to avoid late filing penalty: Phone (907) 373-9088 Fax (907) 373-9085, or write CITY OF WASILLA 290 E Herning Avenue Wasilla AK 99654, or email to SalesTax@ci.wasilla.ak.us 
Form revised January 1, 2018.  Older versions are not valid.  






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