Reporting Period           Account Number                                 Due By 

                                                          Sales Tax Return Form 
                                                                                                   CBJ USE ONLY 
Returns & Remittances may be submitted:
    • Online at https://beta.juneau.org/finance/sales-tax
    • Mail to 155 S. Seward St, Juneau, AK 99801                                               $ 
    • Email to sales.tax.office@juneau.org (returns only)                                        AMOUNT REMITTED 
    • Multiple drop box locations in Juneau                                                    CHECKS PAYABLE TO CBJ 
    • In-person at City Hall, 155 S. Seward St 

DO NOT DETACH                                  DO NOT DETACH                                     DO NOT DETACH 
      CHECK HERE IF NO BUSINESS ACTIVITY THIS PERIOD.  YOU MUST ALSO 
                                                                                                   Areawide Sales 
      SIGN, DATE AND RETURN FORM TIMELY TO AVOID LATE FILING FEE. 
1.  GROSS SALES:  Do not include sales tax collected or returned merchandise
2.  LESS:  all exempt sales:
    A. Resale of Goods
    B. Resale of Services
    C. Government Agencies
    D. Goods ordered from outside CBJ and shipped outside CBJ
    E. Senior citizens with CBJ exemption cards
    F. Non-profit agencies with CBJ exemption cards
    G. Other exemptions, specify by code number on lines below:
         --
         --
         --
3.  TOTAL EXEMPT SALES (Total of lines 2A to G)                                                  (                                      ) 
4.  NET TAXABLE SALES (Line 1 less line 3)

5.  SALES TAX (Multiply line 4 by 5%)
6.  OPTIONAL DISCOUNT IF FILED AND PAID TIMELY                                                   (                                      ) 
      Subject to minimum and maximum.  See instructions                                          (Subject to minimum & maximum) 
7.  Credits from prior periods.  Should be verified with Sales Tax Office before applying        (                                      ) 
8.  Late fee ($25)
9.  Late payment penalty and interest (FOR THIS RETURN ONLY)
10. SUBTOTAL AMOUNT (Summary of lines 5 through 9)
11. Deposit Summary:           Date Paid                  Tax Due           Deposit Paid 
    A. 1  month of quarterst
    B. 2  month of quarternd
    C. 3  month of quarterrd
    D. Total deposits paid                                                                       (                                      ) 
12. TOTAL AMOUNT DUE WITH RETURN (Subtract line 11D from line 10)
13. ACCOUNT CHANGES
    A. New Address:
    B. Name Change:
    C. Business Closure Date:                                               Consider this filing a final return.            Yes         No 
    D. Business Sold or Transferred, please provide the following:
        Sale or Transfer Date:                                     New Owners/Address: 

                               Business Name                                Reporting Period                               Account Number   

14. I declare subject to the penalties prescribed in City and Borough of Juneau ordinances 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.

X 
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