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CITY OF UNALASKA
PO BOX 610 UNALASKA, AK 99685
Phone (907) 581-1251     Fax (907) 581-1417 
www.ci.unalaska.ak.us

SALES TAX REPORT
QTR1 o QTR2 o QTR3 o QTR4 o
QTR ENDING  March 31 June 30 September 30 December 31      YEAR __________________
DUE April 30 DUE July 31 DUE October 31 DUE January 31 
 
NAME: BUSINESS LIC. #
ADDRESS:
                Final Report, Close Business License o

DETERMINATION OF ADJUSTED GROSS RECEIPTS
  1. GROSS RECEIPTS FOR QUARTER (INCLUDING SALES TAX COLLECTED)
 A.    RENTALS . . . . . . . . . . . . . . . . . . . . . . . . . . . .  $ ____________________0.00
 B.    SALES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ____________________0.00
 C.    SERVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ____________________0.00
     D. TOTAL GROSS RECEIPTS(Add A through C) . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . $ _______________________0.00
    2. NON-TAXABLE RECEIPTS (Complete Page 2). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________________0.00
   3. ADJUSTED GROSS RECEIPTS (Subtract Line 2 from 1D) . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . $ _______________________0.00

DETERMINATION OF TAXABLE RECEIPTS
   4. DIVIDELINE 3 BY 1.03 (TAXABLE GROSS RECEIPTS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________________0.00

DETERMINATION OF TAX DUE
          5. MULTIPLYLINE 4 BY.03.03 –SALES TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________________0.00
   6. CREDIT OR AMOUNT DUE FROM PREVIOUS REPORTS . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . $ _______________________0.00
   7. CREDIT FOR SALE FOR RESALE REFUND. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________________0.00
    8. TAX DUE (Line 5, plus or minus Line 6, minus Line 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  $ _______________________0.00
    9. PENALTY AND INTEREST DUE (If applicable) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . . . .  $ _______________________0.00
   10. TOTAL DUE (Line 8 plus Line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________________0.00

 Sales Tax Reports must be filed on a quarterly basis, due on the last day of the month following the end of a quarter. This report
 is invalid unless completed in detail and signed. Report must be filed even if there were no receipts for the quarter.  Delinquent
 reports incur a penalty of 5% per month or fraction thereof up to 20%, plus interest at 15% per annum. Failure to file is a minor
 offense with the fines established by code up to $500 per violation or day. The City’s additional remedies for violations of sales
tax ordinances are set out in Unalaska Code of Ordinances 6.40.100.

I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE AND CORRECT.

SIGNATURE TITLE DATE

PRINTED NAME EMAIL ADDRESS

COMPLETED SALES TAX REPORT MAY BE EMAILED TO CITY CLERK MARJIE VEEDER AT mveeder@ci.unalaska.ak.us
Revised 06/15/2021

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                  CITY OF UNALASKA SALES TAX REPORT

Name                                                                 Quarter Ending: ____________________

License #

                             NON-TAXABLE TRANSACTIONS

1.  SALES TO CITY OR OTHER GOVERNMENT AGENCIES 6.40.030(L)                                               $ ________________________0.00
         SOLD TO:                                                                                        AMOUNT:
         _________________________________________________________                                       _________________________
         _________________________________________________________                                       _________________________
         _________________________________________________________                                       _________________________
         _________________________________________________________                                       _________________________

2. SALES RELATED TO CITY PUBLIC WORKS PROJECTS 6.40.030 (AA)                                             $ ________________________0.00
         SOLD TO:                                                                                        AMOUNT:
         _________________________________________________________                                       _________________________
         _________________________________________________________                                       _________________________
         _________________________________________________________                                       _________________________
         _________________________________________________________                                       _________________________

3. SALES NOT "MADE IN THE CITY" 6.40.010(C)                                                              $ ________________________0.00
         SOLD TO & LOCATION:                                                                             AMOUNT:
         _________________________________________________________                                       _________________________
         _________________________________________________________                                       _________________________
         _________________________________________________________                                       _________________________
         _________________________________________________________                                       _________________________

4.  ALL OTHER SALES CLAIMED EXEMPT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .         $ ________________________0.00
                                      City Sales Tax Exemption Certificate Number 
                                               or other justification
         SOLD TO:                                                                                        AMOUNT:
         _____________________________         ______________________________                            _________________________
         _____________________________         ______________________________          _________________________
         _____________________________         ______________________________          _________________________
         _____________________________         ______________________________          _________________________

    TOTAL ALL NON-TAXABLE TRANSACTIONS                               . . . . . . . . . . . . . .         $ _________________________0.00