CITY & BOROUGH OF YAKUTAT

SALMON SALES AND USE TAX RETURN

SCHEDULE A: SALES AND USE TAX COMPUTATION

CALENDAR YEAR: 200_____ MONTH: ______

NOTICE:

1. The first return filed during the calendar year must be accompanied by a copy of the taxpayer’s Fisheries Business Tax returns for the preceding calendar year for each location within the Borough.

2. This return and the amount owing for the month being reported must be received by the Borough at the address given below by no later than the close of Business on or before the fourteenth say following the end of the calendar month for which the return is required. Returns may be mailed to: Borough Finance Director, City & Borough of Yakutat, PO Box 160, Yakutat, Alaska 99689 or delivered to Borough Finance Director, Borough Offices, Yakutat, Alaska.

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I.   Sales Tax

1.   Gross purchase of raw salmon in the Borough including

exempt purchases (attach Schedule C) $______

2.   Exempt purchases (attach Schedule B): $______

3.   Taxable purchases (subtract line 2 from line 1): $______

II.   Use Tax

4.   Value of Salmon used, consumed, stored, transported, or processed

within the Borough, the sale of which is not subject to the Borough’s

Salmon sales tax. (attach Scedule C). $______

III. Computation of Tax Due

5. Sales tax due (multiply line 3 by .01): $______

6. Use tax due (multiply line 4 by .01): $______

7.   Total Sales and Use Tax due (add lines 5 & 6): $______

8.   Interest/Penalties: $______

9.   Total payable (add lines 7 & 8): $______

I swear that the information on this schedule and all accompanying schedules is true , complete and accurate to the best of my knowledge.

Date:______

Signature

______

Name & Position (printed)

Name of Business:______

3000\076