Alaska Commercial Passenger Vessel Excise Tax Monthly Return Form
Every month, party providing transportation services via a commercial passenger vessel must file this form with Alaska’s Department of Revenue.Download
Extracted Text for Proper Search
0405-210 Rev 10/12 - page 1 Pay online at www.tax.alaska.gov or make check payable to State of Alaska Electronic Payment Information Note: if your liability exceeds $100,000 you must pay using the Online Tax Information System (OTIS) at www.tax.alaska.gov or by wire transfer. Check if you are paying by: OTIS (confirmation # ____________________________) Wire Transfer (date _____________) I declare under penalty of perjury that the information provided in this\ return, including all accompanying schedules and statements, has been reviewed by me and to the best of my knowledge and belief is true, \ correct and complete. Signature of Taxpayer Date Print Name Print Title DEPT USE ONLY PMD VALIDATION Due Date: Last day of the month following the month in which voyages wer\ e completed. Schedule A – Commercial Passenger Vessel Excise Tax Calculation 1. Total number of passengers (total from Schedule B) 1 2. Tax rate 2 $34.50 3. Tax (multiply line 1 by the tax rate on line 2)3 4. Tax Reduction for Local Levies (total from Schedule D) 4( ) 5. Total tax (line 3 less line 4) 5 6. AMENDED RETURNS ONLY - amount previously paid with originally filed return 6 ( ) 7. Total amount due (overpaid) (line 5 less line 6) 7 Alaska Commercial Passenger Vessel Excise Tax Monthly Return Department Use Only Envelope FSN EIN SSN Vessel Call Sign Period Ending (year/month) Check if amended return and attach explanation Taxpayer Name Vessel Name Mailing Address Contact Person City StateZip Code Contact Phone Fax Number Country (if other than U.S.) Contact Email Address You can file this return and pay on-line using the Online Tax Information System (OTIS) at www.tax.alaska.gov Mail to: Alaska Department of Revenue, PO Box 110420, Juneau AK 99811-0420 210 210 0405-210 Rev 10/12 - page 2 Taxpayer NameVessel NamePeriod Ending (year/month) Alaska Port Codes Anchorage ANC Dutch Harbor/Unalaska DH Haines HNS Homer HOM Juneau JNU Ketchikan KTN Kodiak KDK Metlakatla MET Nome NOM Petersburg PTB Point Sophia/Icy Straits/Hoonah PTS Seward SEW Sitka SIT Skagway SKG St. Matthew STM Valdez VDZ Whittier WHT Wrangell WRG Yakutat YA K Schedule B - Voyage Information Voyage # Port of Origin Final PortBegin Date (MM/DD/YYYY) End Date (MM/DD/YYYY) Total # of Passengers Total from additional sheets (see instructions) Total Schedule C - Ports of Call Detail (Report first 7 ports only) Voyage # (Schedule B)Alaska Port of CallAlaska Port CodeNumber of Passengers Port 1 Port 2 Port 3 Port 4 Port 5 Port 6 Port 7 Port 1 Port 2 Port 3 Port 4 Port 5 Port 6 Port 7 Port 1 Port 2 Port 3 Port 4 Port 5 Port 6 Port 7 Continued on next page. 210 210 0405-210 Rev 10/12 - page 3 Attach additional pages if more than eight voyages. Alaska Port Codes Anchorage ANC Dutch Harbor/Unalaska DH Haines HNS Homer HOM Juneau JNU Ketchikan KTN Kodiak KDK Metlakatla MET Nome NOM Petersburg PTB Point Sophia/Icy Straits/Hoonah PTS Seward SEW Sitka SIT Skagway SKG St. Matthew STM Valdez VDZ Whittier WHT Wrangell WRG Yakutat YA K Schedule C - Ports of Call Detail (Continued) Voyage # (Schedule B)Alaska Port of CallAlaska Port CodeNumber of Passengers Port 1 Port 2 Port 3 Port 4 Port 5 Port 6 Port 7 Port 1 Port 2 Port 3 Port 4 Port 5 Port 6 Port 7 Port 1 Port 2 Port 3 Port 4 Port 5 Port 6 Port 7 Port 1 Port 2 Port 3 Port 4 Port 5 Port 6 Port 7 Port 1 Port 2 Port 3 Port 4 Port 5 Port 6 Port 7 Taxpayer Name Vessel NamePeriod Ending (year/month) 210 210 0405-210 Rev 10/12 - page 4 Taxpayer NameVessel NamePeriod Ending (year/month) Schedule D - Tax Reduction for Local Levies Attach additional pages if needed Voyage # (Schedule B) Alaska Port Code (JNU or KTN) Number of Passengers Levy Rate Levy Amount Collected Subtotal Total from additional pages Total levies collected (also enter on schedule A, line 4) 210 210
If you want to remove Alaska Commercial Passenger Vessel Excise Tax Monthly Return Form from this website please contact us providing the reasons together with this url: https://formsarchive.com/alaska-commercial-passenger-vessel-excise-tax-monthly-return-form/