Combined Excise Tax Return Form - Washington State Department Of Revenue - 2013 Page 4

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Not all deductions are allowable from
both Retailing and Retail Sales Tax.
Line 13a – Service & Other Activities and/or Gambling
Line 17 – Retailing (B&O)
I.D.
Amount
Amount
Contests of Chance (less than $50,000 a year)
I.D.
(Jan - June income only)
Bad Debts
0201
Bad Debts
70401
Cash & Trade Discounts
0202
Cash & Trade Discounts
70402
Interstate & Foreign Sales
0204
Apportionment (Interstate & Foreign Sales)
70404
Motor Vehicle Fuel Tax
0205
Advances Reimbursements; Rtrns & Allowances
70407
Advances Reimbursements; Rtrns & Allowances
0207
Gambling Prizes & Cash Pay-Outs
70410
No Local Activity
0208
Qualified Initiation Fees; Dues; Contributions
Casual Sales; Accommodation Sales
0213
70411
Received
Tax in Gross
0214
Interest on Certain Invest/Loan Obligations
70412
Consignment Sales
0215
Artistic/Cultural Activities
70416
Artistic/Cultural Activities
0216
Other (Explain):
70499
Presc. Drugs Sold by Pub. Oper/Nonprofit Hospitals
0217
T
OTAL
Dairy and Seafood Processors (see below)*
0267
Other (Explain):
0299
Line 13b – Service & Other Activities and/or Gambling
Amount
Contests of Chance (less than $50,000 a year)
I.D.
*Local sales for out-of-state delivery
TOTAL
(July - Dec income only)
Bad Debts
0401
Line 18 – Retail Sales Tax
I.D.
Amount
Cash & Trade Discounts
0402
Bad Debts
0101
Apportionment (Interstate & Foreign Sales)
0404
Cash & Trade Discounts
0102
Advances Reimbursements; Rtrns & Allowances
0407
Interstate & Foreign Sales
0104
Gambling Prizes & Cash Pay-Outs
0410
Tax in Gross
0114
Qualified Initiation Fees; Dues; Contributions
0411
Received
Sales to U.S. Government
0118
Motor Vehicle Fuel Sales
0119
Interest on Certain Invest/Loan Obligations
0412
Prescription Drugs/Hearing Aids/Lenses/etc
0121
Artistic/Cultural Activities
0416
Qualifying Blood Banks (Oct-Dec income only)
0448
Exempt Food Sales
0122
Qualified Nonresident Sales
0123
Other (Explain):
0499
Trade-in Allowance
0124
T
OTAL
Newspapers
0125
Line 14a – Gambling Contests of Chance
Sales to Indians with Delivery on the Reservation
0128
Amount
($50,000 a year or greater)
I.D.
(Jan - June income only)
Sales of Feed to Fish Farmers
0129
Gambling Prizes & Cash Pay-Outs
79210
Taxable Amount for Tax Paid at Source
0130
Other (Explain):
79299
Returns & Allowances
0131
Sales to Nonprofit Organizations of Artistic/Cultural
T
OTAL
0132
Art Objects for Displays
Ride-Sharing Vans
0134
Line 14b – Gambling Contests of Chance
Amount
($50,000 a year or greater)
I.D.
Purebred Livestock for Breeding
0135
(July - Dec income only)
Tax Deferral/Investment Certificate No.
0136
Gambling Prizes & Cash Pay-Outs
19210
Sale of Manufacturing Mach/Equip; Install Labor
0156
Other (Explain):
19299
Retail Sales Tax Exempt Purchases by Farmers
0159
T
OTAL
Direct Pay Permits
0170
Retail Sales Tax Reported on SER
0179
I.D.
Amount
Line 15 – For Profit Hospitals; Scientific R&D
Other (Explain):
0199
Bad Debts
13501
TOTAL
Cash & Trade Discounts
13502
Apportionment (Interstate & Foreign Sales)
13504
Line 50 - Refuse Collection
I.D.
Amount
Advances Reimbursements; Rtrns & Allowances
13507
Bad Debts
6401
Qualified Initiation Fees; Dues; Contributions
13511
Received
Sales to U.S. Government
6418
Artistic/Cultural Activities
13516
Sales to Other Refuse/Solid Waste Collectors
6445
Other (Explain):
13599
Other (Explain):
6499
T
OTAL
TOTAL
Line 16 - Retailing of Interstate Transport...
I.D.
Amount
Line 51 - Petroleum Tax
I.D.
Amount
Bad Debts
1901
Petroleum Products Exported Out of State
5746
Cash & Trade Discounts
1902
Other (Explain):
5799
Interstate & Foreign Sales
1904
TOTAL
Advances Reimbursements; Rtrns & Allowances
1907
Consignment Sales
1915
Line 52 - Hazardous Substance
I.D.
Amount
Other (Explain):
1999
Other (Explain):
6599
TOTAL
TOTAL
Internet/Fax
(10-30-13)
Page 4

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