Sales Tax Remittance Return Form - State Of Washington Department Of Revenue - 2016

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January - December 2016
A
16
Sales Tax Remittance Return
Mail to:
State of Washington
Department of Revenue
Tax Registration Number
PO Box 47464
Olympia WA 98504-7464
Name
Business Name
Street Address
Use Black Ink &
4
City, State, Zip
Return Original Form.
Has Your Address Changed?
Business Closed?
No Business Activity?
Please check appropriate box(es) below and note
Check this box and enter date closed.
If you had no business activity and did not file by
changes on address above.
telephone, check this box, sign and mail us your
/
/
/
/
Effective date of change
return.
File by telephone: Call 1-800-647-7706. At the greeting,
Business Location Change
enter 1 at each prompt, your 9 digit tax registration
number, and then follow the instructions given.
Mailing Address Change
Other Correspondence?
You may file the Sales Tax Remittance Return if you meet the
following criteria:
y Your gross business activity totaled less than $28,000.
y You owe less than $2,000 retail sales tax. Enter the amount of
retail sales tax collected in the Sales Tax Collected box below.
If you do not meet the criteria above please go to dor.wa.gov to download the appropriate return
for your tax classification.
If you do not know the amount of Retail Sales Tax due, take your taxable retail sales and
multiply by the combined sales tax rate for your location. For sales tax rates, visit our website at
dor.wa.gov and click on Find Taxes and Rates.
You must file your return by January 31, 2017, even if you did not
have business activity.
9% Penalty is Assessed After January 31, 2017
y
y 19% Penalty is Assessed After February 28, 2017
y 29% Penalty is Assessed After March 31, 2017
If the due date falls on a weekend or legal holiday, the due date is extended to the next
business day.
Make check or money order payable to the Washington State Department of Revenue.
4
Please write your tax registration number on your check.
4
Filing an Amended Return?
Penalty Waiver Request?
Check this box and attach
Check this box and attach your
amended return information
written request to this return.
and a letter of explanation.
,
.
1. Sales Tax Collected
Signature
Print Name
2. Penalty, if applicable
,
.
%
(Minimum $5.00)
Phone Number
(
)
3. Total Amount Owed
,
.
Date
/
/
(add lines 1 & 2)
Internet/Fax
(11-10-16)

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