Combined Excise Tax Return Form - May 2001 Page 3
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4State of Washington
MAY 2001
05
Department of Revenue
PO Box 34051
Seattle, WA 98124-1051
DEDUCTION DETAIL
01
• Deductions taken on the Combined Excise Tax Return, but not itemized on this form will be disallowed.
• Report deductions under the heading that corresponds to your reporting activity.
• Transfer the total amount of each deduction from this form to the corresponding tax classification on your return in the deduction
column.
If Completing, Fill out Name, Registration Number and Attach to Combined Excise Tax Return.
Registration No.
Name
–
–
Line 1 - Extracting, Extracting for Hire
I.D.
Amount
Line 9 – Wholesaling
I.D.
Amount
Bad Debts
0301
Bad Debts
1601
Cash & Trade Discounts
0302
Cash & Trade Discounts
1602
Interstate & Foreign Sales
0304
Other (Explain):
1699
Motor Vehicle Fuel Tax
0305
TOTAL
Casual Sales; Accommodation Sales
0306
Line 2 - Slaughter, Break Processing…
I.D.
Amount
Advances Reimbursements; Rtrns & Allowances
0307
Bad Debts
3001
No Local Activity
0308
Cash & Trade Discounts
3002
Other (Explain):
0399
Other (Explain):
3099
TOTAL
Line 10 – Warehousing; Radio & TV…
I.D.
Amount
TOTAL
Bad Debts
1101
Line 3 - Travel Agent Com; Intl Charter…
I.D.
Amount
Cash & Trade Discounts
1102
Bad Debts
2801
Interstate & Foreign Sales
1104
Cash & Trade Discounts
2802
Advances Reimbursements; Rtrns & Allowances
1107
Other (Explain):
2899
Radio/TV Advertising
1109
TOTAL
Other (Explain):
1199
Line 4 - Insurance Agents; Insurance…
I.D.
Amount
TOTAL
Bad Debts
1401
Amount
Line 11 - Public or Nonprofit Hospitals
I.D.
Bad Debts
5501
Other (Explain):
1499
Cash & Trade Discounts
5502
TOTAL
Advances Reimbursements; Rtrns & Allowances
5507
Line 5 - Manufacturing Fresh Fruits and…
I.D.
Amount
Other (Explain):
5599
Bad Debts
2101
TOTAL
Cash & Trade Discounts
2102
Line 12 - Cleanup of Radioactive Waste…
Amount
I.D.
Freight
2103
Bad Debts
8301
Advances Reimbursements; Rtrns & Allowances 2107
Cash & Trade Discounts
8302
Other (Explain):
2199
Interstate & Foreign Sales
8304
TOTAL
Advances Reimbursements; Rtrns & Allowances
8307
Other (Explain):
8399
Line 6 - Processing for Hire; Printing and… I.D.
Amount
TOTAL
Bad Debts
1001
Line 13 - Service & Other Activities
I.D.
Amount
Cash & Trade Discounts
1002
Bad Debts
0401
Freight
1003
Cash & Trade Discounts
0402
Advances Reimbursements; Rtrns & Allowances 1007
Interstate & Foreign Sales
0404
Other (Explain):
1099
Advances Reimbursements; Rtrns & Allowances
0407
TOTAL
Gambling; Prize; Cash Pay-Outs
0410
Line 7 – Manufacturing
I.D.
Amount
Certain Initiation Fees; Dues; Contributions
0411
Bad Debts
0701
Interest on Certain Invest/Loan/Obligations
0412
Cash & Trade Discounts
0702
Artistic/Cultural Activities
0416
Freight
0703
Other (Explain):
0499
Advances Reimbursements; Rtrns & Allowances 0707
TOTAL
Other (Explain):
0799
Line 14 - Retailing of Interstate Transport...
I.D.
Amount
Bad Debts
1901
TOTAL
Cash & Trade Discounts
1902
Line 8 - Royalties; Child Care
I.D.
Amount
Interstate & Foreign Sales
1904
Bad Debts
8001
Advances Reimbursements; Rtrns & Allowances
1907
Cash & Trade Discounts
8002
Consignment Sales
1915
Advances Reimbursements; Rtrns & Allowances 8007
Artistic/Cultural Activities
1916
Other (Explain):
8099
Other (Explain):
1999
TOTAL
TOTAL
REV 40 2406 MAY/01 (2-28-01)
Page 3
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