June 2006 Retailing & Other Activities Return Form - Department Of Revenue Of Washington State
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6June 2006
06 06
Retailing & Other Activities Return
Tax Registration Number
Use Black Ink &
Return Original Form
Name
Business Name
Street Address
City, State, Zip
No Business Activity?
Has Your Address Changed?
Business Closed?
Filing an Amended Return?
File by telephone: Call 1-800-647-7706.
If so, check appropriate box(es) below
Check this box and enter
Check this box and attach
At the greeting, enter code 111 to start the process.
and note changes on address above.
date closed
/
/
.
amended return information.
Enter your 9-digit tax registration number and follow the
For additional information, call
instructions given. If you file by telephone, do not mail
Business Location Change
1-800-334-8969, and enter
us your return.
code 430.
or
Mailing Address Change
If you have no business activity and did not file by
telephone, check this box, sign and mail us your return.
Note: To change your address or close your business on our web site, go to then click on Contact Us.
I. State Business and Occupation (B&O) Tax
Insurance Agents; Insurance Brokers Commission
[14]
Gross Amount
Deductions*
Taxable Amount
Rate
Tax Due
X
,
,
,
,
,
,
,
.
.
.
.
-
=
1.
.00484
Manufacturing
[07]
Gross Amount
Deductions*
Taxable Amount
Rate
Tax Due
X
,
,
,
,
,
,
,
.
.
.
.
-
2.
=
.00484
Wholesaling
[03]
Gross Amount
Deductions*
Taxable Amount
Rate
Tax Due
X
,
,
,
,
,
,
,
.
.
.
.
-
3.
=
.00484
Service & Other Activities; Gambling Contests of Chance (less than $50,000 a year)
[04]
Gross Amount
Deductions*
Taxable Amount
Rate
Tax Due
X
,
,
,
,
,
,
,
.
.
.
.
-
4.
=
.015
Gambling Contests of Chance ($50,000 a year or greater)
[192]
Gross Amount
Deductions*
Taxable Amount
Rate
Tax Due
X
,
,
,
,
,
,
,
.
.
.
.
-
=
5.
.016
Retailing
[02]
Gross Amount
Deductions*
Taxable Amount
Rate
Tax Due
X
,
,
,
,
,
,
.
.
.
-
,
.
6.
=
.00471
*
Deductions taken but not itemized
(Note: Also complete State and Local Retail Sales Tax on page 2.
Gross amount for Retailing and Retail Sales Tax must be the same.)
on page 3 and 4 will be disallowed.
Sales and Use Tax (See page 2.)
DUE DATE: July 20, 2006
VI. Totals
*
5% Penalty Assessed After July 20, 2006
15% Penalty Assessed After August 31, 2006
Total Tax Due from Section I
27.
,
,
.
25% Penalty Assessed After October 2, 2006
(Tax due from lines 1-6)
If the due date falls on a weekend or legal holiday,
Total Tax Due from Section II,
the due date is extended to the next business day.
28.
,
,
.
III, & IV
(Tax due from line 19)
Mail Your Completed Return in the Envelope
Total All Addendums
29.
(Examples:
Provided to:
,
,
.
Lodging, Local Retail Sales/Use
State of Washington
Tax, etc.)
Department of Revenue
,
,
.
Subtotal
PO Box 34051
30.
(add lines 27-29)
Seattle, WA 98124-1051
Total Credit from Section V
31.
,
,
.
Make check or money order payable to the
(from page 2, line 26)
Washington State Department of Revenue.
Please write your tax registration number on
Subtotal
(subtract line 31
32.
,
,
.
your check.
from line 30)
Do not mail cash or coins.
Signature
* Add Penalty, if Applicable
33.
,
,
.
(Minimum $5.00)
%
(
)
Phone Number
Date
/
/
,
,
.
Total Amount Due
34.
Internet/Fax
(4-20-06)
Page
1
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