Retailing & Other Activities Return Form - Department Of Revenue Of Washington State - 2006 Page 6

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Local Use Tax/Deferred Sales Tax Addendum
(Use this form if space on your tax return is not sufficient.)
Period
[46]
Year
Use Black Ink and Attach This Original Addendum to Your Return
Name:
Tax Registration Number
Report Local Retail Sales
Tax on page 1
Local Use Tax/Deferred Sales Tax [46]
Location Code
Value of Articles
Local Rate
Tax Due City or County
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1.
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18.
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=
Total Value
Total Tax Due
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(Add totals from lines 1-18)
of Articles
(The sum of the Value of Articles from all location codes must equal
Add all Addendum totals and transfer
the amount to the Total All Addendum
gross amount from Use Tax/Deferred Sales Tax on your return.)
line on your tax return.
For tax assistance visit or call 1-800-647-7706. To inquire about the availability of this document in an alternate format for the
visually impaired, please call (360) 705-6715. Teletype (TTY) users may call 1-800-451-7985.
Internet/Fax
(3-10-05)
(3-10-05)
Page
2

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