Combined Excise Tax Return Form - September 2001 Page 3
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5State of Washington
SEPTEMBER 2001
09
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
1601
Bad Debts
0301
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
TOTAL
Line 10 – Warehousing; Radio & TV…
I.D.
Amount
Line 3 - Travel Agent Com; Intl Charter…
I.D.
Amount
Bad Debts
1101
Bad Debts
2801
Cash & Trade Discounts
1102
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.
Other (Explain):
1499
Bad Debts
5501
TOTAL
Cash & Trade Discounts
5502
Line 5 - Manufacturing Fresh Fruits and…
I.D.
Amount
Advances Reimbursements; Rtrns & Allowances
5507
Bad Debts
2101
Other (Explain):
5599
Cash & Trade Discounts
2102
TOTAL
Freight
2103
Line 12 - Cleanup of Radioactive Waste…
Amount
I.D.
Interstate & Foreign Sales (Use for Prescription
Bad Debts
8301
2104
Drug Warehousing only)
Cash & Trade Discounts
8302
Advances Reimbursements; Rtrns & Allowances
2107
Interstate & Foreign Sales
8304
Other (Explain):
2199
Advances Reimbursements; Rtrns & Allowances
8307
TOTAL
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
Certain Initiation Fees; Dues; Contributions
0411
Line 7 – Manufacturing
I.D.
Amount
Interest on Certain Invest/Loan/Obligations
0412
Bad Debts
0701
Artistic/Cultural Activities
0416
Cash & Trade Discounts
0702
Other (Explain):
0499
Freight
0703
TOTAL
Advances Reimbursements; Rtrns & Allowances
0707
Line 14 - Retailing of Interstate Transport...
I.D.
Amount
Other (Explain):
0799
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 SEPT/01 (8-10-01)
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