Form A-10 - Business & Occupation Activities Return - 2010 Page 3
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5January - December 2010
Mail to:
State of Washington
Business & Occupation Activities
Department of Revenue
A
10
Deduction Detail
PO Box 34051
Seattle, WA 98124-1051
Use Black Ink and Attach this Original Form to your Business & Occupation Activities Return.
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• If you have deductions, return this page. If you do not have deductions, do not return this page.
• We cannot approve deductions taken on the Business & Occupation Activities Return that are not itemized on this page.
• Report deductions under the heading that corresponds to your reporting activity.
• Transfer the total deduction amount for each classification from this page to the corresponding line on page 1 of your tax
return.
If completing, fill out name, tax registration number and attach to your Business & Occupation Activities Return.
Name:
Tax Registration Number
1. Travel Agent Comm/Tour Operator; Intl Charter Freight
4. Wholesaling
Brokers; Stevedoring; Licensed Boarding Homes
I.D.
Amount
I.D.
Amount
,
,
,
.
,
.
Bad Debts
[2801]
Bad Debts
[0301]
,
,
,
,
.
.
Cash & Trade Discounts
[0302]
Cash & Trade Discounts
[2802]
,
,
.
,
,
.
Interstate & Foreign Sales
[0304]
Other (Explain below):
[2899]
,
,
.
,
,
.
Motor Vehicle Fuel Tax
[0305]
Total
,
,
.
Casual Sales;
[0306]
Accommodation Sales
2. Insurance Producers; Title Insurance Agents; Surplus
Line Broker Commissions
,
,
.
Advances Reimburse-
[0307]
ments; Rtns & Allowances
I.D.
Amount
,
,
.
Bad Debts
[1401]
,
,
.
No Local Activity
[0308]
,
,
.
Other (Explain below):
[1499]
,
,
.
Other (Explain below):
[0399]
,
,
.
Total
,
,
.
Total
5. For Profit Hospitals; Scientific R&D (May - Dec income only)
3. Royalties; Child Care
I.D.
Amount
I.D.
Amount
,
,
,
.
,
.
Bad Debts
[8001]
Bad Debts
[13501]
,
,
.
,
,
.
Cash & Trade Discounts
[13502]
Cash & Trade Discounts
[8002]
Interstate & Foreign Sales
,
,
.
,
,
.
[13504]
Advances Reimburse-
(Apportionment)
ments; Rtns & Allowances [8007]
,
,
.
Advances Reimburse-
[13507]
,
,
.
ments; Rtns & Allowances
Other (Explain below):
[8099]
,
,
.
Qualified Initiation Fees;
Dues; Contributions Rec’d [13511]
,
,
.
Total
,
,
.
Artistic/Cultural Activities
[13516]
,
,
.
Other (Explain below):
[13599]
Note: If you have deductions, please include your
,
,
.
deduction detail page with your return.
Total
Internet/Fax
(10-22-10)
3
Page
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