Business Tax Return Form

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City Of Bremerton
Tax & License Division
345 Sixth Street, Ste. 600
Bremerton, WA 98337-1873
Questions?
(360) 478-5311
360-473-5298
Account/License No.
BUSINESS TAX RETURN
Period
Due Date
BE SURE NAME & ADDRESS ARE CORRECT.
Column 1
Column 2
Column 3
Column 4
Column 5
Column 6
Column 7
Business Classification
Penalty
Gross Receipts Amount
Deductions
Exemption
Taxable Amount
Tax Rate
TAX DUE
Code
(show detail below)
(see Note*)
(Col. 2 - Col. 3 - Col. 4))
(Col. 5 x Col. 6)
Retail
1
$
$
$
$
-
0.00125 $
-
Wholesale
1
$
$
$
$
-
0.00160 $
-
Service
1
$
$
$
$
-
0.00200 $
-
Amusement Device/Games
2
$
$
$
$
-
0.02000 $
-
Punchboard/Pulltab (non-profit)
2
$
$
$
$
-
0.10000 $
-
Punchboard/Pulltab (profit)
2
$
$
$
$
-
0.04000 $
-
Card Rooms (Player Backed)
2
$
$
$
$
-
0.20000 $
-
Card Rooms (House Backed)
2
$
$
$
$
-
0.02000 $
-
Admissions/Theatre
2
$
$
$
$
-
0.04000 $
-
Admissions/Other
2
$
$
$
$
-
0.05000 $
-
Bingo/Raffles
2
$
$
$
$
-
0.05000 $
-
Other Gambling
2
$
$
$
$
-
0.10000 $
-
Parking Lot
3
$
$
$
$
-
0.10000 $
-
Garbage Utility
4
$
$
$
$
-
0.09500 $
-
Cable Utility
4
$
$
$
$
-
0.07000 $
-
Telephone/Gas/Electric Utility
4
$
$
$
$
-
0.06000 $
-
$
-
Total of Column 7
$
Type of Deduction
Explanation
Amount
Penalty (See Back)
$
-
$
Total Tax and Penalty
$
$
Credits/Balance Forward
Total Due
$
-
$
Unexplained Deductions will not be allowed.
$
*Note: Exemption for Retail, Wholesale, Service combined may not exceed $60,000 annually.
**Tax form and supplemental forms are available at
If your business has been closed or sold, please complete the following:
The undersigned taxpayer hereby declares that he/she has read
this tax return and certifies it to be correct:
ALL FIELDS ARE REQUIRED.
Date Closed or Sold:
Print Name
New Owner : ________________________________________________Signed:
New Address: _______________________________________________ Title:
Phone: _____________________________________________________Phone:

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