Form A-11 - Business & Occupation Activities Return - 2011 Page 2
ADVERTISEMENT
1
2
3
4
5II. State and Local Use Tax
State Use Tax/Deferred Sales Tax [05] (Also complete Local Use Tax/Deferred Sales Tax below.)
Gross Amount **
Tax Due
Rate
**
Value of articles used or consumed
,
,
,
.
.
=
X
.065
7.
on which no Washington sales tax
has been paid.
Local Use Tax/Deferred Sales Tax [46]
(Note: If more than two locations, please report all information on the Local Sales and Use Tax
Addendum. If you need an addendum, go to our web site at dor.wa.gov.)
Location Code
Local Rate
Tax Due City or County
Value of Articles
,
.
,
,
.
.
8.
X
=
Enter applicable
tax rate
Location Code
Local Rate
Tax Due City or County
Value of Articles
.
,
,
.
,
.
9.
=
X
Enter applicable
Value of Articles ***
tax rate
,
,
.
10.
Total Value of Articles
***
This amount must be the same as State Use Tax/
Deferred Sales Tax Gross Amount, line 7.
Taxable Amount
Rate
Tax Due
.
.
,
,
,
[36]
11.
Litter Tax
=
X
.00015
Tax Due
Additional Information
,
12. Total Tax Due from Section II
,
.
(Transfer total to page 1, line 19.)
Penalties and Interest
• Any unpaid tax (including partial payments) is
III. Credits
subject to delinquent return penalty at the rate on
the front of the return. (RCW 82.32.090)
Amount of Credit
• A 5% assessment penalty may be assessed if the
13. Small Business B&O
.
,
,
[815]
return is substantially underpaid. (RCW 82.32.090)
Tax Credit
• Interest will accrue from the first day of the month
following the due date, until paid. (RCW 82.32.050)
Amount of Credit
.
14. International Services
,
,
[855]
Credit
Need help? Unsure how to file?
Amount of Credit
For Internet Assistance - Go to the Department of
,
.
,
15. B&O Credit for Syrup
[945]
Revenue’s web site at dor.wa.gov.
Tax Paid
Get instructions for completing the Business &
Amount of Credit
16. Other Credits
(Attach
Occupation Activities Return, Local Sales and Use
,
.
,
[810]
appropriate documents.)
Tax Addendum, and other tax related forms.
Amount of Credit
For Telephone Assistance, or if this return does not
17. Total Credit
(Transfer total to
.
,
,
include your reporting classifications, please call the
page 1, line 22.)
Telephone Information Center at 1-800-647-7706.
Applying for a Penalty Waiver?
Check this box and attach a waiver request.
For penalty waiver criteria information, go to dor.wa.gov, or you may call 1-800-334-8969 and enter code 429.
Want an easier way to file?
Go to dor.wa.gov. Register for E-file and you can file your return quickly and easily. For assistance, call 1-877-345-3353.
For tax assistance or to request this document in an alternate format, visit or call 1-800-647-7706. Teletype (TTY) users may call
(360) 705-6718.
Internet/Fax
(10-25-11)
Page
2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial