Form A-13 - Business & Occupation Activities Return - 2013
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5January - December 2013
A
13
Business & Occupation Activities Return
Mail to:
State of Washington
Department of Revenue
PO Box 47464
Tax Registration Number
Olympia, WA 98504-7464
Name
Business Name
Use Black Ink &
4
Street Address
Return Original Form.
City, State, Zip
No Business Activity?
Has Your Address Changed?
Business Closed?
Please check appropriate box(es) below and note changes on address above.
Check this box and enter date closed.
If you had no business activity and did not file by
telephone, check this box, sign and mail us your return.
Effective date of change
File by telephone: Call 1-800-647-7706. At the greeting,
Business Location Change
Mailing Address Change
enter code 111 to start the process.
Other Correspondence?
I. State Business and Occupation (B&O) Tax
Travel Agent Comm/Tour Operator; Intl Charter Freight Brokers; Stevedoring; Assisted Living Facilities [28]
1.
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
.
,
,
,
,
.
,
.
,
.
,
X
-
=
.00275
Insurance Producers; Title Insurance Agents; Surplus Line Broker Commissions [14]
2.
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
.
,
.
.
,
.
,
,
,
,
,
X
-
=
.00484
3.
Royalties; Child Care [80]
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
.
.
,
,
.
,
.
,
,
,
,
X
-
=
.00484
4.
Wholesaling [03]
Gross Amount
Deductions*
Taxable Amount
Rate
Tax Due
.
,
.
,
,
,
,
.
,
,
.
X
-
=
.00484
5.
For Profit Hospitals; Scientific R&D [135]
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
.
,
.
,
.
,
,
,
.
,
,
X
-
=
.015
6a.
Service & Other Activities (Income from Jan - June only) [704]
Gross Amount
Deductions*
Taxable Amount
Rate
Tax Due
.
,
.
,
.
,
,
,
.
,
,
X
-
=
.018
6b.
Service & Other Activities (Income from July - Dec only) [04]
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
.
,
.
,
.
,
,
,
.
,
,
X
-
=
.015
*
Deductions taken but not itemized on pages 3 & 4 will be disallowed.
State and Local Use Tax/Deferred Sales Tax (See page 2.)
4
IV. Totals
DUE DATE: January 31, 2014
,
* 5% Penalty Assessed After January 31, 2014
,
.
18. Total Tax Due from Section I
15% Penalty Assessed After February 28, 2014
(Tax due from lines 1-6b)
25% Penalty Assessed After March 31, 2014
,
,
.
19. Total Tax Due from Section II
If the due date falls on a weekend or legal holiday,
(Tax due from line 12)
the due date is extended to the next business day.
20. Total All Addendums
,
,
(Example:
.
Filing an Amended Return?
Local Sales/Use Tax)
Check this box and attach amended return
information and a letter of explanation.
,
,
.
21. Subtotal
(add lines 18-20)
Penalty waiver request?
Check this box and attach a letter of explanation.
,
,
.
22. Total Credit from Section III
4
Make check or money order payable to the Washington State Department
(from page 2, line 17)
of Revenue.
,
4
Please write your tax registration number on your check.
,
.
23. Subtotal
(subtract line 22
from line 21)
4
Signature
,
,
.
24. * Add Penalty,
if Applicable
4
Print Name
(Minimum $5.00)
%
(
)
/
/
4
Phone Number
Date
,
,
.
Total Amount Due
25.
Internet/Fax
(11-13-13)
Page
1
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