Retailing And Other Activities Return Form - Washington Department Of Revenue - 2013
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1
2
3
4January - December 2013
Retailing and Other Activities Return
A
13
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
Business Closed?
No Business Activity?
Has Your Address Changed?
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
1.
Manufacturing [07]
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
,
,
.
,
,
.
,
,
,
.
,
.
X
-
=
.00484
2.
Wholesaling [03]
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
,
,
.
,
,
.
,
,
.
,
.
X
-
=
.00484
3a.
Service & Other Activities and/or Gambling Contests of Chance (less than $50,000 a year) (Income from Jan - June only) [704]
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
,
,
.
,
,
.
,
,
.
,
.
X
-
=
.018
3b.
Service & Other Activities and/or Gambling Contests of Chance (less than $50,000 a year) (income from July - Dec only) [04]
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
,
,
.
,
,
.
,
,
.
,
.
X
-
=
.015
4a.
Gambling Contests of Chance ($50,000 a year or greater) (Income from Jan - June only) [792]
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
,
,
.
,
,
.
,
,
.
,
.
X
-
=
.0193
4b.
Gambling Contests of Chance ($50,000 a year or greater) (Income from July - Dec only) [192]
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
,
,
.
,
,
.
,
,
.
,
.
X
-
=
.0163
5.
Retailing [02]
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
,
,
.
,
,
.
,
,
.
,
.
X
-
=
.00471
*
Deductions taken but not itemized on pages 3 and 4 will be disallowed.
Sales and Use Tax (See page 2.)
4
VI. Totals
DUE DATE: January 31, 2014
* 5% Penalty Assessed After January 31, 2014
,
,
.
23. Total Tax Due from Section I
15% Penalty Assessed After February 28, 2014
(Tax due from lines 1-5)
25% Penalty Assessed After March 31, 2014
If the due date falls on a weekend or legal holiday,
,
,
.
24. Total Tax Due from Section II,
the due date is extended to the next business day.
III, & IV
(Tax due from line 16)
Filing an Amended Return?
25. Total All Addendums
,
(Example:
,
.
Local Retail Sales/Use Tax)
Check this box and attach amended return
information and a letter of explanation.
,
,
.
Penalty waiver request?
26. Subtotal
(add lines 23-25)
Check this box and attach a letter of explanation.
4
Make check or money order payable to the Washington
,
,
.
27. Total Credit from Section V
State Department of Revenue.
(from page 2, line 22)
Please write your tax registration number on your
4
check.
,
,
.
28. Subtotal
(subtract line 27
from line 26)
4
Signature
,
,
.
29. * Add Penalty,
if Applicable
4
Print Name
(Minimum $5.00)
%
4
Phone Number
(
)
/
/
Date
,
,
.
Total Amount Due
30.
Internet/Fax
(11-13-13)
Page
1
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