Form A99 - Simplified Combined Excise Tax Return - 1999 Page 2
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4 4 Step 6 - Calculate Total Amount of Credit
Line
Credit
Amount
Credit Classification
I.D.
No.
• Enter credits taken on lines 21-24.
21
Multiple Activities Tax Credit (attach Schedule C)
800
.00
• On line 25, enter total of any other
Manufacturing Software/Programming Rural Employment B&O Tax
22
860
.00
(effective 8/1/99)
Credit
credits taken and not listed. These
include High Tech credit, Ride Share
23
Help Desk Services B&O Tax Credit (effective 8/1/99)
865
.00
credit, Bad Debt credit or any other
credit. Be sure to attach appropriate
24
Small Business B&O Tax Credit (see table enclosed)
815
.00
documents for each credit taken.
25
Other Credits (attach appropriate documents)
810
.00
26
Total Credit (add lines 21-25 and transfer to line 28 below)
.00
4 4 Step 7 – Itemize Deduction Amounts Taken in Steps 1 and 2
• Enter the amount of deduction taken for each tax classification.
• Deductions taken in Steps 1 and 2, column 2, but not itemized below, will be disallowed. Report deductions under the heading that corresponds to
your reporting activity.
• Transfer the total amount of deductions taken under each classification below to the corresponding line number on page 1, Steps 1 and/or 2,
column 2, of your return.
Line 1-Manufacturing
I.D.
Amount
Line 3-Service & Other
I.D.
Amount
Line 6-Retail Sales Tax
I.D.
Amount
.00
.00
.00
Bad Debts
0701
Bad Debts
0401
Bad Debts
0101
.00
.00
Cash & Trade Discounts
0702
Cash & Trade Discounts
0402
Cash & Trade Discounts
0102
.00
.00
.00
Freight
0703
Interstate & Foreign Sales
0404
.00
Interstate & Foreign Sales
0104
Advances Reimbursements
Advances Reimbursements
.00
.00
0707
.00
0407
Tax in Gross
0114
Returns & Allowances
Returns & Allowances
Gambling/Prize/Cash Pay-
.00
.00
Other (Explain):
0799
0410
Sales to U.S. Government
0118
.00
Outs
Certain Initiation
.00
0411
Motor Vehicle Fuel Sales
0119
.00
Fees/Dues/Contributions
Interest on Certain
Presc. Drugs/Hearing Aids/
.00
0412
0121
.00
Invest/Loan/Obligations
Lenses/etc
.00
.00
Artistic/Cultural Activities
0416
Exempt Food Sales
0122
.00
.00
Qualified Nonresident Sales
Other (Explain):
0499
0123
.00
TOTAL
TOTAL
.00
0124
.00
Trade-in Allowance
.00
Line 2-Wholesaling
I.D.
Amount
Line 4-Retailing (B&O)
I.D.
Amount
Newspapers
0125
Certain Network Telephone
.00
Bad Debts
0301
Bad Debts
0201
0126
.00
.00
Services
Sales to Indians With Delivery
.00
.00
.00
Cash & Trade Discounts
0302
Cash & Trade Discounts
0202
0128
on the Reservation
Interstate & Foreign Sales
.00
0304
Interstate & Foreign Sales
0204
0129
.00
Sales of Feed to Fish Farmers
.00
Taxable Amount for Tax Paid
.00
Motor Vehicle Fuel Tax
0305
Motor Vehicle Fuel Tax
0205
0130
.00
.00
at Source
Casual Sales/
Advances Reimbursements
.00
0306
0207
Returns & Allowances
0131
.00
.00
Accommodation Sales
Returns & Allowances
Advances Reimbursements
Sales to Nonprofit Artistic/
.00
0307
.00
No local Activity
0208
0132
.00
Returns & Allowances
Cultural Art Object for Displays
Casual Sales/
.00
.00
.00
No local Activity
0308
0213
Ride-Sharing Vans
0134
Accommodation Sales
Purebred Livestock for
.00
Other (Explain):
0399
Tax in Gross
0214
0135
.00
.00
Breeding
Tax Deferral/Investment
.00
Consignment Sales
0215
0136
.00
Certificate No.
Sale of Mfg Machinery/
.00
Artistic/Cultural Activities
0216
0156
.00
Equipment; Install Labor
Presc. Drugs Sold by Pub.
.00
Other (Explain):
0199
.00
0217
Operated/Nonprofit Hosp.
Other (Explain):
0299
.00
TOTAL
TOTAL
TOTAL
.00
.00
.00
4 Step 8 -
Calculate Amount Owed, Sign and Date
JANUARY 2000
DUE DATE: JANUARY 31, 2000
S
M
T
W
T
F
S
Line
Item
Amount
v v
No.
5% Penalty is Due After January 31, 2000
1
2
3
4
5
6
7
8
Total All Tax Due from page 1
31
10% Penalty is Due After February 29, 2000
27
.00
(add lines 5, 13, 17, and 20)
9
10
11
12
13
14
15
20% Penalty is Due After March 31, 2000
16
17
18
19
20
21
22
28
Credit (from Step 6, line 26, Total Credit)
.00
If the due date falls on a weekend or legal
23
24
25
26
27
28
29
29
Subtotal (subtract line 28 from line 27)
.00
holiday, the due date for the return is
30
31
extended to the next business day.
Penalty v (minimum $5.00)
30
.00
4 4
Signature
TOTAL AMOUNT OWED (add lines 29-30)
31
.00
4 4
(
)
Date
Ph.
To inquire about the availability of this form in an alternate format for the
4 Step 9 – R
eturn to Page 1, Bottom Right, and
visually impaired or a language other than English, please call (360) 753-3217.
Enter Total Amount Remitted.
Teletype (TTY) users may call (800) 451-7985.
This Form is Printed on Recycled Paper
REV 40 2406 A99SimpCETR (11-3-99)
Page 2
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