Combined Excise Tax Return Form - Jan - Feb - Mar 2002 Page 3

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State of Washington
JAN – FEB – MAR 2002
Q1
Department of Revenue
PO Box 34054
DEDUCTION DETAIL
02
Seattle, WA 98124-1054
• Deductions taken on the Combined Excise Tax Return, but not itemized on this form will be disallowed.
• Report deductions under the heading that corresponds to your reporting activity.
• Transfer the total amount of each deduction from this form to the corresponding tax classification on your return in the deduction
column.
If Completing, Fill out Name, Registration Number and Attach to Combined Excise Tax Return.
4 Name
4 Registration No.
Line 1 - Extracting, Extracting for Hire
I.D.
Amount
Line 9 – Wholesaling
I.D.
Amount
Bad Debts
1601
Bad Debts
0301
Cash & Trade Discounts
1602
Cash & Trade Discounts
0302
Other (Explain):
1699
Interstate & Foreign Sales
0304
TOTAL
Motor Vehicle Fuel Tax
0305
Line 2 - Slaughter, Break Processing…
I.D.
Amount
Casual Sales; Accommodation Sales
0306
Advances Reimbursements; Rtrns & Allowances
0307
Bad Debts
3001
No Local Activity
0308
Cash & Trade Discounts
3002
Other (Explain):
0399
Other (Explain):
3099
TOTAL
TOTAL
Line 10 – Warehousing; Radio & TV…
I.D.
Amount
Line 3 - Travel Agent Com; Intl Charter…
I.D.
Amount
Bad Debts
1101
Bad Debts
2801
Cash & Trade Discounts
1102
Cash & Trade Discounts
2802
Interstate & Foreign Sales
1104
Other (Explain):
2899
Advances Reimbursements; Rtrns & Allowances
1107
TOTAL
Radio/TV Advertising
1109
Line 4 - Insurance Agents; Insurance…
I.D.
Amount
Other (Explain):
1199
Bad Debts
1401
TOTAL
Other (Explain):
1499
Line 11 - Public or Nonprofit Hospitals
I.D.
Amount
TOTAL
Bad Debts
5501
Line 5 - Manufacturing Fresh Fruits and…
I.D.
Amount
Cash & Trade Discounts
5502
Advances Reimbursements; Rtrns & Allowances
5507
Bad Debts
2101
Other (Explain):
5599
Cash & Trade Discounts
2102
TOTAL
Freight
2103
Line 12 - Cleanup of Radioactive Waste…
I.D.
Amount
Interstate & Foreign Sales (Use for Prescription
2104
Drug Warehousing only)
Bad Debts
8301
Advances Reimbursements; Rtrns & Allowances 2107
Cash & Trade Discounts
8302
Other (Explain):
2199
Interstate & Foreign Sales
8304
TOTAL
Advances Reimbursements; Rtrns & Allowances
8307
Line 6 - Processing for Hire; Printing and… I.D.
Amount
Other (Explain):
8399
TOTAL
Bad Debts
1001
Line 13 - Service & Other Activities
I.D.
Amount
Cash & Trade Discounts
1002
Bad Debts
0401
Freight
1003
Cash & Trade Discounts
0402
Advances Reimbursements; Rtrns & Allowances 1007
Interstate & Foreign Sales
0404
Other (Explain):
1099
Advances Reimbursements; Rtrns & Allowances
0407
TOTAL
Gambling; Prize; Cash Pay-Outs
0410
Line 7 – Manufacturing
I.D.
Amount
Certain Initiation Fees; Dues; Contributions
0411
Bad Debts
0701
Interest on Certain Invest/Loan/Obligations
0412
Cash & Trade Discounts
0702
Artistic/Cultural Activities
0416
Freight
0703
Other (Explain):
0499
Advances Reimbursements; Rtrns & Allowances 0707
TOTAL
Other (Explain):
0799
Line 14 - Retailing of Interstate Transport...
I.D.
Amount
TOTAL
Bad Debts
1901
Line 8 - Royalties; Child Care
I.D.
Amount
Cash & Trade Discounts
1902
Bad Debts
8001
Interstate & Foreign Sales
1904
Cash & Trade Discounts
8002
Advances Reimbursements; Rtrns & Allowances
1907
Advances Reimbursements; Rtrns & Allowances 8007
Consignment Sales
1915
Other (Explain):
8099
Other (Explain):
1999
TOTAL
TOTAL
REV 40 2406 Q1/02 (2-06-02)
3

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