July-Aug-Sepr 1998 - Combined Excise Tax Return - 1998
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4State of Washington
Department of Revenue
Q3
JULY–AUG–SEPT 1998
PO Box 34054
Seattle, WA 98124-1054
98
COMBINED EXCISE TAX RETURN
NAME
REG NO.
FIRM NAME
STREET ADDRESS
CITY, STATE, ZIP
Please make any address changes above. Check if this change
If your business closed, indicate date:___/___/___
I STATE BUSINESS AND OCCUPATION TAX
is your
business location,
mailing address, or
both.
For additional information, see note 5 on page 2.
Line
Column I
Col. 2 Deductions*
Column 3
Col. 4
Column 5
Tax Classification
Code
No.
Gross Amount
Totals from Pg. 3 & 4
Taxable Amount
Rate
Tax Due
1
Extracting, Extracting for Hire
16
.00484
Slaughter, Break Proc, Perish Meat-Whlse, Mfg Wheat
2
30
.00138
into Flour, Raw Seafood, Soybean & Canola Proc
Travel Agent Com;
Intl Charter Freight Brokers and
3
28
.00275
Stevedoring
4
Insurance Agents/Insurance Brokers Commis
14
.00484
Manufacturing Fresh Fruits and Vegetables;
Splitting or
5
21
.00138
Proc Dried Peas
Processing for Hire/Printing and Publishing
.00484
6
10
7
Manufacturing
07
.00484
.00484
8
Royalties; Child Care
80
9
Wholesaling
03
.00484
Warehousing, Radio & TV Broadcasting, Public Road
10
11
.00484
Construction/Government Contracting
Public or Nonprofit Hospitals
.015
11
55
Cleanup of Radioactive Waste for US Gov’t;
.00471
12
83
Environmental Remedial Action
13
Service & Other Activities
04
.015
Retailing of Interstate Transportation Equip
.00484
14
19
15
Retailing
02
.00471
TOTAL B&O
* Deductions taken but not explained on pages 3 and 4 will be disallowed.
GROSS AMOUNTS FOR RETAILING AND
RETAIL SALES MUST BE THE SAME
II STATE SALES AND USE TAX
Retail Sales (also complete local tax section)
.065
16
01
Value of articles used by taxpayer as a consumer
Use Tax (also complete local tax section)
.065
17
05
on which no Washington sales tax has been paid
TOTAL STATE SALES & USE TAX
4 4
LOCAL CITY AND/OR COUNTY SALES AND USE TAX
ü
Please check (
) this box if you had no business activity.
4 4
Local Sales Tax (Enter applicable rate of tax)
Code 45
This return must be filed even if no tax is due.
4 4
Total Taxable Amount must be the same as line 16, column 3, Taxable Amount
Please make check or money order payable to the Washington State
Department of Revenue. Do not send cash or coins.
Line
No. Location Code
Taxable Amount
Rate
Tax Due City or Co.
4 4
18
Signature
19
4 4
(
)
Ph.
Date
20
5% Penalty Assessed After November 2, 1998
21
DUE DATE
10% Penalty Assessed After November 30, 1998
22
OCTOBER 31, 1998*
20% Penalty Assessed After December 31, 1998
TOTAL
LOCAL SALES TAX
*
If the due date falls on a weekend or legal holiday, the due date for the return
is extended to the next business day
.
Local Use Tax (Enter applicable rate of tax)
Code 46
Total Taxable Amount must be the same as line 17, column 1, Gross Amount
Line
Item
VII TOTALS
Line
No.
No. Location Code
Taxable Amount
Rate
Tax Due City or Co.
26
Total All Tax Due from page 1
23
27
Total All Tax Due from page 2
24
Rental Car Tax (attach Rental Car Tax Addendum)
28
25
29
Subtotal (add lines 26-28)
TOTAL
30
Credit (from page 2, section VI, total credit)
LOCAL USE TAX
Subtotal (subtract line 30 from line 29)
31
Tax Classification Code
Taxable Amount
Rate
Tax Due
«
Minimum
Penalty
(see note number 4 on page 2)
32
$5.00
Regional Transit
89
.004
Interest
Authority (RTA)
33
90
King Cnty Food/Bev
.005
Total Amount Owed (add lines 31 - 33)
¨
« If you qualify, attach penalty waiver request and check (ü) this box.
REV 40 2406 Q398 (07-27-98)
Page 1
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