III LODGING TAXES
[47]
TRANSIENT RENTAL INCOME INFORMATION -
ENTER LOCATION CODE AND INCOME ONLY
Line
4-Digit
4-Digit
4-Digit
Income
Income
Income
No.
Location Code
Location Code
Location Code
44
45
[48]
CONVENTION AND TRADE CENTER TAX
[70]
SPECIAL HOTEL/MOTEL TAX
Line
4-Digit
Line
4-Digit
Taxable Amount
Rate
Tax Due
Taxable Amount
Rate
Tax Due
No.
No.
Location Code
Location Code
46
50
47
51
48
52
49
TOTAL TAX DUE lines 46-48
53
TOTAL TAX DUE lines 50-52
IV STATE PUBLIC UTILITY TAX
Column I
Column 2
Column 3**
Col. 4
Column 5
Line
Tax Classification
Code
Gross Amount
Deductions* Totals
Taxable Amount
Rate
Tax Due
No.
from Pg. 4
54
Water Distribution
60
.05029
55
Sewer Collection
61
.03852
56
Express
09
.03852
57
Power
49
.03873
58
Gas Distribution, Telegraph
26
.03852
59
Motor Transportation, Railroad, Railroad Car
08
.01926
60
Urban Transportation/Vessels Under 65 ft
12
.00642
61
Other Public Service Business
13
.01926
** If taxable amounts on lines 54-61 column 3 total less than $2,000 a
month, $6,000 a quarter, or $24,000 a year, no Public Utility Tax is due.
V OTHER TAXES
Column I
Column 2
Column 3
Col. 4
Column 5
Line
Tax Classification
Code
Gross Amount
Deductions* Totals
Taxable Amount
Rate
Tax Due
No.
from Pg. 4
62
Tobacco Products
20
.7490
63
Refuse Collection
64
.036
64
Petroleum Tax
57
Temporarily Not Due - Fund Limit Reached
.005
65
Hazardous Substance
65
.007
66
Litter Tax - Annual Assessment***
36
.00015
*
DEDUCTIONS TAKEN BUT NOT EXPLAINED ON PAGE 4 WILL BE DISALLOWED.
***
Litter Tax is due on December, Quarter 4 or Annual Combined Excise Tax Return or on last return when closing business.
Line
Tax Classification
Code
Quantity Sold
Rate
Tax Due
No.
67
Solid Fuel Burning Device Fee
59
No. of Stoves:
$30.00
68
Syrup Tax
54
No. of Gallons:
$1.00
NOTE:
TOTAL Page 2
69
1. If you do not have deductions, do not return pages 3 and 4.
Lines 49, 53, & 54-68
Transfer to page 1, line 36
2. If you have deductions, complete and return pages 3 and 4.
3. LOCAL CITY AND/OR COUNTY SALES AND USE TAX. For your
convenience, a copy of the Local City and/or County Sales and Use
Tax form was provided in the “Guide to Completing the Washington
[82]
VI CREDITS
State Combined Excise Tax Return. ” You may make copies of this
form and mail them with your Combined Excise Tax Return if more
Line
Credit
space is required.
Credit Classification
Amount
I.D.
No.
If more space is required, please attach additional local tax
70
Multiple Activities Tax Credit (attach Schedule C) 800
information in the same format.
High Technology Credit
4. For more information about the penalty waiver criteria, please call
830
71
(attach Research & Development Credit Affidavit)
Tax Express at (800) 334-8969, enter code 429.
Ride Share Credit for B&O Tax
72
820
5. To receive a Small Business Credit table by mail, please call
(attach Ride Share Credit Reporting Schedule)
(800) 647-7706 and request a table for your reporting frequency:
Small Business B&O
monthly, quarterly or annual. If you wish to receive the table by fax,
(To receive a Small Business
73
815
Credit table see note number 5.)
choose the Fast Fax option at the above number. The individual
Tax Credit
codes are as follows: Annual - 400035#, Quarterly - 410056# and
Ride Share Credit for Public Utility Tax
825
74
Monthly - 410057#.
(attach Ride Share Credit Reporting Schedule)
6. To inquire about the availability of this form in an alternate format for
75
Bad Debt Tax Credit (attach Schedule B)
801
the visually impaired or a language other than English, please call
(360) 753-3217. Teletype (TTY) users may call (800) 451-7985.
76
Hazardous Substance
805
Need Help? If you need further information, please refer to your
77
Other Credits (attach appropriate documents)
810
instruction pamphlet, Guide To Completing The Washington State
Combined Excise Tax Return”, or call the Department of Revenue office
78
TOTAL (Transfer to page 1, line 39)
nearest you, or our toll-free number (800) 647-7706. You may also
access our Internet home page at
REV 40 2406 MULTI-JUNE97 (06-30-97)
Page 2
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