State Of Washington Combined Excise Tax Return - 2003 Page 2
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1
2
3
4
5IV
LODGING TAXES
TRANSIENT RENTAL INCOME INFORMATION
(enter location code and income only)
Code 47
Line
Location Code
Income
Location Code
Income
Location Code
Income
No.
37
38
CONVENTION AND TRADE CENTER TAX
SPECIAL HOTEL/MOTEL TAX
Code 48
Code 70
Line
Line
Location Code
Taxable Amount
Rate
Tax Due
Location Code
Taxable Amount
Rate
Tax Due
No.
No.
39
42
40
43
41
44
TOTAL CONVENTION & TRADE CENTER TAX
TOTAL SPECIAL HOTEL/MOTEL TAX
V
STATE PUBLIC UTILITY TAX
Line
Column I
Col. 2 Deductions*
Column 3**
Col. 4
Column 5
Tax Classification
Code
No.
Gross Amount
Totals from Pg. 4
Taxable Amount
Rate
Tax Due
45
Water Distribution
60
.05029
46
Sewer Collection
61
.03852
47
Power
49
.03873
48
Gas Distribution; Telegraph
26
.03852
Motor Transportation; Railroad; Railroad Car
49
08
.01926
Urban Transportation; Vessels Under 65 ft
50
12
.00642
51
Other Public Service Business
13
.01926
** If taxable amounts on lines 45-51 column 3 total less than $2,000, no Public Utility Tax is due.
TOTAL STATE PUBLIC UTILITY TAX
VI
OTHER TAXES
Line
Column I
Col. 2 Deductions*
Column 3
Col. 4
Column 5
Tax Classification
Code
No.
Gross Amount
Totals from Pg. 4
Taxable Amount
Rate
Tax Due
52
Tobacco Products
20
1.2942
53
Refuse Collection
64
.036
54
57
Temporarily Not Due - Fund Limit Reached
Petroleum Tax
.005
55
Hazardous Substance
65
.007
Intermediate Care Facilities for the
56
79
.06
Mentally Retarded (IMR)
* Deductions taken but not itemized on page 4 will be disallowed.
Line
Tax Classification
Code
Item
Quantity Sold
Rate
Tax Due
No.
Number of Stoves, Fireplaces, & Solid
$30.00
57
59
Solid Fuel Burning Device Fee
Fuel Burning Devices:
Number of Gallons
$1.00
58
54
Syrup Tax
(whole numbers only):
Number of Taxable Switched
.20
59
93
State Enhanced 911 Tax
Access Lines:
Number of Taxable Radio
.20
59b
94
(Wireless) State Enhanced 911 Tax
Access Lines (Wireless):
TOTAL OTHER TAXES
PLEASE NOTE:
If you do not have deductions, do not return pages 3 and 4.
(Add lines 52-59b)
If you have deductions, complete and return pages 3 and 4.
VII
CREDITS
Line
Credit
NEED HELP?
Credit Classification
Amount
No.
I.D.
Internet Assistance – Go to DOR’s home page at
60
800
•
Click on FORMS to access forms including the Local City and/or
Multiple Activities Tax Credit (attach Schedule C)
County Sales and Use Tax Supplement, and other tax-related forms.
High Technology Credit
61
830
•
Under Tax Topics, click on BUSINESS for answers to frequently
(attach Research & Development Credit Affidavit)
asked questions and business closure information, and the
Manufacturing Software; Programming Rural Employment
Filing Your Tax Return link provides penalty waiver
62
860
B&O Credit
information. Under PUBLICATIONS, the Business Tax Guide
link provides tax return information and instructions.
63
865
Help Desk Services B&O Credit
•
To update your account information or to close your account with
64
Alternatives to Field Burning B&O Credit
875
the Department of Revenue, click on DOR SERVICES, then
Business Account Closure/Update.
65
855
International Services Credit
Telephone Assistance
66
815
Small Business B&O Tax Credit (see table enclosed)
•
Call the Department of Revenue office nearest you or (800) 647-7706.
Electric Utility Rural Economic Development Revolving Fund
•
To file a No Business Activity return by telephone, call (800) 647-7706.
67
870
Public Utility Tax Credit
Enter code 111 and follow these steps: 1) Enter your 9-digit tax
registration number; 2) Verify the number entered; 3) Enter 3;
68
801
Bad Debt Tax Credit (attach Schedule B)
4) Respond to pre-recorded questions to file your return over the
telephone. Do not mail paper return back to the department.
69
Hazardous Substance
805
•
For penalty waiver criteria information, call (800) 334-8969 and
Public Utility Tax Credit for Billing Discounts/Qualified Contributions
enter code 429.
70
880
to a Low Income Home Energy Assistance Fund
•
For business closure information, call (800) 334-8969 and
enter code 430.
71
810
Other Credits (attach appropriate documents)
To inquire about the availability of this document in an alternate
TOTAL CREDIT (transfer to page 1, line 33)
format for the visually impaired, please call (360) 486-2342.
Teletype (TTY) users may call (800) 451-7985.
402406010302
(12-10-02)
2
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