Retailing And Other Activities Return Form - Washington Department Of Revenue - 2010
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1
2
3
4April - May - June 2010
Mail to:
State of Washington
Q
2 10
Department of Revenue
Retailing and Other Activities Return
PO Box 34051
Seattle, WA 98124-1051
Tax Registration Number
Use Black Ink &
4
Name
Return Original Form.
Business Name
Street Address
City, State, Zip
Filing an Amended Return?
Has Your Address Changed?
Business Closed?
If so, check appropriate box(es) below and note changes on address above.
Check this box and attach amended return
Check this box and enter date closed.
information and a letter of explanation.
Business Location Change
Mailing Address Change
Other Correspondence?
I. State Business and Occupation (B&O) Tax
Manufacturing [07]
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
,
,
.
,
,
.
,
,
,
.
,
.
.
.
X
-
=
1.
.00484
Wholesaling [03]
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
,
,
.
,
,
.
,
,
.
,
.
X
-
=
2.
.00484
Service & Other Activities and/or Gambling Contests of Chance (less than $50,000 a year) [04] (April income only)
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
,
,
.
,
,
.
,
,
.
,
.
X
-
=
3.
.015
Service & Other Activities and/or Gambling Contests of Chance (less than $50,000 a year) [504] (May & June income only)
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
,
,
.
,
,
.
,
,
.
,
.
X
-
=
4.
.018
Gambling Contests of Chance ($50,000 a year or greater) [192] (April income only)
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
,
,
.
,
,
.
,
,
.
,
.
X
-
=
5.
.0163
Gambling Contests of Chance ($50,000 a year or greater) [592] (May & June income only)
Gross Amount
Deductions*
Taxable Amount
Rate
Tax Due
,
,
.
,
,
.
,
,
.
,
.
X
-
=
6.
.0193
Retailing [02]
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
,
,
.
,
,
.
,
,
.
,
.
X
-
=
7.
.00471
*
Deductions taken but not itemized on pages 3 and 4 will be disallowed.
Sales and Use Tax (See page 2.)
4
DUE DATE: July 31, 2010
VI. Totals
* 5% Penalty Assessed After August 02, 2010
,
,
.
28. Total Tax Due from Section I
15% Penalty Assessed After August 31, 2010
(Tax due from lines 1-7)
25% Penalty Assessed After September 30, 2010
If the due date falls on a weekend or legal holiday,
,
,
.
29. Total Tax Due from Section II,
the due date is extended to the next business day.
III, & IV
(Tax due from line 19)
No Business Activity?
30. Total All Addendums
,
(Example:
,
.
File by telephone: Call 1-800-647-7706.
Lodging, Local Retail Sales/Use
At the greeting, enter code 111 to start the process. Enter your 9-digit
Tax, etc)
tax registration number and follow the instructions given. If you file by
,
,
.
31. Subtotal
telephone, do not mail us your return; or
(add lines 28-30)
If you have no business activity and did not file by telephone, check this
,
,
.
32. Total Credit from Section V
box, sign and mail us your return.
(from page 2, line 27)
4
Make check or money order payable to the Washington State Department
of Revenue. Include your tax registration number on your check.
,
,
.
33. Subtotal
(subtract line 32
from line 31)
4
Signature
,
,
.
34. * Add Penalty, if Applicable
4
Print Name
(Minimum $5.00)
%
(
)
/
/
4
Phone Number
Date
,
,
.
Total Amount Due
35.
Fax/Internet
(5-5-10)
Page
1
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