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Retailing And Other Activities Return Form - Washington Department Of Revenue - 2010 Page 4

5. Gambling Contests of Chance

8. State Retail Sales Tax

($50,000 a year or greater) (April income only)

I.D.

Amount

I.D.

Amount

Gambling; Prize; Cash

[19210]

Pay-Outs

Bad Debts

[0101]

Other (Explain below):

[19299]

Cash & Trade Discounts

[0102]

Total

Interstate & Foreign Sales

[0104]

6. Gambling Contests of Chance

Tax in Gross

[0114]

($50,000 a year or greater) (May & June income only)

I.D.

Amount

Gambling; Prize; Cash

Sales to U.S. Government

[0118]

[59210]

Pay-Outs

Other (Explain below):

[59299]

Motor Vehicle Fuel Sales

[0119]

Prescription Drugs/

Total

[0121]

Hearing Aids/Lenses/etc.

7. Retailing (B&O)

Exempt Food Sales

[0122]

I.D.

Amount

Qualified Nonresident

[0123]

Bad Debts

[0201]

Sales

Trade-in Allowance

[0124]

Cash & Trade Discounts

[0202]

Newspapers

[0125]

Interstate & Foreign Sales

[0204]

Certain Network

[0126]

Motor Vehicle Fuel Tax

[0205]

Telephone Service

Sales to Indians with

Advances Reimburse-

[0128]

[0207]

Delivery on the Reservation

ments; Rtns & Allowances

Sales of Feed to Fish

[0129]

[0208]

No Local Activity

Farmers

Taxable Amount for Tax

Casual Sales;

[0130]

[0213]

Paid at Source

Accommodation Sales

Tax in Gross

[0214]

Returns & Allowances

[0131]

Sales to Nonprofit Org of

Consignment Sales

[0215]

Artistic/Cultural Art Objects

[0132]

for Displays

Artistic/Cultural Activities

[0216]

Ride-Sharing Vans

[0134]

Presc. Drugs Sold by Pub.

Purebred Livestock for

[0217]

[0135]

Oper/Nonprofit Hospitals

Breeding

Other (Explain below):

[0299]

Tax Deferral/Investment

[0136]

Certificate No.

Sale of Manufacturing

Total

[0156]

Machinery/Equipment;

Install Labor

Retail Sales Tax Exempt

[0159]

Note: Not all deductions are allowable from both

Purchases by Farmers

Retailing and Retail Sales Tax.

If you have deductions, please include this

Direct Pay Permits

[0170]

Deduction Detail page with your return.

Retail Sales Tax

To inquire about the availability of this document

[0179]

Reported on SER

in an alternate format for the visually impaired,

please call (360) 705-6715. Teletype (TTY)

Other (Explain below):

[0199]

users may call 1-800-451-7985.

Total

Fax/Internet

(5-5-10)

Page

Retailing And Other Activities Return Form - Washington Department Of Revenue - 2010 Page 4

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