Form Q4-07 - Business & Occupation Activities Return - 2007
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4October - November - December 2007
4 07
Q
Business & Occupation Activities Return
Tax Registration Number
Use Black Ink &
Name
Return Original Form.
Business Name
Street Address
City, State, Zip
No Business Activity?
Has Your Address Changed?
Business Closed?
Filing an Amended Return?
File by telephone: Call 1-800-647-7706.
If so, check appropriate box(es) below
Check this box and enter
Check this box and attach
At the greeting, enter code 111 to start the process.
and note changes on address above.
date closed
amended return information
.
Enter your 9-digit tax registration number and follow the
and a letter of explanation.
instructions given. If you fi le by telephone, do not mail
Business Location Change
For additional information, call
us your return.
1-800-334-8969, and enter
or
Other Correspondence?
Mailing Address Change
code 430.
If you have no business activity and did not fi le by
telephone, check this box, sign and mail us your return.
Note: To change your address or close your business on our web site, go to
I. State Business and Occupation (B&O) Tax
Travel Agent Comm/Tour Operator; Intl Charter Freight Brokers; Stevedoring; Licensed Boarding Homes [28]
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
X
,
,
,
,
,
,
.
.
-
,
.
.
=
1.
.00275
Insurance Agents; Insurance Brokers Commission [14]
Gross Amount
Deductions*
Taxable Amount
Rate
Tax Due
X
,
,
,
,
.
,
,
,
.
.
-
.
=
2.
.00484
Royalties; Child Care [80]
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
X
,
,
,
,
,
,
.
.
,
.
-
.
=
3.
.00484
Wholesaling [03]
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
X
,
,
,
,
,
,
.
.
-
,
.
.
=
4.
.00484
Service & Other Activities [04]
Gross Amount
Taxable Amount
Tax Due
Deductions*
Rate
X
,
,
,
,
,
,
.
.
-
,
.
.
=
5.
.015
* Deductions taken but not itemized on pages 3 will be disallowed.
State and Local Use Tax/Deferred Sales Tax (See page 2.)
DUE DATE: January 31, 2008
IV. Totals
* 5% Penalty Assessed After January 31, 2008
20. Total Tax Due from Section I
15% Penalty Assessed After February 29, 2008
,
,
.
(Tax due from lines 1-5)
25% Penalty Assessed After March 31, 2008
If the due date falls on a weekend or legal holiday,
21. Total Tax Due from Section II
,
the due date is extended to the next business day.
,
.
(Tax due from line 12)
Mail Your Completed Return in the Envelope
22. Total All Addendums
(Example:
,
,
.
Provided to:
Local Sales/Use Tax)
State of Washington
Department of Revenue
,
,
.
23. Subtotal
(add lines 20-22)
PO Box 34054
Seattle, WA 98124-1054
24. Total Credit from Section III
,
,
.
(from page 2, line 19)
Make check or money order payable to the
Washington State Department of Revenue.
25. Subtotal
(subtract line 24
,
,
.
Please write your tax registration number on your check.
from line 23)
Do not mail cash or coins.
26. * Add Penalty,
if Applicable
,
,
.
Signature
(Minimum $5.00)
%
(
)
/
/
Phone Number
Date
,
,
Total Amount Due
.
27.
Internet/Fax
(9-28-07)
Page
1
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