Combined Excise Tax Return - Department Of Revenue - State Of Washington - 2000
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4State of Washington
Q1
Department of Revenue
JAN - FEB - MAR 2000
PO Box 34054
Seattle, WA 98124-1054
00
COMBINED EXCISE TAX RETURN
Fill in Box if Amended/Supplemental Return or Correspondence is Attached
!
NAME
REG NO.
FIRM NAME
STREET ADDRESS
CITY, STATE, ZIP
Please make any address changes above. Fill in box if this change is
!
If your business closed, fill in the box
and
your ! business location, ! mailing address, or ! both.
indicate date:___/___/____. See note 5, page 2.
I STATE BUSINESS AND OCCUPATION TAX
Line
Column I
Col. 2 Deductions*
Column 3
Col. 4
Column 5
Tax Classification
Code
No.
Gross Amount
Totals from Pg. 3 & 4
Taxable Amount
Rate
Tax Due
1
Extracting, Extracting for Hire
16
.00484
Slaughter, Break Proc, Perish Meat-Whlse, Mfg Wheat
.00138
2
30
into Flour, Raw Seafood, Soybean & Canola Proc
Travel Agent Com; Intl Charter Freight Brokers and
.00275
3
28
Stevedoring
Insurance Agents/Insurance Brokers Commis
.00484
4
14
Manufacturing Fresh Fruits and Vegetables; Splitting or
.00138
5
21
Proc Dried Peas
Processing for Hire/Printing and Publishing
.00484
6
10
7
Manufacturing
07
.00484
8
Royalties; Child Care
80
.00484
.00484
9
03
Wholesaling
Warehousing, Radio & TV Broadcasting, Public Road
10
11
.00484
Construction/Government Contracting
11
Public or Nonprofit Hospitals
55
.015
Cleanup of Radioactive Waste for US Gov’t;
12
83
.00471
Environmental Remedial Action
13
04
.015
Service & Other Activities
14
Retailing of Interstate Transportation Equip
19
.00484
Retailing
.00471
15
02
TOTAL B&O TAX
* Deductions taken but not itemized on pages 3 and 4 will be disallowed.
GROSS AMOUNTS FOR RETAILING AND
RETAIL SALES MUST BE THE SAME
II STATE SALES AND USE TAX
16
Retail Sales (also complete local tax section)
01
.065
Value of articles used by taxpayer as a consumer
17
Use Tax (also complete local tax section)
05
.065
on which no Washington sales tax has been paid
TOTAL STATE SALES & USE TAX
LOCAL CITY AND/OR COUNTY SALES AND USE TAX
*
DUE DATE: APRIL 30, 2000
Local Sales Tax (Enter applicable rate of tax)
Code 45
APRIL 30, 2000
5% Penalty is Due After May 1, 2000
30
Total Taxable Amount must be the same as line 16, column 3, Taxable Amount
S
M
T
W
T
F
S
10% Penalty is Due After May 31, 2000
1
Line
20% Penalty is Due After June 30, 2000
No. Location Code
Taxable Amount
Rate
Tax Due City or Co.
2
3
4
5
6
7
8
* If the due date falls on a weekend or legal
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10
11
12
13
14
15
18
holiday, the due date for the return is
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17
18
19
20
21
22
extended to the next business day.
19
23/30
24
25
26
27
28
29
20
! ! ! !
Please fill in this box if you had no business activity.
21
! ! ! !
This return must be filed even if no tax is due.
! ! ! !
22
Please make check or money order payable to the Washington State
Department of Revenue. Do not send cash or coins.
TOTAL
TOTAL
TAXABLE
! ! ! !
For assistance, call (800) 647-7706.
! ! ! !
Local Use Tax (Enter applicable rate of tax)
Code 46
Signature
Total Value of Articles must be the same as line 17, column 1, Gross Amount
! ! ! !
Ph. (
)
Date
Line
No. Location Code
Value of Articles
Rate
Tax Due City or Co.
Line
Item
VII TOTALS
No.
23
29
Total All Tax Due from page 1
24
30
Total All Tax Due from page 2
25
TOTAL VALUE
31
Rental Car Tax (attach Rental Car Tax Addendum)
OF ARTICLES
TOTAL
Subtotal (add lines 29-31)
32
Line
Tax
33
Credit (from page 2, section VI, total credit)
Code
Taxable Amount
Rate
Tax Due
No.
Classification
34
Subtotal (subtract line 33 from line 32)
Region Transit
26
89
.004
!
Authority (RTA)
Minimum
Penalty
35
$5.00
King County
.005
27
90
36
Interest
Food & Bev
Litter Tax
.00015
28
36
TOTAL AMOUNT OWED (ADD LINES 34 - 36)
! If you qualify, attach penalty waiver request and fill in this box
. !
REV 40 2406 Q12000 (01-20-00)
Page 1
(See note number 4 on page 2)
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