Business & Occupation Tax Return - City Of Bellevue

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MAIL CORRESPONDENCE TO:
CITY OF BELLEVUE
City of Bellevue Tax Office
BUSINESS & OCCUPATION TAX RETURN
PO Box 90012
Bellevue, WA 98009-9012
Please make checks payable to the City of Bellevue
(425) 452-6851
SECTION I: Business Changes
Please note any changes in your business:
MAIL TAX RETURNS TO:
Business closed or sold. Please note date & new owner below.
LOCKBOX
Business moved. Please note new address below.
PO BOX 34372
Address-Location ___ or Mailing ___ Please note new address below.
Phone - Please note new phone number below.
SEATTLE, WA 98124-1372
Entity Change (i.e. Incorporated) - Please note type of change below.
Date Due
Reporting Period
Registration #
SECTION II: Gross Receipts Tax
(Bellevue City Code 4.02 & 4.08)
Tax Classification
Gross Receipts
Deductions
Taxable Receipts
Tax Rate
Tax Due
Column 1
Column 2
Column 3
Column 4
Column 5
Column 6
1
Manufacturing
0.001496
2
Wholesaling
0.001496
3
Retailing
0.001496
4
Printing
0.001496
5
Construction
0.001496
6
Service & Other
0.001496
Totals
Line #
Description of Deductions
Amount
SECTION III: Deductions-
Describe the
deductions reported in Column 3, Section II above
(qualified deductions detailed on the back of this tax
return).
SECTION IV: Square Footage Tax (The Square Footage Tax is generally paid by administrative offices and businesses who
take interstate and foreign sales deductions from their gross receipts - see backside for example).
Non-Taxable
Square Footage
Total Sq Feet
Sq Feet
Taxable Sq Feet
Tax Rate
Tax Due
Column 1
Column 2
Column 3
Column 4
Column 5
Column 6
8
Square Footage
SQUARE FOOTAGE RATE FOR 2002: Quarterly - .1810 ; Annual - .7240
Total Due from
SECTION V:
If total taxable units (Column 4) are equal to
Sections II & IV
or less than the following then no tax is due:
Penalty
Quarterly
Annual
Interest
Gross Receipts:
$30,000
$120,000
Prior Balance
Square Footage: 250 square feet
Total Due
The interest rate on delinquent returns for
I hereby certify that the statements and information provided on
this tax return are true and complete to the best of my
2002 is: 7.00% simple
knowledge.
Signature:
Name:
Title:
Date:
Phone:

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