Multi-Purpose Combined Excise Tax Return - Washington Department Of Revenue Page 3
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4Washington State
Multi-Purpose
Department of Revenue
PO Box 34051
Period
Year
Seattle WA 98124-1052
Deduction Detail
/
Tax Registration No.
4 Name
If you have deductions, return pages 3 and 4. If you do not have deductions do not return pages 3 and 4.
We cannot approve deductions taken on the Combined Excise Tax Return that are not itemized on this page.
Report deductions under the heading that corresponds to your reporting activity.
Transfer the total deduction amount for each classification from this page to the corresponding line on your tax return in
the deduction column.
If completing, fill out name, tax registration number and attach to your Combined Excise Tax Return.
Line 1 - Extracting, Extracting for Hire
I.D.
Amount
Line 7 – Manufacturing
I.D.
Amount
Bad Debts
1601
Bad Debts
0701
Cash & Trade Discounts
0702
Cash & Trade Discounts
1602
Freight on Out-of-State Deliveries
0703
Other (Explain):
1699
Advances Reimbursements; Rtrns & Allowances
0707
TOTAL
Other (Explain):
0799
Line 2 - Slaughter, Break Processing…
I.D.
Amount
TOTAL
Bad Debts
3001
Line 8 – Royalties; Child Care
I.D.
Amount
Cash & Trade Discounts
3002
Bad Debts
8001
Other (Explain):
3099
Cash & Trade Discounts
8002
TOTAL
Advances Reimbursements; Rtrns & Allowances
8007
Other (Explain):
8099
Line 3 – Travel Agent Com; Intl Charter…
I.D.
Amount
TOTAL
Bad Debts
2801
Line 9 – Wholesaling
I.D.
Amount
Cash & Trade Discounts
2802
Bad Debts
0301
Other (Explain):
2899
Cash & Trade Discounts
0302
TOTAL
Interstate & Foreign Sales
0304
Motor Vehicle Fuel Tax
0305
Line 4 - Insurance Producers; Title…
I.D.
Amount
Casual Sales; Accommodation Sales
0306
Bad Debts
1401
Advances Reimbursements; Rtrns & Allowances
0307
Other (Explain):
1499
No Local Activity
0308
TOTAL
Dairy, Seafood, Fruits/Veg Processors (see below)*
0367
Other (Explain):
0399
Line 5 – Prescription Drug Warehousing…
I.D.
Amount
*Local sales for out-of-state delivery
TOTAL
Bad Debts
2101
Cash & Trade Discounts
2102
Line 10 – Warehousing; Radio & TV…
I.D.
Amount
Freight on Out-of-State Deliveries
2103
Bad Debts
1101
Interstate & Foreign Sales (Use for Prescription
Cash & Trade Discounts
1102
2104
Drug Warehousing Only.)
Interstate & Foreign Sales
1104
Advances Reimbursements; Rtrns & Allowances
2107
Advances Reimbursements; Rtrns & Allowances
1107
Other (Explain):
2199
Radio/TV Advertising
1109
TOTAL
Other (Explain):
1199
TOTAL
Line 6 – Processing for Hire; Printing and… I.D.
Amount
Bad Debts
1001
Line 11 – Public or Nonprofit Hospitals; Qualified
I.D.
Amount
Food Co-ops
Cash & Trade Discounts
1002
Bad Debts
5501
Freight on Out-of-State Deliveries
1003
Cash & Trade Discounts
5502
Advances Reimbursements; Rtrns & Allowances
1007
Advances Reimbursements; Rtrns & Allowances
5507
Other (Explain):
1099
Other (Explain):
5599
TOTAL
TOTAL
Internet/Fax
(6-18-10)
3
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