February 1999 Combined Excise Tax Return - Washington Department Of Revenue

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State of Washington
02
Department of Revenue
FEBRUARY 1999
PO Box 34051
Seattle, WA 98124-1051
99
COMBINED EXCISE TAX RETURN
NAME
REG NO.
FIRM NAME
STREET ADDRESS
CITY, STATE, ZIP
Please make any address changes above. Check if this change
If your business closed, indicate date:___/___/___
I STATE BUSINESS AND OCCUPATION TAX
is your
business location,
mailing address, or
both.
For additional information, see note 5 on page 2.
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
Extracting, Extracting for Hire
.00484
1
16
Slaughter, Break Proc, Perish Meat-Whlse, Mfg Wheat
2
30
.00138
into Flour, Raw Seafood, Soybean & Canola Proc
Travel Agent Com; Intl Charter Freight Brokers and
.00275
3
28
Stevedoring
4
Insurance Agents/Insurance Brokers Commis
14
.00484
Manufacturing Fresh Fruits and Vegetables; Splitting or
5
21
.00138
Proc Dried Peas
6
Processing for Hire/Printing and Publishing
10
.00484
Manufacturing
.00484
7
07
.00484
8
Royalties; Child Care
80
9
Wholesaling
03
.00484
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
Service & Other Activities
.015
13
04
14
Retailing of Interstate Transportation Equip
19
.00484
Retailing
.00471
15
02
TOTAL B&O
* Deductions taken but not explained 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
4 4
LOCAL CITY AND/OR COUNTY SALES AND USE TAX
ü
Please check (
) this box if you had no business activity.
4 4
Local Sales Tax (Enter applicable rate of tax)
Code 45
This return must be filed even if no tax is due.
Total Taxable Amount must be the same as line 16, column 3, Taxable Amount
4 4
Please make check or money order payable to the Washington State
Line
Department of Revenue. Do not send cash or coins.
No. Location Code
Taxable Amount
Rate
Tax Due City or Co.
4 4
For assistance, call (800) 647-7706.
18
4 4
Signature
19
4 4
20
Ph. (
)
Date
21
5% Penalty Assessed After March 25, 1999
22
DUE DATE
10% Penalty Assessed After April 30, 1999
TOTAL
MARCH 25, 1999*
20% Penalty Assessed After June 1, 1999
LOCAL SALES TAX
*
If the due date falls on a weekend or legal holiday, the due date for the return
Local Use Tax (Enter applicable rate of tax)
Code 46
is extended to the next business day
.
Total Taxable Amount must be the same as line 17, column 1, Gross Amount
Line
Item
VII TOTALS
Line
No.
No. Location Code
Taxable Amount
Rate
Tax Due City or Co.
Total All Tax Due from page 1
26
23
Total All Tax Due from page 2
27
24
28
Rental Car Tax (attach Rental Car Tax Addendum)
25
Subtotal (add lines 26-28)
29
TOTAL
LOCAL USE TAX
30
Credit (from page 2, section VI, total credit)
Subtotal (subtract line 30 from line 29)
31
Tax Classification Code
Taxable Amount
Rate
Tax Due
«
Minimum
Regional Transit
Penalty (see note number 4 on page 2)
32
89
.004
$5.00
Authority (RTA)
33
Interest
King Cnty Food/Bev
.005
90
Total Amount Owed (add lines 31 - 33)
Litter Tax
.00015
36
¨
«
If you qualify, attach penalty waiver request and check (ü) this box.
REV 40 2406 FEB99 (12-14-98)
Page 1

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