February 1999 Combined Excise Tax Return - Washington Department Of Revenue Page 2

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III LODGING TAXES
TRANSIENT RENTAL INCOME INFORMATION
(Enter Location Code and Income Only)
Code 47
Line
Location Code
Income
Location Code
Income
Location Code
Income
No.
34
35
CONVENTION AND TRADE CENTER TAX
SPECIAL HOTEL/MOTEL TAX
Code 48
Code 70
Line
Line
Taxable Amount
Rate
Tax Due
Location Code
Taxable Amount
Rate
Tax Due
Location Code
No.
No.
36
39
37
40
38
41
TOTAL CONVENTION & TRADE CENTER TAX
TOTAL SPECIAL HOTEL/MOTEL TAX
IV STATE PUBLIC UTILITY TAX
Line
Column I
Col. 2 Deductions*
Column 3**
Col. 4
Column 5
Tax Classification
Code
No.
Gross Amount
Totals from Pg. 4
Taxable Amount
Rate
Tax Due
42
Water Distribution
60
.05029
43
Sewer Collection
61
.03852
44
Power
49
.03873
45
Gas Distribution, Telegraph
26
.03852
46
Motor Transportation, Railroad, Railroad Car
08
.01926
Urban Transportation/Vessels Under 65 ft
.00642
47
12
Other Public Service Business
.01926
48
13
** If taxable amounts on lines 42-48 column 3 total less than $2,000, no Public Utility Tax is due.
TOTAL STATE PUBLIC UTILITY TAX
V OTHER TAXES
Line
Column I
Col. 2 Deductions*
Column 3
Col. 4
Column 5
Tax Classification
Code
No.
Gross Amount
Totals from Pg. 4
Taxable Amount
Rate
Tax Due
Tobacco Products
.7490
49
20
50
Refuse Collection
64
.036
51
Petroleum Tax
57
Temporarily Not Due - Fund Limit Reached
.005
52
Hazardous Substance
65
.007
53
Effective 1/1/99, Litter Tax is due on a monthly basis. For ease of reporting, see page 1 bottom left-hand corner - Litter Tax, code 36.
* Deductions taken but not explained on page 4 will be disallowed.
Line
Tax Classification
Code
Item
Quantity Sold
Rate
Tax Due
No.
Number of Stoves, Fireplaces, & Solid Fuel
54
Solid Fuel Burning Device Fee
59
$30.00
Burning Devices:
Syrup Tax
Number of Gallons:
$1.00
55
54
TOTAL OTHER TAXES
(Add lines 49-55)
NOTE:
VI CREDITS
Code 82
1. If you do not have deductions, do not return pages 3 and 4.
Line
Credit
Credit Classification
I.D.
Amount
No.
2. If you have deductions, complete and return pages 3 and 4.
Multiple Activities Tax Credit (attach Schedule C)
56
800
3. LOCAL CITY AND/OR COUNTY SALES AND USE TAX. For your
convenience, a copy of the Local City and/or County Sales and Use Tax
High Technology Credit
830
57
form was provided in the “Guide to Completing the Washington State
(attach Research & Development Credit Affidavit)
Combined Excise Tax Return.” If more space is required, you may
Ride Share Credit for B&O Tax
58
820
make copies of this form or attach additional local tax information in the
(attach Ride Share Credit Reporting Schedule)
same format.
International Services Credit
59
855
4. For more information about the penalty waiver criteria, please call
Tax Express at (800) 334-8969, enter code 429.
60
Small Business B&O Tax Credit (see table enclosed)
815
5. For more information about business closures, please call
Ride Share Credit for Public Utility Tax
Tax Express at (800) 334-8969, enter code 430.
61
825
(attach Ride Share Credit Reporting Schedule)
6. To inquire about the availability of this form in an alternate format for the
Bad Debt Tax Credit (attach Schedule B)
62
801
visually impaired or a language other than English, please call
(360) 753-3217. Teletype (TTY) users may call (800) 451-7985.
63
Hazardous Substance
805
7. Need Help? If you need further information, please refer to your instruction
pamphlet, “Guide to Completing the Washington State Combined Excise
Other Credits (attach appropriate documents)
64
810
Tax Return”, or call the Department of Revenue office nearest you, or our
TOTAL CREDIT (Transfer to page 1, line 30)
toll-free number (800) 647-7706. You may also access our Internet home
page at
REV 40 2406 FEB99 (12-14-98)
THIS FORM IS PRINTED ON RECYCLED PAPER
Page 2

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