Business & Occupation Activities Return - Department Of Revenue - 2015 Page 2

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II. State and Local Use Tax
State Use Tax/Deferred Sales Tax [05] (Also complete Local Use Tax/Deferred Sales Tax below.)
Gross Amount **
Tax Due
Rate
** Value of articles used or consumed
,
,
,
.
.
=
X
.065
7.
on which no Washington sales tax
has been paid.
Local Use Tax/Deferred Sales Tax [46]
(Note: If more than two locations, please report all information on the Local Sales and Use Tax
Addendum. If you need an addendum, go to our web site at dor.wa.gov.)
Location Code
Local Rate
Tax Due City or County
Value of Articles
,
.
,
,
.
.
8.
X
=
Enter applicable
tax rate
Location Code
Value of Articles
Local Rate
Tax Due City or County
.
,
,
.
,
.
9.
=
X
Enter applicable
Value of Articles ***
tax rate
,
,
.
10.
Total Value of Articles
*** This amount must be the same as State Use Tax/
Deferred Sales Tax Gross Amount, line 7.
Taxable Amount
Rate
Tax Due
.
.
,
,
,
[36]
11.
Litter Tax
=
X
.00015
Tax Due
,
12. Total Tax Due from Section II
,
.
(Transfer total to page 1, line 18.)
Additional Information
III. Credits
The easiest way to file your return is to use our free
Amount of Credit
E-file service at dor.wa.gov. For assistance, call
13. Small Business B&O
.
,
,
1-877-345-3353.
[815]
Tax Credit
Penalties, Interest, & Waivers
Amount of Credit
• Any unpaid tax (including partial payments) is subject
.
14. International Services
,
,
[855]
to delinquent return penalty at the rate on the front of
Credit
the return. (RCW 82.32.090)
• A 5% assessment penalty may be assessed if the
Amount of Credit
15. Other Credits
(Attach
.
,
,
return is substantially underpaid. (RCW 82.32.090)
[810]
appropriate documents.)
• Interest will accrue from the first day of the month
following the due date, until paid. (RCW 82.32.050)
Amount of Credit
16. Total Credit
(Transfer total to
.
,
,
page 1, line 21.)
For Internet Assistance - Go to the Department of
Revenue’s web site at dor.wa.gov.
For Telephone Assistance
If you did not have business activity call 1-800-647-7706.
At the greeting enter 1 after each of the first two prompts,
and then follow the instructions given. Do not mail a paper
return back to the Department.
For tax assistance or to request this document in an alternate format, please call 1-800-647-7706. Teletype (TTY) users may use the Washington Relay Service
by calling 711.
Internet/Fax
(11-10-15)
Page
2

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