Business & Occupation Activities Return - Department Of Revenue

Business & Occupation Activities Return - Department Of Revenue - 2015 Page 4

5. For Profit Hospitals; Scientific R&D

6. Service & Other Activities

I.D.

Amount

I.D.

Amount

Bad Debts

[0401]

[13501]

Bad Debts

Cash & Trade Discounts

[0402]

[13502]

Cash & Trade Discounts

Apportionment (Interstate

[0404]

Apportionment (Interstate

[13504]

& Foreign Sales)

Advances Reimburse-

[0407]

[13507]

Advances Reimburse-

ments; Rtns & Allowances

Gambling Prizes & Cash

[0410]

[13511]

Qualified Initiation Fees;

Pay-Outs

Dues; Contributions Rec’d

Qualified Initiation Fees;

[0411]

Dues; Contributions Rec’d

[13599]

Other (Explain below):

Interest on Certain

[0412]

Invest/Loan Obligations

Total

Artistic/Cultural Activities

[0416]

Qualifying Blood Banks

[0448]

If you have deductions, please include this

Other (Explain below):

[0499]

Deduction Detail page with your return.

For tax assistance or to request this document in an

Total

alternate format, please call 1-800-647-7706. Teletype

(TTY) users may use the Washington Relay Service

by calling 711.

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Business & Occupation Activities Return - Department Of Revenue - 2015 Page 4

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