Combined Excise Tax Return - Washington Department Of Revenue - 2000

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State of Washington
05
Department of Revenue
MAY 2000
PO Box 34051
Seattle, WA 98124-1051
00
COMBINED EXCISE TAX RETURN
Fill in box if Amended/Supplemental Return or Correspondence is Attached
NAME
REG NO.
FIRM NAME
STREET ADDRESS
CITY, STATE, ZIP
Please make any address changes above. Fill in box if this change is
If your business closed, fill in the box
and
your
business location,
mailing address, or
both.
indicate date:___/___/____. See note 5, page 2.
I STATE BUSINESS AND OCCUPATION TAX
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
1
Extracting, Extracting for Hire
16
.00484
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
3
28
.00275
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
7
Manufacturing
07
.00484
8
80
Royalties; Child Care
.00484
9
03
.00484
Wholesaling
Warehousing, Radio & TV Broadcasting, Public Road
10
11
.00484
Construction/Government Contracting
11
55
Public or Nonprofit Hospitals
.015
Cleanup of Radioactive Waste for US Gov’t;
12
83
.00471
Environmental Remedial Action
13
04
.015
Service & Other Activities
14
Retailing of Interstate Transportation Equip
19
.00484
15
Retailing
02
.00471
TOTAL B&O TAX
* Deductions taken but not itemized on pages 3 and 4 will be disallowed.
GROSS AMOUNTS FOR RETAILING AND
II STATE SALES AND USE TAX
RETAIL SALES MUST BE THE SAME
16
01
Retail Sales (also complete local tax section)
.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 TAX
LOCAL CITY AND/OR COUNTY SALES AND USE TAX
*
DUE DATE: JUNE 25, 2000
Local Sales Tax (Enter applicable rate of tax)
Code 45
JUNE 2000
5% Penalty is Due After June 26, 2000
25
Total Taxable Amount must be the same as line 16, column 3, Taxable Amount
S
M
T
W
T
F
S
10% Penalty is Due After July 31, 2000
1
2
3
Line
20% Penalty is Due After August 31, 2000
No. Location Code
Taxable Amount
Rate
Tax Due City or Co.
4
5
6
7
8
9
10
* If the due date falls on a weekend or legal
11
12
13
14
15
16
17
18
holiday, the due date is extended
18
19
20
21
22
23
24
19
to the next business day.
25
26
27
28
29
30
20
4 4 4 4
Please fill in this box if you had no business activity.
21
4 4 4 4
This return must be filed even if no tax is due.
22
4 4 4 4
Please make check or money order payable to the Washington State
Department of Revenue. Do not send cash or coins.
TOTAL
TOTAL
TAXABLE
4 4 4 4
For assistance, call (800) 647-7706.
4 4 4 4
Local Use Tax (Enter applicable rate of tax)
Code 46
Signature
Total Value of Articles must be the same as line 17, column 1, Gross Amount
Ph. (
)
4 4 4 4
Date
Line
No. Location Code
Value of Articles
Rate
Tax Due City or Co.
Line
Item
VII TOTALS
No.
23
29
24
Total All Tax Due from page 1
30
Total All Tax Due from page 2
25
31
TOTAL VALUE
Rental Car Tax (attach Rental Car Tax Addendum)
TOTAL
OF ARTICLES
32
Subtotal (add lines 29-31)
Line
Tax
33
Credit (from page 2, section VI, total credit)
Code
Taxable Amount
Rate
Tax Due
No.
Classification
34
Subtotal (subtract line 33 from line 32)
Region Transit
89
26
.004
Authority (RTA)
Minimum
Penalty
35
$5.00
King County
27
90
.005
36
Interest
Food & Bev
28
Litter Tax
36
.00015
TOTAL AMOUNT OWED (ADD LINES 34 - 36)
If you qualify, attach penalty waiver request and fill in this box
REV 40 2406 MAY2000 (03-22-00)
.
Page 1
(See note number 4 on page 2)

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