Multi-Purpose Combined Excise Tax Return Form - Washington Department Of Revenue Page 2
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5III LODGING TAXES
TRANSIENT RENTAL INCOME INFORMATION
(Enter Location Code and Income Only)
Code 47
Line
Location Code
Income
No.
Location Code
Income
Location Code
Income
37
38
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.
39
42
40
43
41
44
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
45
Water Distribution
60
.05029
46
Sewer Collection
61
.03852
47
Power
49
.03873
48
Gas Distribution, Telegraph
26
.03852
Motor Transportation, Railroad, Railroad Car
.01926
49
08
Urban Transportation/Vessels Under 65 ft
.00642
50
12
51
Other Public Service Business
13
.01926
** If taxable amounts on lines 45-51 column 3 total less than $2,000 monthly, $6,000 quarterly,
TOTAL STATE PUBLIC UTILITY TAX
or $24,000 for annual filers, no Public Utility Tax is due.
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
52
20
53
Refuse Collection
64
.036
Petroleum Tax
.005
54
57
Temporarily Not Due - Fund Limit Reached
Hazardous Substance
.007
55
65
* Deductions taken but not itemized on page 4 will be disallowed.
Line
Tax Classification
Code
Item
Quantity Sold
Rate
Tax Due
No.
Number of Stoves, Fireplaces, & Solid Fuel
Solid Fuel Burning Device Fee
$30.00
56
59
Burning Devices:
57
Syrup Tax
54
Number of Gallons:
$1.00
TOTAL OTHER TAXES
(Add lines 52-57)
NOTE:
VI CREDITS
1. If you do not have deductions, do not return pages 3 and 4.
Line
2. If you have deductions, complete and return pages 3 and 4.
Credit
Credit Classification
Amount
I.D.
No.
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
58
800
Multiple Activities Tax Credit (attach Schedule C)
Tax form was provided in the “Guide to Completing the Washington
High Technology Credit
State Combined Excise Tax Return.” If more space is required, you
830
59
(attach Research & Development Credit Affidavit)
may make copies of this form or attach additional local tax
information in the same format.
Manufacturing Software/Programming Rural
60
860
Employment B&O Credit
4. For information about the penalty waiver criteria, please call
Tax Express at (800) 334-8969, enter code 429.
61
865
Help Desk Services B&O Credit
5. For more information about business closures, please call
Ride Share Credit for B&O Tax
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820
Tax Express at (800) 334-8969, enter code 430.
(attach Ride Share Credit Reporting Schedule)
6. To receive a Small Business Credit table by mail, please call (800)
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855
International Services Credit
647-7706 and request a table for your reporting frequency: monthly,
quarterly or annual. If you wish to receive the table by fax, choose
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815
Small Business B&O Tax Credit (see table enclosed)
the Fast Fax option at the above number. The individual codes are
as follows: Annual - 410058#, Quarterly - 410057# and Monthly -
Ride Share Credit for Public Utility Tax
65
825
410056#. You may also access this form on the Internet. See below
(attach Ride Share Credit Reporting Schedule)
for more information.
Electric Utility Rural Economic Development
66
870
Revolving Fund Public Utility Tax Credit
7. To inquire about the availability of this form in an alternate format for
the visually impaired or a language other than English, please call
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801
Bad Debt Tax Credit (attach Schedule B)
(360) 753-3217. Teletype (TTY) users may call (800) 451-7985.
8. Need Help? If you need further information, please refer to your
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805
Hazardous Substance
instruction pamphlet, “Guide to Completing the Washington State
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810
Other Credits (attach appropriate documents)
Combined Excise Tax Return”, or call the Department of Revenue office
nearest you, or our toll-free number (800) 647-7706. You may also
TOTAL CREDIT (Transfer to page 1, line 33)
access our Internet home page at
THIS FORM IS PRINTED ON RECYCLED PAPER
REV 40 2406 MULTI-JAN2000 (01-20-00) (Use for January 1, 2000 forward)
Page 2
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