Combined Excise Tax Return - Washington Department Of Revenue - 2005 Page 2

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IV
LODGING TAXES
TRANSIENT RENTAL INCOME INFORMATION
Code 47
TOURISM PROMOTION AREA LODGING CHARGE
Code 170
Line
Line
Number of
Unit/Day Rate
Location Code
Income
Location Code
Total Charges Due
Unit/Days
Charged
No.
No.
36
40
37
41
38
42
39
43
(
enter location code and income only)
TOTAL TOURISM PROMOTION AREA LODGING CHARGE
CONVENTION AND TRADE CENTER TAX
SPECIAL HOTEL/MOTEL TAX
Code 48
Code 70
Line
Line
Location Code
Taxable Amount
Rate
Tax Due
Location Code
Taxable Amount
Rate
Tax Due
No.
No.
44
47
45
48
46
49
TOTAL CONVENTION & TRADE CENTER TAX
TOTAL SPECIAL HOTEL/MOTEL TAX
V
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
50
60
Water Distribution
.05029
51
61
Sewer Collection
.03852
52
49
Power
.03873
53
Gas Distribution; Telegraph
26
.03852
Motor Transportation; Railroad; Railroad Car
54
08
.01926
Urban Transportation; Vessels Under 65 ft
55
12
.00642
56
13
Other Public Service Business
.01926
** If taxable amounts on lines 50-56 column 3 total less than $2,000, no Public Utility Tax is due.
TOTAL STATE PUBLIC UTILITY TAX
VI
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
57
Tobacco Products
20
1.2942
Refuse Collection
.036
58
64
59
57
Temporarily Not Due - Fund Limit Reached
Petroleum Products Tax
.005
Hazardous Substance
.007
60
65
61
IMR
79
.06
Line
Tax Classification
Code
Item
Quantity Sold
Rate
Tax Due
No.
Number of Stoves, Fireplaces, & Solid
$30.00
62
Solid Fuel Burning Device Fee
59
Fuel Burning Devices:
$1.00
63
54
Number of Gallons (whole numbers only):
Syrup Tax
.47
64
State Enhanced 911, TRS, & WTAP
93
Number of Taxable Switched Access Lines:
Number of Taxable Radio
.20
64b
94
(Wireless) State Enhanced 911 Tax
Access Lines (Wireless):
Line
Tax Classification
Code
Item
Number of Days
Rate
Tax Due
No.
Quality Maintenance Fee on
Total Number of Patient Days
65
$6.50
78
Nursing Facility Operators
Less Medicare Days:
* Deductions taken but not itemized on page 4 will be disallowed.
TOTAL OTHER TAXES
(add lines 57-65)
NEED HELP?
VII
CREDITS
Internet Assistance – Go to DOR’s home page at
Line
Credit
Credit Classification
Amount
No.
I.D.
•
Get tax return information and instructions, penalty waiver
information, and more.
66
800
Multiple Activities Tax Credit (attach Schedule C)
•
Click on FORMS to access forms including the Local Sales and Use
67
High Technology Credit
830
Tax Addendum, and other tax-related forms.
Manufacturing Software; Programming Rural Employment
•
To update your account information or to close your account with
68
860
B&O Credit
the Department of Revenue, click on CONTACT US.
69
Help Desk Services B&O Credit
865
Telephone Assistance
70
875
Alternatives to Field Burning B&O Credit
•
Call the Department of Revenue office nearest you or
1-800-647-7706.
71
855
International Services Credit
•
To file a No Business Activity return by telephone, call
1-800-647-7706. At the greeting, enter code 111 to start the process.
72
Small Business B&O Tax Credit (go to )
815
Enter your 9-digit tax registration number and follow the instructions
Electric Utility Rural Economic Development Revolving Fund
73
870
given. Do not mail paper return back to the Department.
Public Utility Tax Credit
•
For penalty waiver criteria information, call 1-800-334-8969 and
74
Bad Debt Tax Credit (attach Schedule B)
801
enter code 429.
75
Hazardous Substance
805
•
For business closure information, call 1-800-334-8969 and
enter code 430.
Public Utility Tax Credit for Billing Discounts/Qualified Contributions
76
880
to a Low Income Home Energy Assistance Fund
To inquire about the availability of this document in an alternate
format for the visually impaired, please call (360) 705-6715.
77
Other Credits (attach appropriate documents)
810
Teletype (TTY) users may call 1-800-451-7985.
TOTAL CREDIT (transfer to page 1, line 33)
Internet/Fax
(1-18-05)
2

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