Business Tax Return Form

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CITY OF BREMERTON
Tax & License Division
345 Sixth Street, Suite 600
Bremerton WA 98337-1873
(360) 473-5311
BUSINESS TAX RETURN
Questions?
NAME AND ADDRESS:
(360) 473-5298
Account/License No.
Tax Period
Date Due
Be sure name & address are correct.
Column 1
Column 2
Column 3
Column 4
Column 5
Col 6
Column 7
Penalty
Deductions
Business Classification
Gross Amount
Exemption*
Taxable Amount
Rate
Tax Due
Code
***(explain below)***
(Col 2 - Col 3 - Col 4)
(Col 5 x Col 6)
01 Retail
(B & O)
1
$
-
.00125
02 Wholesale (B & O)
1
$
-
.00160
03 Service ** (B & O)
1
$
-
.00200
* If filing B & O tax you are eligible to take an Exemption of up to $100,000 annually
Enter your Exemption in Column #4 (See back for details)
09 Amusement Device/Games
2
$
-
.02000
10 Punchboard/Pulltab (profit)
2
$
-
.03000
11 Punchbord/Pulltab (non-profit)
2
$
-
.10000
12 Card Rooms (Player Backed)
2
$
-
.10000
13 Card Rooms (House Backed)
2
$
-
.02000
14 Bingo/Raffles
2
$
-
.05000
16 Other Gambling
2
$
-
.10000
21 Parking Lot
3
$
-
.15000
26 Garbage Utility
4
$
-
.09500
29 Cable Utility
4
$
-
.07000
25 Telephone/24 Gas/23 Electric
4
$
-
.06000
***Unexplained Deductions Will Not Be Allowed***
$
-
Total of Column 7
Type of Deduction and Explanation
Amount
$
-
Penalties (See Back)
$
-
Total Tax and Penalty
Balance Forward
Total Due
$
-
**Service Income Apportionment Worksheet is available on our website under Forms/Business/Finance
If you would like to close your account please complete:
Signature Required
I discontinued doing business in Bremerton on (date):_______________
The taxpayer hereby declares that he/she has read this
I closed my business on (date):
tax return and certifies it to be correct:
I sold my business on (date):
Print Name:
New Owner's Name and Address and Phone #
Signed:
Title:
Phone:
Unsigned forms will be returned for signature

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