Combined Excise Tax Return Form - Washington State Department Of Revenue - 2015 Page 3

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MAIL TO: Washington State
January 2015
01
Department of Revenue
PO Box 47464
Combined Excise Tax Return Deduction Detail
15
Olympia WA 98504-7464
 If you have deductions, return pages 3 and 4. If you do not have deductions, do not return pages 3 and 4.
 We cannot approve deductions taken on the Combined Excise Tax Return that are not itemized on pages 3 and 4.
 Report deductions under the heading that corresponds to your reporting activity.
 Transfer the total deduction amount for each classification from this page to the corresponding line on your tax return in
the deduction column.
If completing, fill out name, tax registration number and attach to your Combined Excise Tax Return.
 Name
 Tax Registration No.
–
–
Line 1 - Extracting, Extracting for Hire
I.D.
Amount
Line 7 – Manufacturing
I.D.
Amount
Bad Debts
0701
Bad Debts
1601
Cash & Trade Discounts
0702
Cash & Trade Discounts
1602
Freight on Out-of-State Deliveries
0703
Other (Explain):
1699
Advances Reimbursements; Rtrns & Allowances
0707
TOTAL
Other (Explain):
0799
Line 2 - Slaughter, Break Processing…
I.D.
Amount
TOTAL
Bad Debts
3001
Line 8 – Royalties; Child Care
I.D.
Amount
Cash & Trade Discounts
3002
Bad Debts
8001
Other (Explain):
3099
Cash & Trade Discounts
8002
TOTAL
Advances Reimbursements; Rtrns & Allowances
8007
Other (Explain):
8099
Line 3 – Travel Agent Com; Intl Charter…
I.D.
Amount
TOTAL
Bad Debts
2801
Line 9 – Wholesaling
I.D.
Amount
Cash & Trade Discounts
2802
Bad Debts
0301
Other (Explain):
2899
Cash & Trade Discounts
0302
TO
TAL
Interstate & Foreign Sales
0304
Motor Vehicle Fuel Tax
0305
Line 4 - Insurance Producers; Title…
I.D.
Amount
Casual Sales; Accommodation Sales
0306
Bad Debts
1401
Advances Reimbursements; Rtrns & Allowances
0307
Other (Explain):
1499
No Local Activity
0308
TO
TAL
Dairy, Seafood, Fruits/Veg Processors (see below)*
0367
Dairy Products Used in Mfg of Dairy Products
0375
Line 5 – Prescription Drug Warehousing…
I.D.
Amount
Other (Explain):
0399
Bad Debts
2101
*Local sales for out-of-state delivery
TO
TAL
Cash & Trade Discounts
2102
Freight on Out-of-State Deliveries
2103
Line 10 – Warehousing; Radio & TV…
I.D.
Amount
Interstate & Foreign Sales (Use for Prescription
Bad Debts
1101
2104
Drug Warehousing Only.)
Cash & Trade Discounts
1102
Advances Reimbursements; Rtrns & Allowances
2107
Interstate & Foreign Sales
1104
Manufactured Dairy Products
2174
Advances Reimbursements; Rtrns & Allowances
1107
Other (Explain):
2199
Radio/TV Advertising
1109
TO
TAL
Other (Explain):
1199
TO
TAL
Line 6 – Processing for Hire; Printing and…
I.D.
Amount
Line 11 – Public or Nonprofit Hospitals; Qualified
Bad Debts
1001
I.D.
Amount
Food Co-ops
Cash & Trade Discounts
1002
Bad Debts
5501
Freight on Out-of-State Deliveries
1003
Cash & Trade Discounts
5502
Advances Reimbursements; Rtrns & Allowances
1007
Advances Reimbursements; Rtrns & Allowances
5507
Other (Explain):
5599
Other (Explain):
1099
TOTAL
TO
TAL
Internet/Fax
(01/14/15)
Page 3

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