Combined Excise Tax Return Form - Washington State Department Of Revenue - 2015 Page 4

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Not all deductions are allowable from
both Retailing (B&O) and Retail Sales Tax.
Line 12 – Cleanup of Radioactive Waste…
I.D.
Amount
Line 18 – Retail Sales Tax
I.D.
Amount
Bad Debts
8301
Bad Debts
0101
Cash & Trade Discounts
8302
Cash & Trade Discounts
0102
Interstate & Foreign Sales
8304
Interstate & Foreign Sales
0104
Advances Reimbursements; Rtrns & Allowances
8307
Tax in Gross
0114
Other (Explain):
8399
Sales to U.S. Government
0118
TOTAL
Motor Vehicle Fuel Sales
0119
Line 13 – Service & Other Activities and/or Gambling
Prescription Drugs/Hearing Aids/Lenses/etc
0121
Amount
I.D.
Contests of Chance (less than $50,000 a year)
Exempt Food Sales
0122
Bad Debts
0401
Qualified Nonresident Sales
0123
Cash & Trade Discounts
0402
Apportionment (Interstate & Foreign Sales)
0404
Trade-in Allowance
0124
Advances Reimbursements; Rtrns & Allowances
0407
Newspapers
0125
Gambling Prizes & Cash Pay-Outs
0410
Sales to Indians with Delivery on the Reservation
0128
Qualified Initiation Fees; Dues; Contributions
0411
Sales of Feed to Fish Farmers
0129
Received
Interest on Certain Invest/Loan Obligations
0412
Taxable Amount for Tax Paid at Source
0130
Artistic/Cultural Activities
0416
Returns & Allowances
0131
Qualifying Blood Banks
0448
Sales to Nonprofit Organizations of Artistic/Cultural
0132
Art Objects for Displays
Other (Explain):
0499
Ride-Sharing Vans
0134
TOTAL
Purebred Livestock for Breeding
0135
Line 14 – Gambling Contests of Chance
Amount
Tax Deferral/Investment Certificate No.
0136
I.D.
($50,000 a year or greater)
Sale of Manufacturing Mach/Equip; Install Labor
0156
Gambling Prizes & Cash Pay-Outs
19210
Other (Explain):
19299
Retail Sales Tax Exempt Purchases by Farmers
0159
TOTAL
Direct Pay Permits
0170
Retail Sales Tax Reported on SER
0179
I.D.
Amount
Line 15 – For Profit Hospitals; Scientific R&D
Other (Explain):
0199
Bad Debts
13501
TOTAL
Cash & Trade Discounts
13502
Apportionment (Interstate & Foreign Sales)
13504
Line 50 - Refuse Collection
I.D.
Amount
Advances Reimbursements; Rtrns & Allowances
13507
Qualified Initiation Fees; Dues; Contributions
Bad Debts
6401
13511
Received
Sales to U.S. Government
6418
Artistic/Cultural Activities
13516
Sales to Other Refuse/Solid Waste Collectors
6445
Other (Explain):
13599
Other (Explain):
6499
TOTAL
TOTAL
Line 16 - Retailing of Interstate Transport...
I.D.
Amount
Bad Debts
1901
Line 51 - Petroleum Tax
I.D.
Amount
Cash & Trade Discounts
1902
Petroleum Products Exported Out of State
5746
Interstate & Foreign Sales
1904
Other (Explain):
5799
Advances Reimbursements; Rtrns & Allowances
1907
TOTAL
Consignment Sales
1915
Other (Explain):
1999
Line 52 - Hazardous Substance
I.D.
Amount
TOTAL
Other (Explain):
6599
TOTAL
Line 17 – Retailing (B&O)
I.D.
Amount
Bad Debts
0201
Cash & Trade Discounts
0202
Interstate & Foreign Sales
0204
Motor Vehicle Fuel Tax
0205
Advances Reimbursements; Rtrns & Allowances
0207
No Local Activity
0208
Casual Sales; Accommodation Sales
0213
Tax in Gross
0214
Consignment Sales
0215
Artistic/Cultural Activities
0216
Presc. Drugs Sold by Pub. Oper/Nonprofit Hospitals
0217
Dairy and Seafood Processors (see below)*
0267
Other (Explain):
0299
*Local sales for out-of-state delivery
TOTAL
Internet/Fax
(01/14/15)
Page 4

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