Simplified Combined Excise Tax Return Form - Washington Department Of Revenue - 2001
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1
2MAIL TO: State of Washington
Department of Revenue
JAN – DEC 2001
PO Box 34184
SER
Seattle, WA 98124-1184
SIMPLIFIED COMBINED EXCISE TAX RETURN
01
ONLY Fill in Box if Amended Return Information Attached
!
NAME
REG NO.
FIRM NAME
STREET ADDRESS
CITY, STATE, ZIP
Please fill in this box if you had no business activity (see instructions, page 2.)
!
!
!
!
Address Changes?
business location
mailing address
both
Business closed?
Date closed ____/____/____
Please fill in the appropriate box and make address changes to the above label.
If you have taxable income under other tax classifications not listed, you must use the regular Combined Excise Tax Return for reporting.
Please see enclosed instructions for a list of other tax classifications.
! ! ! ! Step A -
Calculate Business & Occupation (B&O) Tax
Line
Column I
Col. 2 Deductions
Column 3
Col. 4
Column 5
Tax Classification
Code
No.
Gross Amount
(See Step G)
Taxable Amount
Rate
Tax Due
1
-
Manufacturing
07
=
X .00484
=
2
-
Wholesaling
=
X .00484
03
=
3
-
Service & Other Activities
04
=
X
.015
=
4
Retailing *
-
X .00471
02
=
=
Ln
Total B&O Tax
)
(add lines 1-4
* Gross amounts for retailing B&O (line 4) and retail sales tax (line 6) must be the same.
5
! ! ! ! Step B -
Calculate Sales Tax
Line
Column I
Col. 2 Deductions
Column 3
No calculation necessary for
Code
Tax Classification
(See Step G)
No.
Gross Amount
Taxable Amount
computing tax due on line 6. Sales
tax due is calculated on lines 7-13.
6
Retail Sales Tax *
-
=
01
Line
Combined
(45)
No. Location Code
Taxable Amount
Tax Due
Tax Rate
Multiply taxable amount by the combined
7
=
X
tax rate located on the Annual 2001
Local Sales and Use Tax Rate Chart.
8
=
X
(e.g., Combined tax rate for
9
=
X
location code 2717 is .085)
10
=
X
11
=
X
Total taxable amount on line 12 must
12 Total Taxable
Total Sales Tax
Ln
be the same as line 6, column 3.
13
(add lines 7-11)
)
(add lines 7-11
! ! ! ! Step C -
Combined
Line
Calculate Use Tax
(46)
Location Code
Value of Article(s)
Tax Due
Tax Rate
No.
Multiply the value of article(s) by the combined
14
=
X
tax rate located on the Annual 2001
15
=
X
Local Sales and Use Tax Rate Chart.
16
X
=
Use tax is due on the value of articles used
by taxpayer as a consumer on which no
Total Use Tax
Ln
Washington sales tax has been paid.
)
17
(add lines 14-16
! ! ! ! Step D -
Enter Taxable Amount of Sales and Use Tax Subject to the RTA and King County Food & Beverage Tax
Line
Tax Classification
Code
♦
Taxable Amount
No calculations necessary;
No.
Regional Transit Authority (RTA) ♦
taxable amount needed for
18
89
distribution purposes only.
King County Food and Beverage (KCF&B) ♦
19
90
! ! ! ! Step E -
Line
Calculate Litter Tax
No. Tax Classification Code
Taxable Amount
Rate
Tax Due
Refer to page 3, Step E of the instructions.
20 Litter Tax
X
.00015 =
36
After completing Step E, proceed to page 2.
For assistance, visit our Internet
Total Amount Owed (from line 32, page 2)
"
home page at or
call (800) 647-7706.
!
If you qualify, attach penalty waiver request and fill in this box
(Refer to page 3, Step H of the instructions)
.
!
REV 40 2406 A01Simp (11-1-01)
1
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