Form Rev 86 0059 - Leasehold Excise Tax Return Federal Permit Or Lease - 2007
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1
2
3
4Leasehold Excise Tax Return
Annual 2007
A/07
Washington State
Federal Permit or Lease
Department of Revenue
Special Programs
PO Box 47464
Olympia, WA 98504-7464
Show Changes in Address or Ownership
INSTRUCTIONS
1.
Column 1 (Tax Area Code) must contain the Tax
4. Multiply column 3 (Taxable Rent Due) by the 12.84%
Area Code (Levy Code) for each federal permit or
(.1284) tax rate and enter this amount in the Total
lease. This can be requested from the county
Tax Due, and pay this amount.
assessor's office in the county where the property is
5. Leasehold Excise Tax returns are due 15 days after
located or may be obtained from the personal
the permit or lease fee is due to the Forest Service or
property statement if applicable. (This code is used to
lessor.
distribute the tax back to local government bodies for
If payment is made 30 days after the due date
payment of services in the area where the leased
please include a 5% delinquent penalty.
property is located.) If a single permit or lease
If payment is made 60 days after the due date
extends into more than one tax area, enter each tax
please include a 15% delinquent penalty.
area code as if it represents a single lease. Rent
should be apportioned between areas on the basis of
If payment is made 90 days after the due date
approximate property value within each area.
please include a 25% delinquent penalty.
2. Column 2 (Location Code) must contain the proper
6. Attach remittance made payable to the Washington
code for the location of the property leased. Location
State Department of Revenue.
Codes may be obtained from the listing on page 4.
7. Sign and date page 1.
3. For each permit or lease, enter in column 3 (Taxable
8. Should you have questions regarding your tax liability,
Rent Due) the amount of taxable rent. This is the
please call the Department of Revenue at (360)
amount paid to the Federal Government for the
570-3244.
permit fee.
(1)
(2)
(3)
(4)
TAX CODE AREA**
LOCATION CODE
TAXABLE RENT DUE
TOTAL TAX DUE
(ON BACK)
(.1284 X TAXABLE RENT)
Total Tax Due
Signature
* Add Penalty, if Applicable
/
/
Phone Number (
)
Date
Total Payment Enclosed
For tax assistance, visit or call (360) 570-3265. To inquire about the availability of this document in an alternate format for the visually impaired,
please call (360) 705-6715. Teletype (TTY) users may call 1-800-451-7985.
Return This Copy
(11/01/06)
REV 86 0059
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Parent category: Financial