Combined Excise Tax Return Form - Washington State Department Of Revenue - 2010 Page 4

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Line 17 – Retail Sales Tax
I.D.
Amount
Not all deductions are allowable from
Bad Debts
0101
both Retailing and Retail Sales Tax.
Cash & Trade Discounts
0102
Interstate & Foreign Sales
0104
Line 12 – Cleanup of Radioactive Waste…
I.D.
Amount
Tax in Gross
0114
Bad Debts
8301
Sales to U.S. Government
0118
Cash & Trade Discounts
8302
Motor Vehicle Fuel Sales
0119
Interstate & Foreign Sales
8304
Prescription Drugs/Hearing Aids/Lenses/etc
0121
Advances Reimbursements; Rtrns & Allowances
8307
Exempt Food Sales
0122
Other (Explain):
8399
Qualified Nonresident Sales
0123
TOTAL
Trade-in Allowance
0124
Line 13 – Service & Other Activities and/or Gambling
Newspapers
0125
I.D.
Amount
Contests of Chance (less than $50,000 a year)
Certain Network Telephone Service
0126
Bad Debts
0401
Sales to Indians with Delivery on the Reservation
0128
Cash & Trade Discounts
0402
Sales of Feed to Fish Farmers
0129
Interstate & Foreign Sales (Apportionment)
0404
Taxable Amount for Tax Paid at Source
0130
Advances Reimbursements; Rtrns & Allowances
0407
Returns & Allowances
0131
Gambling; Prize; Cash Pay-Outs
0410
Sales to Nonprofit Organizations of Artistic/Cultural
Qualified Initiation Fees; Dues; Contributions
0132
Art Objects for Displays
0411
Received
Ride-Sharing Vans
0134
Interest on Certain Invest/Loan/Obligations
0412
Purebred Livestock for Breeding
0135
Artistic/Cultural Activities
0416
Tax Deferral/Investment Certificate No.
0136
Other (Explain):
0499
Sale of Manufacturing Mach/Equip; Install Labor
0156
TOTAL
Retail Sales Tax Exempt Purchases by Farmers
0159
Line 14 – Gambling Contests of Chance
Direct Pay Permits
0170
I.D.
Amount
($50,000 a year or greater)
Retail Sales Tax Reported on SER
0179
Gambling; Prize; Cash Pay-Outs
19210
Other (Explain):
0199
Other (Explain):
19299
TOTAL
TOTAL
Line 50 - Refuse Collection
I.D.
Amount
Line 15 - Retailing of Interstate Transport...
I.D.
Amount
Bad Debts
6401
Bad Debts
1901
Sales to U.S. Government
6418
Cash & Trade Discounts
1902
Sales to Other Refuse/Solid Waste Collectors
6445
Interstate & Foreign Sales
1904
Other (Explain):
6499
Advances Reimbursements; Rtrns & Allowances
1907
TOTAL
Consignment Sales
1915
Other (Explain):
1999
Line 51 - Petroleum Tax
I.D.
Amount
TOTAL
Petroleum Products Exported Out of State
5746
Other (Explain):
5799
Line 16 – Retailing (B&O)
I.D.
Amount
TOTAL
Bad Debts
0201
Cash & Trade Discounts
0202
Line 52 - Hazardous Substance
I.D.
Amount
Interstate & Foreign Sales
0204
Other (Explain):
6599
Motor Vehicle Fuel Tax
0205
TOTAL
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
0217
Presc. Drugs Sold by Pub. Oper/Nonprofit Hospitals
Dairy and Seafood Processors (see below)*
0267
Other (Explain):
0299
TOTAL
*Local sales for out-of-state delivery
Internet/Fax
(4-21-10)
4

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