Consumer Use Tax Return Form - Department Of Revenue

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OFFICE USE ONLY
TRN 
Period/Year 
 
Consumer Use Tax Return 
Use this return to report and pay use tax on items you purchased without paying Washington sales tax. 
Questions? Call us at 1‐800‐647‐7706. 
 
Do not use this form if you are: 
 A business. Report use tax for business‐related purchases on your combined excise tax return. 
If your business does not have an assigned reporting frequency, then you may use this form. 
 Reporting use tax on automobiles, vessels, or airplanes. Use tax on automobiles, vessels or 
airplanes must be paid by contacting your local Revenue office or vehicle licensing office.  
 
Purchase information 
*   To find the Location Code and Total Tax Rate, use the Tax Rate Lookup Tool on our website. 
The location code refers to the address where the item was first used in Washington (usually 
your home).  
**  If you made purchases in a state with a tax rate lower than Washington State, enter taxes paid 
next to Credit for taxes paid**. 
General Description of Item(s) 
Location 
Item Value 
Total Tax Rate*
 
  Tax Due 
Purchased 
Code* 
 
(i.e. purchase price) 
Enter as a decimal: 0.087
(46)
 
 
$ 
x                   = 
$ 
 
 
$ 
x                   = 
$ 
 
 
$ 
x                   = 
$ 
 
 
$ 
x                   = 
$ 
 
 
$ 
x                   = 
$ 
$ 
Subtotal  $ 
Total value of all items 
(05)
 
 
 
Credit for taxes paid**  ̶ ̶   $                 
   
 
 
Total use tax due  $ 
Your information  
Name: ___________________________________________________Phone: ____________________ 
Address: ________________________________________ City:_____________ST:_____Zip: ________ 
Signature: ________________________________________________ Date: ______________________ 
Make check payable to:           Department of Revenue 
 
Mail return and check to:  
Washington State Department of Revenue 
PO Box 94481 
Seattle, WA 98124‐6781 
For tax assistance or to inquire about the availability of this document in an alternate format, please call 1‐800‐647‐7706. 
Teletype (TTY) users may use the Washington Relay Service by calling 711. 
Print This Form
REV 40 2412 (7/12/13) 

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