Washington Department of Revenue Forms & Publications
WA DOR dairy-fruitveg-seafood
Dairy, Fresh Fruit/Vegetable & Seafood Manufacturers Addendum
Period
Dairy, Fresh Fruit/Vegetable, and Seafood
Manufacturers Addendum
Use Black Ink and Attach this Original Addendum to Your Return.
Year
4 Use this form to report only income related to dairy, fresh fruit/vegetable, and seafood manufacturing. All other income should be reported on the Combined Excise Tax Return.
Deductions taken but not itemized on the Deduction Detail will be disallowed.
Name:
Business & Occupation (B&O) Tax
Manufacturing of Dairy Products [421]
Gross Amount
Account ID
Taxable Amount
Deductions Total , , , . , .
-
- =
Manufacturing of Fresh Fruit/Vegetable Products [425]
Gross Amount
Tax Due
Rate , . , .
X .00484
Taxable Amount
Deductions Total , , , . , .
-
- =
Manufacturing of Seafood Products [427]
Gross Amount
Tax Due
Rate , . , .
X .00484
Taxable Amount
Deductions Total , , , . , .
-
- =
Reminder: Attach this addendum to
4.
Tax Due
Rate , . , .
X .00484
Text version of this table
Cash & Trade Discounts [xxxx] , , . [xxxx] , , . Cash & Trade Discounts [0302] , , . Freight on Out-of-State Deliveries , , . [xxxx] , , . Returns & Allow ances [0307] , , . Advances Reimbursement; , . , [xxxx] , , . Other (Explain below): [0399] , , . Returns & Allowances Other (Explain below): [xxxx] , , . [xxxx] , , . Total , , . Total , , . 2. Wholesaling Fruit/Vege table Out of State [X XX] I.D. Amount . , , Bad Debts [xxxx] , , . Cash & Trade Discounts [0102] , , . Cash & Trade Discounts [xxxx] , , . [xxxx] , , . Returns & Allow ances [0131] , , , . Returns & Allowances [xxxx] , , . Other (Explain below): [0199] , , . Other (Explain below): [xxxx] , , . [xxxx] , , . Total , , . Total , , . Multiple Activites Tax Credit (MATC) Amount , . 1. Manufacturing of Fresh Fruits/Ve ge table B&O Tax Due , , . 2. Wholesaling of F resh Fruits/Veg eta ble for Tra nsportation Outside WA B &O Tax D ue , , . 3. Wholesaling B&O Tax Due (Manu fa ctured Fruits /Vegetable O nly) , , . 4. Retailing B&O Ta x Due (Manufact ur ed Fruits/Ve getable Only) , , . , 5. Total Lines 2-4 , . 6. Tot al MATC Allo wed , , . (Le sser of Line 1 OR Total 2 -4) REV 41 0119 (6/26/19)
Source: view the official PDF
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