Washington Department of Revenue Forms & Publications

WA DOR dairy-fruitveg-seafood

Dairy, Fresh Fruit/Vegetable & Seafood Manufacturers Addendum

Official textdor.wa.gov

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 , , , . , .
-

  1. =

Manufacturing of Fresh Fruit/Vegetable Products [425]
Gross Amount
Tax Due
Rate , . , .
X .00484
Taxable Amount
Deductions Total , , , . , .
-

  1. =

Manufacturing of Seafood Products [427]
Gross Amount
Tax Due
Rate , . , .
X .00484
Taxable Amount
Deductions Total , , , . , .
-

  1. =

Reminder: Attach this addendum to
4.
Tax Due
Rate , . , .
X .00484

Table from the official PDF (page 2)
Text version of this table
Cash & Trade Discounts [xxxx] , , .[xxxx],,.Cash & TradeDiscounts[0302],,.
Freight on Out-of-State
Deliveries , , .[xxxx],,.Returns & Allowances[0307],,.
Advances
Reimbursement; , . ,[xxxx],,.
Other (Explainbelow):[0399],,.
Returns & Allowances
Other (Explain below): [xxxx] , , .[xxxx]
,,.Total,,.
Total,,.
2. Wholesaling Fruit/Vegetable Out of State[XXX]
I.D. Amount . , ,
Bad Debts[xxxx]
,,.Cash & TradeDiscounts[0102],,.
Cash & Trade Discounts [xxxx] , , .[xxxx]
,,.
Returns & Allowances[0131] ,,,.
Returns & Allowances[xxxx]
,,.
Other (Explainbelow):[0199],,.
Other (Explain below): [xxxx] , , .[xxxx]
,,.
Total,,.
Total,,.
Multiple Activites TaxCredit (MATC)
Amount , .
1. Manufacturing ofFresh Fruits/Vegetable B&OTax Due,,.
2. Wholesaling of Fresh Fruits/Vegetable for TransportationOutside WA B&O Tax Due,,.
3. Wholesaling B&OTax Due (Manufactured Fruits/Vegetable Only),,.
4. Retailing B&O Tax Due (Manufactured Fruits/Vegetable Only),,.
,
5. TotalLines 2-4,.
6. Total MATC Allowed,,.
(Lesser of Line 1OR Total 2-4)
REV 41 0119(6/26/19)

Source: view the official PDF

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