Lodging Addendum — Form & Instructions

Lodging Addendum
Period
Year
Use Black Ink and Attach this Original Addendum to Your Combined Excise Tax Return.
Name: Account ID
Note: Please see the Lodging Information Rates and Changes flyer for current location codes and tax rates.
Lodging Taxes Note: Transient Rental Income Information MUST be completed if you are remitting Convention and Trade Center or Special Hotel/Motel tax.
Transient Rental Income Information [47] (enter location code and income only)
Income
Location Code Location Code , . ,

1. 4.

Income
Location Code Location Code , . ,

1. 5.

Income
Location Code Location Code , . ,
6.
3.
Convention and Trade Center Tax [48]
Taxable Amount
Location Code Rate , . . ,

1. x

Taxable Amount
Location Code Rate , . . ,

1. x

Taxable Amount
Location Code Rate , . . ,

1. x

Taxable Amount
Location Code Rate , . . ,

1. x

Income , . ,
Income , . ,
Income , . ,
Tax Due , .
=
Tax Due , .
=
Tax Due , .
=
Tax Due , .
=

1. Total Convention & Trade Center , .

Tax Due (Add tax due, lines 7-10)
Special Hotel/Motel Tax [70]
Taxable Amount
Location Code Rate , . . ,

1. x

Taxable Amount
Location Code Rate , . . ,

1. x

Taxable Amount
Location Code Rate , . . ,

1. x

Taxable Amount
Location Code Rate , . . ,

1. x

Tax Due , .
=
Tax Due , .
=
Tax Due , .
=
Tax Due , .
=

1. Total Special Hotel/Motel Tax Due (Add tax due, lines 12-15)

Reminder: Attach this addendum to

your original return and

1. Total Lodging Taxes

mail to the Department.
(Add lines 11, 16 and 26)
Internet/Fax
(10-17-19) , . , , .
Add all Addendum totals and transfer the amount to the Total All Addendums line on your tax return.

Lodging Addendum
Period
Year
Use Black Ink and Attach this Original Addendum to Your Combined Excise Tax Return.
Name:
Lodging Charges
Account ID
Note: See the Lodging Charge Special Notice for your county's rates on our web site at dor.wa.gov.
Tourism Promotion Area Lodging Charge [170]
Number of Unit/Days
Location Code
18.
Total Charges Due
Unit/Day Rate Charged , . . x =
Number of Unit/Days
Location Code
19.
Total Charges Due
Unit/Day Rate Charged , . . x =
Number of Unit/Days
Location Code
20.
Total Charges Due
Unit/Day Rate Charged , . . x
=
Number of Unit/Days
Location Code
21.
Total Charges Due
Unit/Day Rate Charged , . . x =
Number of Unit/Days
Location Code
22.
Total Charges Due
Unit/Day Rate Charged , . . x =
Number of Unit/Days
Location Code
23.
Total Charges Due
Unit/Day Rate Charged , . . x =
Number of Unit/Days
Location Code
24.
Total Charges Due
Unit/Day Rate Charged , . . x =
Number of Unit/Days
Location Code
25.
Total Charges Due
Unit/Day Rate Charged , . . x = , .

1. Total Tourism Promotion Area

Reminder: Attach this addendum to

4 Lodging Charges (Add charges due,
Add all Addendum totals and transfer your original return and lines 18-25) the amount to the Total All Addendums mail to the Department. line on your tax return.
For tax assistance or to request this document in an alternate format, visit dor.wa.gov or call 360-705-6705. Teletype (TTY) users may use the Washington Relay Service by calling 711.
Internet/Fax
(10-17-19) Page 2