Consumer use tax return - Washington Department of Revenue
OFFICE USE ONLY
/
Consumer use tax return
Use this form to report and pay use tax on items you purchased that didn't include Washington sales tax.
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1. Write the name of the business where you purchased your items in column A.
3. Enter the price or value of your purchased item(s) including the shipping charges in column C
2. Click the Find a sales and use tax rate link on our home page, dor. to find your location code and tax rate.
? Enter location code in column B.
? Enter rate in column D.
Or, go to dor.taxratelookup.
* The location code refers to the address where you first used the item in Washington (usually your home).
4. Calculate the tax you owe by multipling C x D.
5. Add column E for total use tax due.
6. Mail this form with your payment. Make check payable to: Washington State Department of Revenue PO Box 94481 Seattle, WA 98124-6781
Questions? Call us at 360-705-6705.
Do not use this form if you are: ? A registered business. Please report use tax on your tax return. ? Reporting use tax on automobiles, vessels, or airplanes. To pay visit your local Revenue or vehicle licensing office.
A Name of seller
Example: Business name
B
C
Location code*
3406
Total value
(Include shipping)
$ 45 $ $ $ $ $ $
$ $ $ $ Total value of purchases $
D Tax rate
E Tax due
x .089 = $ 4.01
x
=$
x
=$
x
=$
x
=$
x
=$
x
=$
x
=$
x
=$
x
=$
x
=$
Total use tax $
Your information Name: ___________________________________________________Phone: _____________________ Address: ______________________________________ City:_____________State:_____Zip: ________ Signature: ________________________________________________Date: ______________________
For tax assistance or to inquire about the availability of this document in an alternate format, please call 360-705-6705. Teletype (TTY) users may use the Washington Relay Service by calling 711. REV 40 2412 (6/24/19)
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