Fill and Sign the Washington Consumer Tax Form

Posting Period Office Use Only CONSUMER USE TAX RETURN Please note the following :  If you have a current business registration with the Department of Revenue, report use tax for business- related purchases on the Combined Excise Tax Return for the next reporting period.  To pay use tax on automobiles, vessels, or airplanes, please contact one of our local field offices or call 1-800-647-7706 for further assistance.  To determine your appropriate location code and * tax rate, see www.dor.wa.gov , select Services Hot Button , select GIS (Geographic Information System) or call 1-800-647-7706 for assistance. For information about use tax, select P ublications Hot Button , select B usiness Taxes , and then select U se Tax. Complete the following: Full Name Address City, State, Zip General Description of Items Purchased (optional) Value of Items $ Total Value  Make check payable to: Department of Revenue Location Code * Tax Rate X  Mail return and check to: Department of Revenue PO Box 47464 Olympia WA 98504-7464 Total Use Tax (Total Value x Tax Rate ) $ Signature Date Phone ( ) To inquire about the availability of this notice in an alternate format for the visually impaired or in a language other than English, please call (360) 753-3217. Teletype (TTY) users may call (800) 451-7985. You may also access tax information on our Internet web site at http://dor.wa.gov. REV 83 2501B (8-12-99) LPB 72-05State of Washington Department of Revenue PO Box 47464 Olympia, WA 98504-7464