Consumer Use Tax Return
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Consumer Use Tax Return Form. This is a Washington form and can be use in Limited Practice Board Statewide.
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Tags: Consumer Use Tax Return, LPB 72-05, Washington Statewide, Limited Practice Board
State of Washington
Department of Revenue
PO Box 47464
Olympia, WA 98504-7464
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 businessrelated 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 Publications Hot Button, select Business Taxes, and then select Use Tax.
Complete the following:
Full Name
Address
City, State, Zip
General Description of Items Purchased (optional)
Value of Items
$
Total Value
4 Make check payable to:
Department of Revenue
4 Mail return and check to: Department of Revenue
PO Box 47464
Olympia WA 98504-7464
Signature
Phone (
Location Code
* Tax Rate X
Total Use Tax (Total Value x Tax Rate) $
Date
)
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 72-05
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