CC B and O Annual Tax Return

Gross Income and Deductions Entry

Rows	Gross Income	Deduction
Manufacturing/Extracting
Retailing
Wholesaling
Printing, Publishing or Extracting/Processing for hire
Retail Services
Services and Other Business Activities

Detail of Column 3 Deductions from Gross Income

If you entered a deduction in the previous section please enter the deduction detail that supports that amount.
Use link below for reviewing deduction requirements.

Allowable Deductions

Deduction Detail

Rows	Manufacturing/ Extracting	Services & Other Business Activities	Retailing	Wholesaling	Printing Publishing or Extracting/ Processing for Hire
Motor Vehicle Fuel Sales
Liquor, Beer, Wine Sales
Credit Losses Sustained
Cash Discounts
Delivery to Buyer Outside of Issaquah (See reverse for requirements)

Penalty and Interest
If you are filing your return after the due date, please complete the Penalty and Interest section below. If not, click NextIf you are filing your return after the due date, please complete the Penalty and Interest section below. If not, click Next.
Please use the following URL to access the Penalty and Interest worksheet. Use this worksheet for calculating penalty and interest owed for this tax filing. If you have no penalties, go to the next page.

Please note, if you do not include penalty and interest for a late filing you will recieve a bill for the amount of penalty and interest owed.
Total Tax Due this period
Penalty and Interest Calculation Form
Enter Penalty and Interest amount from worksheet
Penalty and Interest

Final Return
Final return? If no go to next page.
If yes, please check one - Business was:
OWNERSHIP CHANGE OR BUSINESS CLOSURE
Please provide the following information if there has been a sale or closure of your business during this tax period. If there has been no sale or closure to the business, proceed to the next page.
Date Business Closed/Ownership Changed

MonthDayYear
Date
New Owner’s Name:
New Name
New Owner Address

New Owner Name

Street Address Line 2

CityState / Province

Postal / Zip Code

Statement by Taxpayer
I/we hereby certify under the penalties of perjury that the sum above shown is the amount of tax for which I am/we are liable for the period above shown under and computed according to the provisions of this Ordinance. I/we further certify that the information herein given and the amount of the tax liability herein reported are full and true and I/we know the same to be so.
Signature
Date

MonthDayYear
Date
Signer’s Name & Title
Phone
Format: (000) 000-0000.
Please upload any supporting documents related to your tax retrun

Cancelof
Click Preview PDF BEFORE you click Submit to view your completed form. You will not be able to make changes to your form after you have clicked Submit.

Payment Notice

A 2.95% service fee will be applied to all payments made by credit card. If you would like to use a credit card, please click on Credit card and click Next at the bottom of the form.

If you prefer to avoid this fee, you may select the Mail-In Check and click Submit at the bottom of the form.
Payment Options
Credit Card Value
Total tax plus penalty
Service Fee
Total amount to be charged

USDDescription

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

BUSINESS AND OCCUPATION Annual TAX RETURN