ANNUAL Business and Occupation Tax Report

License Number

Enter your City of Lacey Business License number.

Period

Enter the year you are reporting.

Do you need to update your mailing address?

If yes, enter your address in the section below.

New Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Is this business still operating in Lacey?

If no, please enter the date the business closed below.

Business Closure Date

MonthDayYear

Small Business Startup B&O TAX Exemption: New small businesses located within Lacey city limits with gross income less than $500,000/year, qualify for a three (3) year exemption from Lacey B&O taxes. This form must still be filed, but no tax will be due. Please check here if your business qualifies.

IF YOUR TOTAL TAXABLE INCOME FOR THE YEAR IS LESS THAN $20,000,
NO TAX IS DUE.

YOUR REPORT MUST STILL BE FILED.

Tax Report - Enter your income data in this section and the totals will appear below. Tax rates are as follows: Retailing, 0.001 Contractor, 0.001 Printing/Publishing, 0.001 Service & Other Activity, 0.002

Rows	Gross Amount	Deductions (If reporting this column, select yes for Show Deductions Worksheet below)	Taxable Gross Amount	Tax Amount Due	Penalties	Total Tax and Penalties Due
Retailing
Contractor
Printing/Publishing
Service & Other Activity

Total Taxable Amount

Calculated from the table above

Statement Total (Tax Amount Due)

Calculated from the table above

Penalties (If Applicable)

Calculated from the table above

Previous Balance (If Applicable)

Enter if applicable

TOTAL AMOUNT DUE

Calculated from entries above

Form Calculations

Show Deductions Worksheet

Select Yes to display the Deductions Worksheet

Deductions Worksheet

Rows	Retailing	Contractor	Printing/Publishing	Service & Other Activity
Bad Debts
Cash & Trade Discounts
Motor Vehicle Fuel Sale
Liquor Sales
Total Business Tax Deductions

Contact Information

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Date of submission

MonthDayYear

By submitting this form, I declare that I have read the foregoing return and certify it to be correct.

ANNUAL Business and Occupation Tax Report - NO PAYMENT ONLY