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Automatic Bank Deduction Authorization PO Box 1827 Medford, OR 97501 Regency BlueAdvantage HMO Regency Advantage Basic (PPO) Regency Advantage + Rx Classic (PPO) FORM 4416WA (Rev. 9/14) WASHINGTON

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Who needs 4416wa rev 9-14:

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4. Anyone who is requested to fill out this particular form by a government agency, financial institution, or other authorized entity.

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What is 4416wa rev 9-14?

4416wa rev 9-14 is a tax form used to report Washington state excise tax liabilities.

Who is required to file 4416wa rev 9-14?

Businesses operating in Washington State that have excise tax liabilities are required to file 4416wa rev 9-14.

How to fill out 4416wa rev 9-14?

4416wa rev 9-14 can be filled out manually or electronically using the Washington Department of Revenue's online system.

What is the purpose of 4416wa rev 9-14?

The purpose of 4416wa rev 9-14 is to report and pay Washington state excise taxes.

What information must be reported on 4416wa rev 9-14?

4416wa rev 9-14 requires businesses to report their gross income, deductions, and calculate their excise tax liability.