Form 04-560.1 - Alaska Salmon Price Adjustment Report - 2000 Page 2
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1
2
3Department of Revenue
Alaska Department of Revenue
Tax Division
RSN #:
PO Box 110420
Alaska Salmon Price Adjustment Report
Juneau, Alaska 99811-0420
THIS AREA FOR DEPT. USE ONLY
(Use this form to report net changes to previously filed ASPRs)
Telephone 907.465.3682
Fax 907.465.2375
Company Name
Federal EIN
Mailing Address
Telephone Number
Fax Number
City
State
Zip
Email Address
Check if this is a new
address
Contact Person
Title
Telephone Number
Page 1 of ________
Indicate REPORT YEAR Being Adjusted: __________
Check REPORT PERIOD Being Adjusted:
May - August
January - April
September - December
Adjusted
THIS AREA FOR
DEPT. USE
Net Change
Net Change
Month
in Total Weight (lbs)
in Total Value ($)
I declare under penalty of unsworn falsifications that this report, including any accompanying statements, has been examined by me and to the best of my
knowledge and belief is true and complete.
Signature
Printed or Typed Name
Date
Species Codes
Production Area Codes
Product Form Codes
410 salmon, chinook
A Southeastern & Yakutat
01 Thermally processed products
G Bristol Bay
420 salmon, sockeye
B Prince William Sound
H Kuskokwim, Yukon-
02 Fresh headed & gutted products
430 salmon, coho
C Cook Inlet
03 Fresh fillet products
Northern, Norton Sound-
440 salmon, pink
D Kodiak
Port Clarence , & Kotzebue
04 Frozen headed & gutted products
450 salmon, chum
E Chignik
05 Frozen fillet products
I
Exported in the round
F Aleutian Islands, Atka-
06 Salmon roe products
Amlia Islands, & Alaska Peninsula
*Thermally Processed Container Size Codes (in ounces)
*
Code
From
To
Code
From
To
1
0
1 .99
7
10.00
14.74
8
14.75
(Talls)
2
2.00
3.74
3
3.75
(Quarters)
9
14.76
19.99
10
20.00
63.99
4
3.76
7.49
5
7.50
(Halves)
11
64.00
(4-lb can)
12
64.01 or larger
6
7.51
9.99
Form 04-560.1 (New 12/00)
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