Form 04-561 - Annual Alaska Salmon Production Report - 2011
ADVERTISEMENT
1
2Department of Revenue
Department of Revenue
Department of Revenue
REPORT YEAR
REPORT YEAR
REPORT YEAR
Alaska Department of Revenue
Alaska Department of Revenue
Alaska Department of Revenue
Tax Division
Tax Division
Tax Division
2011
2011
2011
PO Box 110420
PO Box 110420
PO Box 110420
Annual Alaska Salmon Production Report
Annual Alaska Salmon Production Report
Annual Alaska Salmon Production Report
Juneau, Alaska 99811-0420
Juneau, Alaska 99811-0420
Juneau, Alaska 99811-0420
RSN #:
RSN #:
RSN #:
Telephone 907-465-2320
Telephone 907-465-2320
Telephone 907-465-2320
Fax 907-465-2375
Fax 907-465-2375
Fax 907-465-2375
THIS AREA FOR DEPT. USE ONLY
THIS AREA FOR DEPT. USE ONLY
THIS AREA FOR DEPT. USE ONLY
Company Name
Federal EIN
Mailing Address
Telephone Number
Fax Number
City
State
Zip
Email Address
Check if this is a new
Check if this is a new
Check if this is a new
address
address
address
Contact Person
Title
Telephone Number
Report Period:
Report Period:
Report Period:
Page 1 of ________
Page 1 of ________
Page 1 of ________
January 1 - December 31, 2011
January 1 - December 31, 2011
January 1 - December 31, 2011
Due January 31, 2012
Due January 31, 2012
Due January 31, 2012
Production Area H:
Production Area F:
Kuskokwim, Yukon-
Production Area A:
Aleutian Islands, Atka-
Northern, Norton
Southeastern &
Production Area B:
Production Area C:
Production Area D:
Production Area E:
Amila Islands, &
Production Area G:
Sound-Port Clarence,
Production Area I:
Yakutat
Prince William Sound
Cook Inlet
Kodiak
Chignik
Alaska Peninsula
Bristol Bay
& Kotzebue
Exported in the round
Tot. Net Wt. (lbs)
Tot. Net Wt. (lbs)
Tot. Net Wt. (lbs)
Tot. Net Wt. (lbs)
Tot. Net Wt. (lbs)
Tot. Net Wt. (lbs)
Tot. Net Wt. (lbs)
Tot. Net Wt. (lbs)
Tot. Net Wt. (lbs)
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
Species Codes
Product Form Codes
Product Form Codes
*Thermally Processed Container Size Codes (in ounces)
*Thermally Processed Container Size Codes (in ounces)
Code
Code
From
From
To
To
Code
Code
From
From
To
To
410 salmon, chinook
410 salmon, chinook
01 Thermally processed products
01 Thermally processed products
1
1
0
0
1 .99
1 .99
420 salmon, sockeye
420 salmon, sockeye
02 Fresh headed & gutted products
02 Fresh headed & gutted products
7
7
10.00
10.00
14.74
14.74
430 salmon, coho
430 salmon, coho
03 Fresh fillet products
03 Fresh fillet products
2
2
2.00
2.00
3.74
3.74
8
8
14.75
14.75
(Talls)
(Talls)
3
3
3.75
3.75
(Quarters)
(Quarters)
440 salmon, pink
440 salmon, pink
04 Frozen headed & gutted products
04 Frozen headed & gutted products
9
9
14.76
14.76
19.99
19.99
450 salmon, chum
450 salmon, chum
05 Frozen fillet products
05 Frozen fillet products
4
4
3.76
3.76
7.49
7.49
10
10
20.00
20.00
63.99
63.99
5
5
7.50
7.50
(Halves)
(Halves)
06 Salmon roe products
06 Salmon roe products
11
11
64.00
64.00
(4-lb can)
(4-lb can)
6
6
7.51
7.51
9.99
9.99
12
12
64.01 or larger
64.01 or larger
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial