Form Rev 81 1002-1 - Rural County Application For Sales And Use Tax Deferral 82.60 Rcw Page 2
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1
2
3Business Activity to be Conducted at this Facility
Apportionment of Structure
If the facility is used partly for manufacturing and partly for other
If additional space is needed to answer questions 1 and 2,
purposes, the applicable tax deferral shall be determined by
please attach additional pages.
apportioning the costs of construction.
1. Describe the nature of your manufacturing activity at this
9. Percentage of facility devoted to:
facility. _______________________________________
Accounting/Payroll
%
Administration
%
Cafeteria
%
2. Describe the nature of your research and development
Common Areas
%
activities at this facility, if applicable. _______________
Conference & Training Rooms
%
Customer Service
%
Manufacturing
%
Yes
No
Plant offices used by direct line
supervisors or other managers who oversee
3. Are you currently paying manufacturing
the manufacturing process
%
or processor for hire business &
occupation tax on the above described
Reception Area
%
activity?
Research & Development
%
4. If the answer to question 3 is “No”, is this
Sales & Marketing
%
a new manufacturing activity for your
Warehouse
%
business?
Other (please describe)
%
100 %
Total
Estimated Investment Project Costs
10. Percentage of cogeneration energy produced devoted to internal
5. Structure:
use if applicable:
Date construction/expansion to start
Manufacturing
%
Construction of new structure(s)
$
Research & Development
%
Leasehold improvements paid for by
Other (please describe)
%
$
applicant
100 %
Total
Expansion or renovation to expand
$
floor space or production capacity
Lessee/Lessor Information
Total Structure Costs
$
Yes
No
11. Will the facility housing the operation be leased
6. Machinery & Equipment:
by the applicant?
Date equipment is to be installed
12. Name of individual or entity that is paying for the construction
of the building or improvements:
Purchase Price
$
Less Contract Price
$
13. Name of the individual or entity that will be manufacturing at
this location:
Fair market value of previously
owned machinery and equipment
that is new to the State of
14. Do the lessee and lessor have 100% same
$
Washington
ownership?
If yes, please provide documentation to
Total Machinery & Equipment
substantiate the relationship.
$
Costs
15. If the answer to question 14 is “No”, has the
lessor agreed by written contract to pass the
7. Total Costs
$
economic benefit of the deferral on to the lessee
by any type of payment credit or other financial
8. Estimated completion date
arrangement?
(Please attach a completed Lessor’s Application and a copy of the lease agreement
reflecting the economic benefit of the deferred tax is passed onto the lessee by any
type of payment, credit, or other financial arrangement between the lessor and
qualified lessee.) If the individual or entity paying for the construction is different
from the manufacturer, please contact the department for further instruction.
REV 81 1002-2 (07/08/09)
The lessee that receives the economic benefit must agree in writing to
complete the annual survey. (Attach Copy)
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