Form 578 - Seafood Marketing Assessment Annual Return - 2016 Page 2

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2016 Seafood Marketing Assessment
578
Annual Return
Form
Taxpayer Name
FEIN or SSN
Column B
Column C
Column A
Value of Seafood Products
From each Fisheries Business
Tax Return (Form 574), Part 1,
Fisheries Business
License Number
Facility Location or Vessel Name
line 6 and Part 2, line 14
Total Value of Seafood Products (transfer to Page 1, line 1) .
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0405-578 01-01-17 - Page 2

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