High Unemployment County Application For Sales And Use Tax Deferral 82.60 Rcw Page 2

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Business Activity to be Conducted at this Facility
Total Costs
If additional space is needed to answer questions 1 and 2,
7.
Total Costs
please attach additional pages.
(Structure, Machinery, & Equipment)
$
8.
Estimated completion date
1.
Describe your manufacturing activity at this facility:
Apportionment of Structure
If the facility is used partly for manufacturing and research and
development and partly for other purposes, the applicable tax
deferral shall be determined by apportioning the costs of
2.
Describe your research and development activities at this
construction. (Not all of these categories qualify for the
facility, if applicable:
deferral.)
9. Percentage of facility devoted to:
Accounting/Payroll
%
Administration
%
Cafeteria
%
Common Areas
%
Yes
No
Conference & Training Rooms
%
3.
Are you currently paying manufacturing
Customer Service
%
or processor for hire business & occupation
tax on the above described activity?
Manufacturing
%
Plant offices used by direct line
4.
If the answer to question 3 is “No”, is
this a new manufacturing activity for
supervisors or other managers who
oversee the manufacturing process
%
your business?
Reception Area
%
Research & Development
%
Estimated Investment Project Costs
Sales & Marketing
%
Please only include costs that will be paid for by the applicant.
Warehouse
%
5.
Structure:
Other (please describe)
%
Date building permit will be issued
Total
100 %
Construction of new structure(s)
$
10. Percentage of cogeneration energy produced and devoted to
internal use, if applicable:
Leasehold improvements paid for
by applicant
$
Manufacturing
%
Expansion or renovation to expand
Research and Development
%
floor space or production capacity
$
Other (please describe)
%
Total Structure Costs
$
6.
Machinery & Equipment:
Date equipment is to be acquired
Total
100%
Purchase Price
$
Less contract price
$
Fair market value of previously owned
machinery and equipment that is new to
the State of Washington
$
Total Machinery & Equipment Costs
$
REV 81 1027 (6/29/10)

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