Damaged Timber Adjustment Application

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Damaged Timber Adjustment Application
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Application must be approved prior to harvesting
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PLEASE READ INSTRUCTIONS ON REVERSE SIDE BEFORE COMPLETING
1. Timber Taxpayer’s Name:
2. Tax Reporting Account No.:
3. County:
4. Permit No.:
5. Harvest Unit No.:
6. Legal Description of Damaged Timber Area(s):
Sec
Twn
Rge
7. Estimated Acres of Affected Area(s):
8. Starting & Ending Date(s) of Harvesting:
9. Estimate of the Total Damaged Timber Volumes:
Species
Volume (MBF)
Species
Volume (MBF)
10. Briefly describe the nature and extent of damage to the timber (see WAC 458-40-660(4)).
11. List each estimated additional harvesting cost to be incurred.
12. List any marketability loss which cannot be accounted for in the Department scaling rules.
Taxpayer’s Signature
Date
REV 62 0082e (3/6/12)
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