Forest Excise Tax Return

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State of Washington
Department of Revenue
Forest Tax Program
PO Box 47472, Olympia WA 98504-7472
1-800-548-8829, Fax (360) 534-1320
On-line at
FOREST EXCISE TAX RETURN
Quarter
Year
Public
Make any address changes above.
NO HARVEST THIS QUARTER. Check this box, sign your name at
ALL HARVESTING IS COMPLETED. Check this box.
bottom and mail in page 1. Or call 1-800 547-9815 from WA, OR, or ID.
You will no longer receive a return.
SUMMARY TOTAL FROM DETAIL PAGE(S)
Check to
Check
Check
Delete
if No
Stump-
County
to
Amount
Detail
Approved
Total Taxable
Contract/
Harvest
Contract/Permit
Land
Rge
age
Haul
Delete
Name/
of EARR
Page
Sec.
Twn
EARR
Permit
on this
Number & Name
Type
E or W
Value
Zone
Stumpage Value
Sec.
#
Credit
Number
Credit
Sec.
*
Area
(  )
(  )
(  )
* See Instructions for Closure
DUE DATE:
Grand Total Taxable
$
Stumpage Value
AFTER DUE DATE
Tax Due = Grand Total
ADD PENALTY
Stumpage Value Times
x
Signature
See instructions
Current Rate 0.05
(Do Not Round)
page 4
Less EARR Credit
-
Print Name
$
Subtotal
Daytime Phone
Date
Penalty
+
(Do Not Round)
Email Address
Total Amount Due
$
Make Check Payable To: Department of Revenue
If subtotal for the quarter is less than $50, send completed
return without a payment.
See Reporting Instructions on Page 4
Page 1
REV 62 0063
(07/03/12)

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