Stumpage Purchase Report

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Washington State
Stumpage Purchase Report
Department of Revenue
Forest Tax Program
This return is submitted in accordance with RCW 84.33.088.
PO Box 47472
Olympia WA 98504-7472
1-800-548-8829
This Return is Confidential Under RCW 82.32.330
This return is submitted by:
Purchaser Name:
Address:
Contact Information:
Seller Name:
Address:
Contact Information:
Sale Name:
Legal:
Permit/FPA No:
Date of Sale:
Termination Date:
Acres
MBF:
Bid/Purchase Price:
Lump Sum:
Scale Sale:
This return may be supplemented by a copy of the sale agreement, contract, sale prospectus, or
other instrument of sale, map, and timber cruise or other appraisal information.
Improvements that are part of sale agreement:
Description:
$ Value
Road Construction:
New Construction - No. of stations:
$
Reconstruction - No. of stations:
$
Other (reforestation, stockpiling of rock, land clearing etc.):
$
$
Report Cruise Information on Reverse
Other information of interest regarding the use of this sale information for appraisal purpose:
REV 62 0079e (fill-in) (4/20/10)

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