Forest Excise Tax Return
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1
2State 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
Standard Harvester
Show changes in address above.
If permit ownership has changed, attach DNR transfer forms.
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
Check
Check
to
if No
Stump-
to
Detail
Approved
Amount of
Delete
Total Taxable
Harvest
County Name/
Land
Rge
age
Haul
Delete
Page
Permit Number
Sec.
Twn
EARR
EARR
Permit
on this
Number
Type
E or W
Value
Zone
Stumpage Value
Sec.
No.
Credit
Credit
No *
Sec.
Area
( )
( )
( )
* See Instructions for Closure
DUE DATE:
Total All Summary Pages and Transfer To Summary Page 1.
Grand Total Taxable
CHECK ONE:
$
Stumpage Value
A
INDUSTRIAL LANDOWNER (wood using plant)
Tax Due = Grand Total
B
LARGE LANDOWNER (over 1,000 acres)
x
Stumpage Value Times
C
SMALL LANDOWNER (under 1,000 acres)
Current Rate 0.05
(Do Not Round.)
AFTER DUE DATE
ADD PENALTY
Less EARR Credit
-
See rates and instructions in
Signature
$
Stumpage Value Packet,
Subtotal
page 3.
Print Name
Penalty
+
(Do Not Round.)
Daytime Phone
Date
Total Amount Due
$
Make Check Payable To: Department of Revenue
Email Address
If subtotal for the quarter is less than $50, send completed return
without a payment.
Reporting Instructions Are Included In The Stumpage Value Packet.
Page 1
REV 62 0065
(02/22/12)
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