Form 0405-688 - Fishery Resource Landing Tax Request For Notice Of Value

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Alaska
688
Fishery Resource Landing Tax
Request for Notice of Value
Due January 31 of year following landing activity
Tax Year
EIN
SSN
Taxpayer Name
Phone Number
Doing Business As
Fax Number
Mailing Address
Email
City
State
Zip Code
Contact Person
If this is the first year you landed a fishery resource in Alaska that was not subject to AS 43.75, or if you landed a resource in
Alaska that is subject to the fishery resource landing tax that was not listed on the previous years’ Statewide Average Price
List, you must submit a Request for Notice of Value.
We hereby notify the Alaska Department of Revenue that we are required to file a Fishery Resource Landing Tax Return for
fishery resources landed in Alaska. We request that the Department of Revenue provide Notice of Value for each species
listed below.
Species
Species code
Please Select a Species:
Attach a separate schedule if more species were landed in this tax year.
Signature
Printed Name
Date
688
Mail to: Alaska Department of Revenue, PO Box 110420, Juneau AK 99811-0420
0405-688 Rev 12/12

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