Form 560.1 - Salmon Price Adjustment Report
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Alaska
DEPARTMENT USE ONLY
560.1
RSN:
Salmon Price Adjustment Report
(Use this form to report net changes to previously filed ASPRs)
EIN
Company Name
Mailing Address
Telephone Number
Fax Number
City
State
Zip+4
Check if this is a
Email Address
new address
Contact Person
Title
Telephone Number
Page _____ of _____
Indicate REPORT YEAR Being Adjusted:
Check REPORT PERIOD Being Adjusted:
January - April
May - August
September - December
THIS AREA FOR
Adjusted
Net Change in Total Weight (lbs)
Net Change in Total Value ($)
DEPT. USE ONLY
Month
*Thermally Processed Container Size Codes (in oz)
Species Codes
Production Area Codes
Product Form Codes
410 salmon, chinook
A Southeastern & Yakutat
01
Thermally processed products
Code From
To
Code
Form
To
Aleutian Islands, Atka-Amlia Islands,
F
& Alaska Peninsula
420 salmon, sockeye
B Prince William Sound
02
Fresh headed & gutted products
1
0
1.99
7
10.00
14.74
430 salmon, coho
C Cook Inlet
G Bristol Bay
03
Fresh fillet products
2
2.00
3.74
8
14.75
(Talls)
440 salmon, pink
D Kodiak
04
Frozen headed & gutted products
3
3.75 (Quarters)
9
14.76
19.99
Kuskokwim, Yukon-Northern, Norton
H
Sound-Port Clarence, & Kotzebue
450 salmon, chum
E Chignik
05
Frozen fillet products
4
3.76
7.49
10
20.00
63.99
I
Exported in the round
06
Salmon roe products
5
7.50
(Halves)
11
64.00
(4-lb can)
6
7.51
9.99
12
64.01 or larger
I declare under penalty of unsworn falsifications that this report, including any accompanying statements, has been examined by me and
to the best of my knowledge and belief is true and complete.
Signature
Printed or Typed Name
Date
Mail to: ALASKA DEPARTMENT OF REVENUE
TAX DIVISION
560.1
PO BOX 110420
JUNEAU AK 99811-0420
Phone 907-465-2320 • Fax 907-465-2375
0405-560.1 Rev 06/12 - page 1
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