Stumpage Purchase Report - Washington Department of Revenue

Washington State Department of Revenue Forest Tax Program PO Box 47472 Olympia WA 98504-7472 360-534-1324

This return is submitted by:

Purchaser Name:

Address:

Contact Information:

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Stumpage Purchase Report

This return is submitted in accordance with RCW 84.33.088. This Return is Confidential Under RCW 82.32.330

Seller Name: Address: Contact Information:

Sale Name: Legal: Date of Sale: Acres: Bid/Purchase Price:

Permit/FPA No: Termination Date:

MBF: 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:

Road Construction:

New Construction - No. of stations:

Reconstruction - No. of stations:

Other (reforestation, stockpiling of rock, land clearing etc.):

Cr

$ Value $ $

$ $

Other information of interest regarding the use of this sale information for appraisal purpose:

REV 62 0079 (2/14/23)

1

Cruise Data: Please list by tree species, log grade (as a percentage), bid price (if applicable), and volume (MBF) for entire purchase.

Species Poles % 1P % 2P % 3P % SM % 1S % 2S % 3S % 4S % UT/Pulp %

Bid Price

Cruise Volume

REV 62 0079 (2/14/23)

1

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