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Washington State
              Department of Revenue
                                                         Certificate of Agricultural Commodity Shipped
              Taxpayer Account Administration
              PO Box 47476
                                                              to Interstate & Foreign Destinations
              Olympia WA 98504-7476




Agricultural Commodity Dealer                                                    Agricultural Commodity Delivered By
Name:                                                                            Name:



Address:                                                                         Address:



City:                                           State:        Zip Code:          City:                                              State:         Zip Code:



Tax Registration Number:                                                         Tax Registration Number:



Location of Interim Storage Facilities:                                          Type of Agricultural Commodity Being Delivered:



Name of Final Destination:




I certify that more than ninety-six percent of the type of agricultural commodity delivered by the person
identified above and all other persons that have delivered the same agricultural commodity to the interim
storage facility identified above during the preceding calendar year was shipped by vessel in original
form to interstate or foreign destinations;
          and

Any of the agricultural commodity that is transshipped to ports on tidewater or its navigable tributaries
will be received at storage facilities operated by the agricultural commodity dealer identified above and
will be shipped from such facilities, without intervening transportation, by vessel, in their original form, to
interstate or foreign destinations.

Authorized Signer for Agricultural Commodity Dealer (please print):



Title:                                                                                                    Date:



Authorized Signature:

  For tax assistance visit http://dor.wa.gov or call 1-800-647-7706. To inquire about the availability of this document in an alternate format for the visually
  impaired, please call (360) 705-6715. Teletype (TTY) users may call 1-800-451-7985.

  REV 41 0102 (07/20/07)

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AgricultureShippingCert

  • 1. Washington State Department of Revenue Certificate of Agricultural Commodity Shipped Taxpayer Account Administration PO Box 47476 to Interstate & Foreign Destinations Olympia WA 98504-7476 Agricultural Commodity Dealer Agricultural Commodity Delivered By Name: Name: Address: Address: City: State: Zip Code: City: State: Zip Code: Tax Registration Number: Tax Registration Number: Location of Interim Storage Facilities: Type of Agricultural Commodity Being Delivered: Name of Final Destination: I certify that more than ninety-six percent of the type of agricultural commodity delivered by the person identified above and all other persons that have delivered the same agricultural commodity to the interim storage facility identified above during the preceding calendar year was shipped by vessel in original form to interstate or foreign destinations; and Any of the agricultural commodity that is transshipped to ports on tidewater or its navigable tributaries will be received at storage facilities operated by the agricultural commodity dealer identified above and will be shipped from such facilities, without intervening transportation, by vessel, in their original form, to interstate or foreign destinations. Authorized Signer for Agricultural Commodity Dealer (please print): Title: Date: Authorized Signature: For tax assistance visit http://dor.wa.gov or call 1-800-647-7706. To inquire about the availability of this document in an alternate format for the visually impaired, please call (360) 705-6715. Teletype (TTY) users may call 1-800-451-7985. REV 41 0102 (07/20/07)