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Get 34 82 2014-2024

NOAA FORM 34-82 OMB NO 0648-0041 Expires 6/30/2009 01/31/2014 U.S. DEPARTMENT OF COMMERCE NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION NOAA Fisheries Mail report and tax return copy to Capital ConstructionFund Program 1315 East-West Highway Silver Spring MD 20910-3282 301-713-2393 DEPOSIT/WITHDRAWAL REPORT AGREEMENT HOLDER Prepare a separate Form 34-82 report for each account you maintain. DEPOSITORY BANK OR INVESTMENT FIRM CCF CASE NUMBER Name CCF - City and State Due 30 days after filing date of Federal Tax Return including extensions. This report must be filed annually whether or not agreement activity took place. Attach a signed copy of the Federal Income Tax Return as filed with the IRS to this report. Did you reduce taxable income for the current tax year due to CCF activity Number Was a CCF deposit made during the current year for taxes deferred in the prior year Clearly identify this deposit in Account Activity section* REPORT OF DEPOSITORY ACTIVITY FOR TAX YEAR ENDED Date Opened Type of Investment Account s Savings Money Market Checklng YES / Telephone No Other describe NO CLASSIFICATION OF DEPOSITS Amount deferred ORDINARY INCOME tax deferred DEPOSIT Notes CAPITAL funds not tax deferred CAPITAL GAIN WITHDRAWAL SUMMARY BALANCE BALANCE FORWARD - FROM PRIOR YEAR S REPORT Should be same as last year s Balance - End of Year amount. If different attach a reconciling schedule. ACCOUNT ACTIVITY FOR THE TAX YEAR Summarize interest and dividend deposits. For deposits of vessel income provide name of vessel and Schedule A page number. For all withdrawals provide name of vessel and Schedule B page number for project. DATE - Address DESCRIBE SCH. A OR SCH. B PAGE TOTAL EACH COLUMN incIude Balance Forward amount for each column WITHDRAWALS FOR THE YEAR copy totals from adjacent column BALANCE - END OF TAX YEAR net amounts and Summary Balance Public reporting burden for this collection of information is estimated to average 20 minutes per response including the time for reviewing instructions searching existing data sources gathering and maintaining the data needed and completing and reviewing the colleciton of information* Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing this burden to NOAA Fisheries F/MB5 1315 East-West Hwy. I certify that for this tax year there were no withdrawals or transfers other than those enumerated above for this Capital Construction Fund agreement. This report reflects true and complete statements in accordance with all applicable rules and regulations issued or adopted by the Secretary of Commerce pertaining to Section 607 of the Merchant Marine Act of 1936 as amended* Information on this report is complete true and correct to the best of my knowledge and belief* Following Information is required* SIGNATURE representatlve Agreement holder or officer Authorized. This report must be filed annually whether or not agreement activity took place. Attach a signed copy of the Federal Income Tax Return as filed with the IRS to this report. Did you reduce taxable income for the current tax year due to CCF activity Number Was a CCF deposit made during the current year for taxes deferred in the prior year Clearly identify this deposit in Account Activity section* REPORT OF DEPOSITORY ACTIVITY FOR TAX YEAR ENDED Date Opened Type of Investment Account s Savings Money Market Checklng YES / Telephone No Other describe NO CLASSIFICATION OF DEPOSITS Amount deferred ORDINARY INCOME tax deferred DEPOSIT Notes CAPITAL funds not tax deferred CAPITAL GAIN WITHDRAWAL SUMMARY BALANCE BALANCE FORWARD - FROM PRIOR YEAR S REPORT Should be same as last year s Balance - End of Year amount. .

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