Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to access the document and open it in your online editor.
2. Begin by entering the 'Business Name' in the designated field, ensuring it accurately reflects your registered business entity.
3. Next, provide your 'State Tax ID' number in the relevant section. This number is essential for tax identification purposes.
4. Indicate the 'Unprocessed Retail Marijuana Transferred during Month/year' by filling out the relevant month and year in the respective fields.
5. Fill out the 'Pounds or Items' section, detailing the quantities transferred in the specified categories: Weight in pounds of Bud/Flower, Shake/Trim, Number of Immature Plant Transfers, and Weight in Pounds of Wet Whole Plants.
6. Calculate the 'Taxable Value' for each category by multiplying the specified weight or number by the corresponding rate, as outlined in the form.
7. Sum lines 1 to 7 to determine the 'Total Valuation of AMR' and input this figure accordingly.
8. Report the 'Total Contract Sales' accurately in the provided field.
9. Calculate the 'Total Valuation' by adding the 'Total Valuation of AMR' and 'Total Contract Sales'; enter this amount in the designated field.
10. Insert the applicable 'County Excise Tax Rate' based on the year of the transfer.
11. Multiply the 'Total Valuation' by the 'County Excise Tax Rate' to calculate the 'Excise Tax.' Input this figure in the form.
12. If there are any 'Penalties, interest or late fees,' add these amounts in the appropriate section.
13. Sum the 'Excise Tax' and any additional fees to find the 'Total amount due.' Enter this final figure.
14. Sign the form in the designated area, entering your printed name, title, phone number, and date of signing.
15. Lastly, review all entered information for accuracy, and once confirmed, you can save changes, download, print, or share the form.

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