Form 47 - Idaho Mine License Tax Return
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1
2F
47
IDAHO MINE LICENSE TAX RETURN
O
R
M
EFO00048
06-17-15
Mo
Day
Year
Mo
Day
Year
AMENDED RETURN, check the box.
▪
▪
See instructions for the reasons
For tax year
for amending and enter the number.
beginning
ending
Name of owner or lessee of mining property
Federal employer Identification number (EIN)
Current business mailing address
Name of mine
City, State, and ZIP code
Mine license account number from Tax Commission
Check the box if your mining operation includes a cyanidation facility. ▪
Type of ore extracted
Total tons of ore extracted during the year
Initial Return
Final Return
▪
A. IF TAX IS BEING COMPUTED ACCORDING TO SECTION 47-1202(a), USE LINES 1 THROUGH 3.
1. Net income from mining property or gross receipts from royalties. Include computation ........... ▪
1
2. Depletion expense. Include a copy of the computation of depletion
expense from your federal income tax return ............................................................................. ▪
2
3. Net value to be used as a measure of tax. Subtract line 2 from line 1 ....................................... ▪
3
B. IF TAX IS BEING COMPUTED ACCORDING TO SECTION 47-1202(b), USE LINES 4 THROUGH 8.
4. Gross value of ores as determined by the U.S. Department of Interior. Include computation ... ▪
4
5. Cost of extracting, mining, and transporting ore. See instructions .............................................
5
6. Allowable depletion expense. Include computation ....................................................................
6
7. Add lines 5 and 6 ......................................................................................................................... ▪
7
8. Net value to be used as a measure of tax. Subtract line 7 from line 4 ....................................... ▪ 8
9. Taxable net value. Enter the amount from line 3 or line 8 .......................................................... ▪
9
TAX COMPUTATION
10. Idaho mine license tax. Multiply line 9 by 1% ............................................................................. ▪ 10
11. Interest from due date .................................................................................................................. ▪ 11
12. Penalty ......................................................................................................................................... ▪ 12
13. Total due. Add lines 10 through 12 ...................................................................................... ▪
AMENDED RETURN ONLY. Complete this section to determine your tax due or refund
14. Total Due (Line 13) on this return .................................................................................................
14
15. Taxes paid with original mine license return ................................................................................
15
16. Amended tax due or refund. Subtract line 15 from line 14 .........................................................
16
Within 180 days of receiving this return, the Idaho State Tax Commission may discuss this return with the paid preparer identified below.
▪
Under penalties of perjury, I declare that to the best of my knowledge and belief this return is true, correct and complete.
Signature of officer
Date
▪
SIGN
HERE
Title
Phone number
{"W]¦}
Preparer's EIN, SSN, or PTIN
Paid preparer's signature
.
.
Address
Phone number
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