Form 0405-662sf - Mining License Tax Return-Short Form - 2013
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1
2Alaska
662SF:08 14 13
2013 Mining License Tax Return-Short Form
662SF
Taxpayer Name (must agree to mining license application)
Mining License Number
If fiscal year filer, enter year end
DOR ID#
FEIN
SSN
Month ________________
Day ________________
Business Name (dba)
Telephone Number
Check if new address
Mailing Address
Return Information (check all that apply)
Amended Return
First Return
Zip Code
City
State
(attach explanation)
Final Return
Email Address
Contact Person
Title
Contact Telephone Number
This form can only be used if taxpayer has only one mining operation and no non-mining expenses. Otherwise, use Form 662 (Long Form).
INCOME
1 Gross income from mining operation
1
2 Royalties received (from Schedule C, line 2)
2
3 Total income from mining operation (add line 1 and 2)
3
EXPENSES
(no deduction, except depletion is allowed against royalty income on line 2)
4 Royalties paid (Schedule B, line 3)
4
5 Fuel and oil
5
6 Maintenance and repairs
6
7 Salaries and wages
7
8 Transportation costs
8
9 Depreciation expense
9
10 Other expenses (attach schedule)
10
11 Total expenses (add lines 4 through 10)
11
12 Net income before depletion (subtract line 11 from line 3)
12
13 Depletion expense (Schedule A, line 16)
13
14 Taxable Income before exemption for new mining operation (subtract line 13 from line 12)
14
15 Exemption for new mining operation (see instructions)
15
16 Net taxable income (subtract line 15 from line 14)
16
17 Tax (see instructions)
17
18 Exploration incentive credit (attach Form 665)
18
19 Mining business education credit (line 6 of Schedule EC, can be found on Form 662)
19
20 Tax before other credits (subtract lines 18 and 19 from line 17)
20
21 Film production tax credit (cannot exceed line 20, attach certificate or explanation of carry forward)
21
22 Amount paid with extension
22
23 Amended returns only. Amount paid with original return
23
24 Net tax due or (overpayment) (subtract lines 21, 22, and 23 from line 20)
24
662SF
Mail to: Alaska Department of Revenue, PO Box 110420, Juneau AK 99811-0420
0405-662SF Rev 08/14/13 - page 1
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