Form Rit-3 - Resource Indemnity Trust Tax Metal Mines 2007
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3Montana
RIT-3
Rev. 11/07
Resource Indemnity Trust Tax
Metal Mines
Name ________________________________________________________________
Address _______________________________________________________________
Address _______________________________________________________________
City, ST, Zip ____________________________________________________________
Note: Metal and gem producers with less than $500,000 in gross value and not filing the Metalliferous
Mines License Tax return, please complete this return.
1. FEIN:
2. Account ID:
4. If this is an amended return, check here. q
3. Period:
Due:
6. If your address has changed, check this
box q and print new address below:
5. If you are no longer in business and
__________________________________
want your account cancelled, check this
box q and enter final date. _________
__________________________________
7. Mine Operator:
8. Mine Name:
9. County:
Section:
Township:
Range:
10. Tons of ore extracted during production year ..........................................10.
Type of Mineral
Quantity
Gross Value
11. Copper .........................................................11.
oz $
12. Gold ............................................................ 12.
oz $
13. Lead............................................................ 13.
oz $
14. Molybdenum ............................................... 14.
oz $
15. Nickel .......................................................... 15.
oz $
16. Palladium .................................................... 16.
oz $
17. Platinum...................................................... 17.
oz $
18. Silver........................................................... 18.
oz $
19. Zinc ............................................................. 19.
oz $
20. Rhodium ..................................................... 20.
oz $
21. Other (indicate weight measurement) ........ 21.
$
22. Total Gross Value (add lines 11 through 21) ............................................22. $
Calculation of Resource Indemnity Trust Tax:
23. Tax (line 22 x 0.005 with a minimum tax of $25) .....................................23. $
24. Penalties ..................................................................................................24. $
25. Interest.....................................................................................................25. $
26. Total Amount Due (add lines 23, 24, and 25) ..........................................26. $
I hereby swear or affirm under penalty of perjury that the statements contained herein are true to the
best of my knowledge.
Signature ________________________________________________________________________
Title ________________________________Phone __________________ Date _______________
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