Net Proceeds Of Minerals Tax Partial Year Report And Payment 1 Form

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«NAME»
«MINENAME»
«COUNTY»
Nevada Department Of Taxation
Net Proceeds of Minerals Tax
PARTIAL YEAR REPORT AND PAYMENT #1
Royalty Recipient
Fiscal Year 20__-20__ Per NRS 362.145
Return this report and payment to the Department no later than August 1, 20__
Questions? Call the Department at 687-6610, 687-6608, or 687-6605
Report actual royalties received for the period beginning January 1, 20__ and
ending June 30, 20__. Consult the reporting and payment instructions provided by
the Department and/or NRS 362.105, and NRS 362.120 (4).
1. Net Proceeds/Royalties Received.
.
.
$____________________
2. Tax Rate. .
.
.
.
.
x___________________
3. Tax (Line 1 times Line 2).
.
.
.
$____________________
4. 20__ outstanding credit. .
.
.
.
$(___________________)
5. Subtract Line 4 from Line 3. Enter the difference
$____________________
6. Tax Due Amount (Line 5)
If Line 5 is a negative number, enter 0.
$____________________
7. 20__ credit remaining (Line 5, if a negative number)
$____________________
I hereby certify this is a full and true statement of the royalties received from each
geographically separate extractive operation for the period indicated on this report.
DATE__________________
SIGNED & TITLE________________________________
DEPARTMENT USE ONLY:
Date desk review complete:____________ Reviewer:___________________________
Computer entry complete:______________
Comments:______________________________________________________________

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