Form Mt-001 - Report Of Net Proceeds Occupation Tax On Mining Of Metallic Minerals (Page 2 of 4) in pdf

3. Taxes paid, exclusive of net proceeds tax, allowed as a deduction for

Wisconsin Corporate income or franchise taxes and allocated to this

mine. See instructions and submit tax schedule showing allocation. . $

4. Rents paid on personal property used in mining product. . . . . . . . . . . . . . . $

5. Employe relocation costs within this State. . . . . . . . . . . . . . . . . . . . . . . . . . . $

6. Cost of premiums for bonds required under s. 144.86. . . . . . . . . . . . . . . . . $

7. Cost of insurance premiums on persons or tangible assets related

to this mine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

8. Uninsured casualty losses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

9. Loss on sale of personal property used in this mine. . . . . . . . . . . . . . . . . . . $

10. Depreciation expense from Schedule A. See instructions. . . . . . . . . . . . . $

11. Certain royalty payments. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . $

12. Premining cost amortization. See instructions and submit schedule. . . . $

13. Exploration and development expenses incurred after mining begins. . . . . $

14. Restoration and reclamation costs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

15. Interest expense. See instructions and submit computation. . . . . . . . . . $

16. Cost depletion of ore. Submit computation. . . . . . . . . . . . . . . . . . . . . . . . . $

17. Total Deductions (Sum of Lines 2-16). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

18. Net proceeds for 1999 (Line 1 minus Line 17) Line 18 should equal Schedule C, Line D. . . . . . . . . .

Net Proceeds

Tax

$00,000,000 to $00,409,500 at a rate of 00%. . . . . . . . . . . . . . . . . . . . . . . . . . . . $

$00,409,501 to $08,188,900 at a rate of 03%. . . . . . . . . . . . . . . . . . . . . . . . . . . .

$08,188,901 to $16,377,500 at a rate of 07%. . . . . . . . . . . . . . . . . . . . . . . . . . . .

$16,377,501 to $24,566,400 at a rate of 10%. . . . . . . . . . . . . . . . . . . . . . . . . . . .

$24,566,401 to $32,755,400 at a rate of 13%. . . . . . . . . . . . . . . . . . . . . . . . . . . .

$32,755,401 to $40,943,800 at a rate of 14%. . . . . . . . . . . . . . . . . . . . . . . . . . . .

Exceeding $40,943,800 at a rate of 15%. . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total net proceeds (Same as Line 18) . . . . . . . . . . . . . . . . . . . . . . . . . . . $

Total net proceeds occupation tax due, before construction fee credit . . . . . . . . . . . . . . . . .

Construction fee credit, submit computation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Net proceeds occupation tax due with this report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

I, the undersigned

of the

(Title of Officer in Charge of Account)

(Full Name of Operating Company)

mining the

(Name of Mine)

do certify that this report and all schedules along with supporting documents submitted as part of this report filed for the above

indicated period have been prepared under my direction and that they correctly reflect the net proceeds of this mine as defined in

Wisconsin Statutes s. 70.375.

(Signature)

(Date)

(Post Office Address)

Form Mt-001 - Report Of Net Proceeds Occupation Tax On Mining Of Metallic Minerals Page 2