Form Mt-001 - Report Of Net Proceeds Occupation Tax On Mining Of Metallic Minerals Page 3

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SCHEDULE A – Asset and Accumulated Depreciation & Amortization
Analysis of the Asset Account
Asset Balance
Asset Balance
Property
Beginning of Year
Additions
Disposals
Other
End of Year
Machinery, mills and reduction works
Buildings, structures and other improvements
Fees: permit, license and other
Development costs
TOTAL
Reserve for Accumulated Depreciation and Amortization
Depreciation
Balance
Balance
Classification
Beginning of Year Expense
Rate
Disposals
Other
End of Year
Machinery, mills and reduction works
Buildings, structures and other improvements
Fees: permit, license and other
Development costs
TOTAL
SCHEDULE B — Computation of Line 1, Gross Proceeds
Recovered Mineral
Units
x
Average Price
=
Gross Proceeds
Copper
________________
________________
____________________
Silver
________________
________________
____________________
Gold
________________
________________
____________________
Other ____________________
________________
________________
____________________
_________________________
________________
________________
____________________
_________________________
________________
________________
____________________
Total Gross Proceeds entered on Line 1, Page 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tons of extracted ore shipped during the taxable year ____________________________________________________________
Where was the product shipped? _____________________________________________________________________________
Tons of ore mined during the tax year _________________________________________________________________________
Tons of extracted ore at mine site at end of tax year ______________________________________________________________
Was the product sold or transferred to a controlled or controlling entity as defined under s. 70.375(3)? _____________________
Was the product sold or transferred to a person operating a smelting, refining or other processing or marketing facility which is
located outside of the United States? __________________________________________________________________________
3

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