Precious Metals Tax-Quarterly Estimate Form - South Dakota Department Of Revenue

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South Dakota Department of Revenue
Precious Metals Tax-Quarterly Estimate
This form is to be used for reporting quarterly estimates due April 30, July 31, October 31, and January 31 of each tax year.
(Check one) This is a
final payment
quarterly estimate
For quarter ending _____________________
Amount remitted with this form $______________________
Name of Company ____________________________________________________________________________
Address _____________________________________________________________________________________
City __________________________________ State ______________________
Zip _____________________
Business Telephone ____________________________________________________________________________
Production Report
1. Quantity of minerals extracted or produced during calendar quarter covered by this report and the gross yield
expressed in dollars and cents:
Type of Precious Metal
Quantity (ounces)
Gross Yield (dollars)
____________________________
_____________________________
____________________________
____________________________
_____________________________
____________________________
____________________________
_____________________________
____________________________
2. Total Gross Yield . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________________________
3. Deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________________________
4. Net Profits (subtract line 3 from line 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________________________
5. Value of Royalty and Working Interests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________________________
Computation of Tax
6. Gross Production Tax (gold in oz. x $4.00) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________________
7. Net Severance Tax (10% x line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________________
8. Severance Tax on Royalty and Working Interest (8% x line 5) . . . . . . . . . . . . . . . . . $ _______________________
9. Total Tax Due (sum of lines 6, 7, and 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ ________________________
Mail to: South Dakota Department of Revenue
P.O. Box 5055
Sioux Falls, SD 57117-5055
REV-SPT-901-8/01

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