Form Tc4705 - Idaho Mine License Tax Return - 2005

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47
F
IDAHO MINE LICENSE TAX RETURN
O
R
TC4705
M
5-20-05
.
Check the box if this is an amended return.
See instructions on the back of this
Mo
Day
Year
Mo
Day
Year
.
form for the reasons for amending
ending
For calendar year ______, or fiscal year beginning
and enter the number.
Name of owner or lessee of mining property
.
Name of mine
Social Security Number or EIN
Address (number and street)
Type of ore extracted
Total tons of ore extracted during year
.
.
Check the box if your mining operation
City, State and Zip Code
includes a cyanidation facility.
.
A. IF TAX IS BEING COMPUTED ACCORDING TO SECTION 47-1202(a), USE LINES 1 THROUGH 3.
1
1.
Net income from mining property or gross receipts from royalties .....................................................
.
2.
Depletion expense. Attach a copy of the computation of depletion
2
expense from your federal income tax return. ...................................................................................
.
3
3.
Net value to be used as a measure of tax. Subtract line 2 from line 1. ..............................................
.
B. IF TAX IS BEING COMPUTED ACCORDING TO SECTION 47-1202(b), USE LINES 4 THROUGH 8.
4
4.
Gross value of ores as determined by the U.S. Department of Interior. Attach computation. ...........
5
5.
Cost of extracting, mining, and transporting ore. See instructions. ...................................................
6
6.
Allowable depletion expense. Attach computation. ..........................................................................
.
7
7.
Add lines 5 and 6. ............................................................................................................................
.
8
8.
Net value to be used as a measure of tax. Subtract line 7 from line 4. ..............................................
.
9
9.
Taxable net value. Enter the amount from line 3 or line 8.
TAX COMPUTATION
.
10
10.
Idaho mine license tax. Multiply line 9 by 1%. ...................................................................................
.
11
11.
Estimated tax payments ....................................................................................................................
.
12
12.
Tax due (Refund). Subtract line 11 from line 10. ..............................................................................
.
13
13.
Interest from due date ......................................................................................................................
.
14
14.
Penalty .............................................................................................................................................
.
15.
Total due. Add lines 12, 13, and 14.
15
AMENDED RETURN ONLY
16
16. Enter tax due (refund), line 12, as last filed. .......................................................................................
17
17. Enter tax due (refund), line 12, as amended. .....................................................................................
18. Subtract line 17 from line 16. If line 16 is more than line 17, this is your refund. If line 16 is less
than line 17, this is your tax due.
18
Under penalties of perjury, I declare that to the best of my knowledge and belief this return is true, correct and complete.
Signature of officer/owner
Date
Paid preparer's signature
Preparer's EIN, SSN, or PTIN
.
.
.
SIGN
HERE
Title
Phone number
Address and phone number
MAIL TO: Idaho State Tax Commission, PO Box 56, Boise, ID 83756-0056
ATTACH A COPY OF YOUR FEDERAL DEPLETION EXPENSE COMPUTATION

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