Form Csr-1 - Coal Mining Assessment And Special 2 Cent Per Ton Tax

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WV/CSR-1
WEST VIRGINIA COAL MINING ASSESSMENT AND SPECIAL 2 CENT PER TON TAX
(REV 10/01)
Producers of coal must pay 14¢ per ton on all clean coal mined
NATURE OF BUSINESS
(the same tons as reported on Schedule E on the Coal Severance
Tax Return) and 2¢ per ton on all clean coal sold (the same tons as
IF BUSINESS DISCONTINUED GIVE DATE AND
reported on the Minimum Tax computation Schedule on the Coal
IF SOLD NAME AND ADDRESS OF NEW OWNER
Severance Tax Return). Processors of purchased coal are not sub-
ject to this tax but must file the return with zeros. Round all tons
to the nearest whole number (no decimal points). Do not
round off dollar amounts. Report dollars and cents.
PERIOD ENDED
YOUR ACCOUNT IDENTIFICATION NUMBER
TOTAL TONS
TAX DUE (DO NOT ROUND)
RATE
ROUND TO NEAREST
DOLLARS AND CENTS
WHOLE TON
TONS CLEAN
1
.14
COAL MINED
TONS CLEAN
.02
2
COAL SOLD
TOTAL TAX DUE
3
(Line 1 Plus Line 2)
SIGNATURE OF TAXPAYER OR PREPARER
DATE

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