Form Sev.t-1s - Severance Tax - Timber - 2002

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R-9005-L (12/01)
State of Louisiana
Page _____ of _____
File original of this return only.
T-1s
Department of Revenue
FORM SEV.
2002
P.O. Box 201, Baton Rouge, LA 70821-0201
SEVERANCE TAX-TIMBER
Parish Summary – Timber
Tax paid herewith
Reporting company name
Reporting company number
CERTIFICATION
Reporting company address (Including ZIP)
Report submitted during month of
Under the penalties of perjury, I declare that I have examined this return, including all accompanying
documents, and to the best of my knowledge and belief, it is true, correct, and complete.
Plant name
Plant location
I understand that the information reported on this return will be used in the administration and
This report must be complete in all respects, showing parish(es) from which timber products were severed and tax on same, including the
enforcement of the Severance Tax laws, rules and regulations, and may be disclosed to other parties
information called for in Schedule A on the reverse side of this form. A separate return is required for each plant or mill.
involved in these reported transactions.
Parish Summary – Tax paid herewith
Taxable
Parish
Product
period
Name and title (Print or type.)
Tons
Tax amount
Penalty and
Total amount
code
code
Parish
severed
due
interest due
number
number
due
Mo.
Yr.
Signature
Date
$
.
$
.
$
.
Telephone (
)
This return is due on or before the last day of the month following the taxable period and becomes
$
.
$
.
$
.
delinquent on the first day thereafter. If the due date falls on a weekend or holiday, the return is due
on the first business day after the due date and becomes delinquent on the first day thereafter.
$
.
$
.
$
.
CONVERSION FACTORS BOARD FEET (DOYLE SCALE) TO WEIGHT
MBF pine
=
16,000 lbs.
=
8.00 tons
$
.
$
.
$
.
MBF hardwood
=
19,000 lbs.
=
9.50 tons
Cord pine
=
5,400 lbs.
=
2.70 tons
Cord hardwood
=
5,700 lbs.
=
2.85 tons
$
.
$
.
$
.
Cord chip & saw
=
5,400 lbs.
=
2.70 tons
Section below to be completed on the last sheet of SEV.T-1s only.
$
.
$
.
$
.
$
.
$
.
$
.
FOR CALCULATING TAX DUE
Prod.
$
.
$
.
$
.
1
Product
Tons
Tax rate @ 2
/
4
%
code
severed
severed
of value/ton
Tax due
no.
$
.
$
.
$
.
01
Pine logs
$.97/ton
$
.
All hwds.
$.58/ton
02
$
.
$
.
$
.
and cypress
.
05
Chip & saw
$.80/ton
.
$
.
$
.
$
.
Prod.
Product
Tax rate @ 5%
Tons severed
code
severed
of value/ton
.
$
.
$
.
$
.
Pulpwood
03
$.40/ton
pine
.
Pulpwood
$
.
$
.
$
.
04
$.21/ton
hwds.
.
$
.
Make payment to:
Total tax due
$
.
$
.
$
.
Department of Revenue
Penalty & interest
.
Do not send cash.
$
.
$
.
$
.
$
.
$
.
$
.
$
.
Total amount due

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