Nevada Net Proceeds Of Minerals Projections Calendar Year 2006

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NEVADA NET PROCEEDS OF MINERALS PROJECTIONS
CALENDAR YEAR 2006
(Reporting Required Per NRS 362.115)
COMPANY:
MINE:
COUNTY:
CONTACT:
PHONE #
SIGNATURE:
DATE:
QUESTION # 1:
Projected gold, silver or other production for 2006.
Gold
# of oz.
Silver
# of oz.
Other (Specify):
# of lbs., tons, bbls., etc.
QUESTION # 2:
Anticipated gold, silver or other price for 2006.
Gold
# of oz.
Silver
# of oz.
Other (Specify):
# of lbs., tons, bbls., etc.
QUESTION # 3:
Projected gross proceeds for 2006.
$
QUESTION # 4:
Projected NPM allowable deductions for 2006.
$
(expenses, depreciation, production royalty payments)
QUESTION # 5:
Projected net proceeds for 2006.
$
QUESTION # 6:
Projected royalty payments for 2006.
$
If there are any substantial changes or differences from the prior year's actual reported figures,
please give a brief explanation.
COMMENTS:
MAIL TO:
Nevada Department of Taxation
Centrally Assessed Properties
1550 East College Parkway, Suite 115
Carson City, NV 89706-7939
Return the completed form to the Department postmarked no later than March 1, 2006. NRS 362.230 provides for a
penalty of not more than $5,000 for failure to file the required statement timely and in the manner provided.

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