Form Sev 502 - Severance Tax Return On Sand, Gravel Sandstone, Chert, And Limestone

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TENNESSEE DEPARTMENT OF REVENUE
SEVERANCE TAX RETURN ON SAND, GRAVEL
SANDSTONE, CHERT, AND LIMESTONE
ACCOUNT NO.
SSN or FEIN
Period
SEV
Covered
SITUS CODE
502
Due
Date
This report must be filed for severance tax
of mineral products on or before the 15th
day of the month following the period cov-
ered. A separate return must be filed for
each county in which minerals are severed.
Make your check payable to the Tennes-
see Department of Revenue for the amount
shown on Line 6 and mail to:
Tennessee Department of Revenue
Andrew Jackson State Office Building
500 Deaderick Street
Nashville, TN 37242
REMINDERS
1) Read instructions on reverse side before preparing this worksheet.
2) Transfer the amounts reported in the worksheet to the corresponding item numbers in the bottom portion.
3) Be sure to sign and date your return in the signature box on the back of the form.
WORKSHEET FOR COMPUTING TAX
1. TOTAL TONNAGE OF MINERAL TYPE (From Schedule A, Line 7 on the back
of the return) .........................................................................................................
_________________________________
2. MULTIPLY LINE 1 BY TAX RATE (
) .................................................... $ ________________________________
3. CREDIT ................................................................................................................ $ ________________________________
4. PENALTY (If filed late, calculate 5% of the total tax for each 30-day period that
the return is late to a maximum of 25% penalty) ................................................... $ ________________________________
5. INTEREST (If filed late, interest is calculated at
% from due date until
return is filed) ........................................................................................................ $ ________________________________
6. TOTAL AMOUNT DUE (Add Lines 2, 4, and 5; subtract Line 3 if applicable) ...... $ ________________________________
Keep Upper Portion For Your Records
WRITE NUMBERS LIKE THIS
Return Copy Below - Detach Here
SEV
TENNESSEE DEPARTMENT OF REVENUE
Severance Tax Return On All Mineral Products except Coal, Gas,& Oil
502
Period
Due
Covered
Date
1. TOTAL TONNAGE
ACCOUNT NO.
00
2. MULTIPLY LINE 1 BY TAX RATE
(
)
00
3. CREDIT
If an amended
return, check
00
4. PENALTY
box above
FOR OFFICE
00
5. INTEREST
USE ONLY
00
6. TOTAL REMITTED
INTERNET (12-03)
RV-R0002101

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