Form Spt-901 - Precious Metals Tax Annual Return - 2010

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SD EForm - 1786
V2
HELP
Complete and use the button at the end to print for mailing.
South Dakota Department of Revenue
Precious Metals Tax Annual Return
Due June 1 of each year
Statement of Gross Production, Gross Yield, Lawful Deduction, and Claimed Net Proceeds of the following Named
Production Facility.
Located in
County, for the Calendar year ending
,
Operator (owner or Leasee)
Street or Box Number
Name of Mine
City
State
Zip Code
Telephone Number
Recapitulation
0
1. Gross Production of Gold
1
oz.
(20) oz.
2. Less Exemption
2
3. Adjusted Gross Production of Gold
3
oz.
0
3a. Ounces of Silver Extracted
3a
oz.
0.00
4. Tax on Gross Production (line 3 x $4.00)
4 $
4a, Additional Gross Production Tax (GPT) (when gold prices are $500.00 or over)
$500.00 - $599.99 -- additional $1.00 per oz.
$
$600.00 - $699.99 -- additional $2.00 per oz.
$
$700.00 - $799.99 -- additional $3.00 per oz.
$
$800.00 and over -- additional $4.00 per oz.
$
5. Total tax on Gross Production (add lines 4 & 4a)
5 $
0.00
6. Gross Yield
6 $
7. Less Exemption (value of first twenty ounces severed)
7 $
0.00
8. Adjusted Gross Yield
8 $
9. Deductions
9 $
10. Net Profit (subtract line 9 from line 8)
10 $
0.00
0.00
11. Tax on Net Profits (line 10 x 10%)
11 $
12. Tax on Royalty Interests (royalties paid x 8%)
12 $
0.00
13. Total Tax (add lines 5, 11, and 12)
13 $
14. First Quarter Estimate Paid
14 $
15. Second Quarter Estimate Paid
15 $
16. Third Quarter Estimate Paid
16 $
17. Fourth Quarter Estimate Paid
17 $
0.00
18. Additional Gross Production Tax Paid
18 $
0.00
19. Total Quarterly Estimates & Additional GPT Paid
19 $
0.00
20. If line 19 is less than line 13, enter balance due
20 $
0.00
21. If line 19 is greater than line 13, enter amount of overpayment
21 $
(mark one)
Credit towards future tax liability
Refund overpayment
SPT-901
06/10

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