Form 662sf - 2010 Mining License Tax Return - Short Form Page 2
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1
2Name of Taxpayer or Business
Federal EIN or SSN
662SF
Description and Location of Mining Operation
Mining License #
Date of Initial Production
SCHEDULE A - DEPLETION (
Attributable to mining operation identified above.)
COST DEPLETION CALCULATION
(Sand and gravel operations must use cost depletion)
1 Cost or basis of mining property (less residual value)
1
Estimated recoverable units at beginning of tax year (include units previously produced, but not
2
2
sold)
3 Unit cost (divide line 1 by line 2)
3
4 Number of units sold this tax period
4
Cost depletion deduction (multiply line 3 by line 4)(Sand and Gravel Operations - enter on Line 16
5
5
also)
PERCENTAGE DEPLETION CALCULATION
(Sand and gravel operations must use cost depletion)
6 Total income from mining operation (page 1, line 3)
6
7 Royalties paid (Schedule B, line 3)
7
8 Depletion base (line 6 minus line 7)
8
9 Applicable depletion percentage (see instructions). Sand and gravel operations, enter zero.
9
10 Percentage depletion (multiply line 8 by line 9).
10
11 Total income from mining operation (page 1, line 3)
11
12 Total expenses (page 1, line 11)
12
13 Net income before depletion (line 11 minus line 12)
13
14 Limitation (multiply line 13 by 50%)
14
15 Line 10 or line 14, whichever is less
15
16 Depletion deduction (enter line 5 or 15, whichever is greater, also enter on page 1, line 13)
16
SCHEDULE B - Royalties Paid
(Note: If more than two lessors, attach a separate Schedule B)
Name and Address of each Lessor
Amount Paid
Federal ID
EIN
SSN
1
Name
Mailing Address
City
State
Zip+4
$
Federal ID
EIN
SSN
2
Name
Mailing Address
City
State
Zip+4
$
3
Total royalties paid. Add amounts paid and enter amount on page 1, line 4.
$
SCHEDULE C - Royalties Received
(Note: If more than one royalty received, attach a separate Schedule C)
Name and Address of each Lessee
Amount Received
Federal ID
EIN
SSN
1
Name
Mailing Address
City
State
Zip+4
$
2
Total royalties received. Add amounts received and enter amount on page 1, line 2.
$
662SF
0405-662SF Rev 02/11 • Page 2
Retain a copy for your records
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