Form 662sf - 2012 Alaska Mining License Tax Return - Short Form Page 2
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1
2662SF
EIN
Name of Taxpayer or Business
SSN
Description and Location of Mining Operation
Mining License #
Date of Initial Production
SCHEDULE A - Depletion
(Attributable to mining operation identified above)
COST DEPLETION CALCULATION
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
5 Cost depletion deduction (multiply line 3 by line 4)
5
PERCENTAGE DEPLETION CALCULATION
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).
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
(see instructions)
Name and Address of each Lessor
Amount Paid
Federal ID
EIN
SSN
1
Name
Mailing Address
City
State
Zip Code
$
Federal ID
EIN
SSN
2
Name
Mailing Address
City
State
Zip Code
$
3
Total royalties paid. Add amounts paid and enter amount on page 1, line 4.
$
SCHEDULE C - Royalties Received
(see instructions)
Name and Address of each Lessee
Amount Received
Federal ID
EIN
SSN
1
Name
Mailing Address
City
State
Zip Code
$
2
Total royalties received. Add amounts received and enter amount on page 1, line 2.
$
Did you remember to check the box on
662SF
page 1 if you wish to renew your license?
0405-662SF Rev 10/12 - page 2
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