Form Boe-560-B (S1f) - Mining Production Report
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4BOE-560-B (S1F) REV. 6 (8-06)
20_____
OFFICIAL REQUIREMENT
MINING PRODUCTION REPORT
A report submitted on this form is required of you by section 441(a)
This statement is not a public document. The information con-
(INCLUDES DIATOMITE, IRON, RARE
of the Revenue and Taxation Code (Code). The statement must be
tained herein will be held secret by the Assessor (Code section
451); it can be disclosed only to the district attorney, grand jury,
completed according to the instructions and filed with the Assessor
EARThS, GOLD, TALC, TUNGSTEN
on or before April 1, 20
. Failure to file it on time will compel
and other agencies specified in Code section 408. Attached
AND OThER MINERALS)
schedules are considered to be part of the statement.
the Assessor’s Office to estimate the value of your property from
other information in its possession and add a penalty of 10 percent
as required by Code section 463.
Carefully read and follow the accompanying instructions.
If additonal detail is necessary, attach separate page.
2. LOCATION OF ThE PROPERTY:
1. NAME AND MAILING ADDRESS
Mine or quarry name
Sec.
Twp.
Range
3. PARCEL NUMBER
Tax rate area
Legal description of property
4. PhONE NUMBER OF PERSON COMPLETING FORM
(
)
(Make necessary corrections to printed name and mailing address)
5a. STATEMENT OF LAST CALENDAR YEAR’S MINE OPERATION
PRICE ON
PROVED RESERVES AS OF
JANUARY 1
DECEMBER 31 OF LAST YEAR
SALES VOLUME
PRODUCTION VOLUME
LIST TYPE
ROYALTY PAID
OF ThIS
(show units)
(show unit of
GROSS INCOME
(show unit of
OF ORES MINED
PER UNIT
YEAR
measurement)
measurement)
QUANTITY
GRADE
$
$
$
TOTALS
$
5b. STATEMENT OF LAST CALENDAR YEAR’S PROCESSING OR MILLING OPERATION
PRICE ON
JANUARY 1
LIST ALL PRODUCTS
PRODUCTION VOLUME
SALES VOLUME
ASSESSOR’S USE ONLY
ROYALTY PAID
GROSS INCOME
OF ThIS
MILLED OR
(show unit of
(show unit of
PER UNIT
YEAR
PROCESSED
measurement)
measurement)
$
$
$
$
TOTALS
9. ARE YOU ThE
OWNER OR
LESSEE OF ThIS PROPERTY?
5c. STATEMENT OF LAST CALENDAR YEAR’S OPERATING COSTS*
MINING AND hAULING
$
(If you own part and lease part check here
.)
PROCESSING AND/OR MILLING
10. IS ThIS PROPERTY IN WhOLE OR PART:
REPAIRS AND MAINTENANCE
INSURANCE
A. A GOVERNMENT LEASE?
Yes
No
OVERhEAD
B. UNPATENTED CLAIMS?
Yes
No (If yes, list claims under item 17.)
UTILITIES
11. I F T h E P R O P E R T Y I S U N D E R L E A S E W h AT I S T h E DAT E O F T h E L A S T
SUPPLIES AND MATERIALS
OThER (itemize)
LEASE AGREEMENT?
hAS ThE LEASE BEEN AMENDED SINCE ThIS DATE?
Yes
No
TOTAL RENTAL PAID LAST YEAR $
$
TOTALS
12. I F T h E P R O P E R T Y I S U N D E R L E A S E W h AT I S T h E DAT E O F T h E L A S T
*DO NOT INCLUDE depletion, depreciation, amortization, interest on loans, franchise
ROYALTY AGREEMENT?
and property taxes, state and federal income taxes, or royalty payments.
hAS ThE ROYALTY AGREEMENT BEEN AMENDED SINCE ThIS DATE?
Yes
No TOTAL ROYALTY PAID LAST YEAR $
6. E S T I M AT E D D AT E F O R B E G I N N I N G M I N I N G O P E R AT I O N S O N
Note: If the lease or royalty agreement has been renegotiated since January 1 last
PROPERTY OWNED BY YOU OR UNDER LEASE BUT NOT NOW BEING
year, attach a copy to this report.
MINED.
13. ARE ANY OThER FEES PAID FOR PROPERTY USAGE OThER ThAN ThOSE
ShOWN ABOVE?
7. a. Ore cut-off grade
14. USE — RESTRICTIONS AFFECTING PROPERTY VALUE _________________________________
b. Current recovery factor
8. COMPANY RESERVES IN ALL CATEGORIES
USE PERMIT NO.
DATE
CATEGORY
GRADE
15. hAS AN ENVIRONMENTAL IMPACT REPORT BEEN FILED ON ThIS PROPERTY?
Yes
No
DATE
If filed in past year, attach copy.
ThIS REPORT SUBJECT TO AUDIT
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