Form B&l: Cst-3 - Coal Transporters Report

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B&L: CST-3
A
D
R
LABAMA
EPARTMENT OF
EVENUE
Acct. # _________________________
REV. 10/12
B
& L
T
D
USINESS
ICENSE
AX
IVISION
Month _________________________
P.O. Box 327560 • Montgomery, AL 36132-7560 • (334) 353-7827
Online filing available at
Year __________________________
Coal Transporters Report
TITLE 40, CHAPTER 13, ARTICLES I & II
FEIN: ________________________________________ SSN: ________________________________________ Telephone: __________________________________________
Name: _____________________________________________________________________________________ Contact Person: ______________________________________
Address: ________________________________________________________ City: _______________________________ State: _____________________ ZIP ______________
Check here if new address
SHIPMENT
TONS
TRANSPORTED TO
TRANSPORTED FOR
PLACE OF ORIGIN
DATE
TRANSPORTED
(DESTINATION)
NAME:
MINE NAME:
COMPANY:
ADDRESS:
ADDRESS:
ADDRESS:
CITY:
ST.:
ZIP:
CITY:
ST.:
ZIP:
CITY:
ST.:
ZIP:
NAME:
MINE NAME:
COMPANY:
ADDRESS:
ADDRESS:
ADDRESS:
CITY:
ST.:
ZIP:
CITY:
ST.:
ZIP:
CITY:
ST.:
ZIP:
NAME:
MINE NAME:
COMPANY:
ADDRESS:
ADDRESS:
ADDRESS:
CITY:
ST.:
ZIP:
CITY:
ST.:
ZIP:
CITY:
ST.:
ZIP:
NAME:
MINE NAME:
COMPANY:
ADDRESS:
ADDRESS:
ADDRESS:
CITY:
ST.:
ZIP:
CITY:
ST.:
ZIP:
CITY:
ST.:
ZIP:
NAME:
MINE NAME:
COMPANY:
ADDRESS:
ADDRESS:
ADDRESS:
CITY:
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ZIP:
CITY:
ST.:
ZIP:
CITY:
ST.:
ZIP:
NAME:
MINE NAME:
COMPANY:
ADDRESS:
ADDRESS:
ADDRESS:
CITY:
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ZIP:
CITY:
ST.:
ZIP:
CITY:
ST.:
ZIP:
NAME:
MINE NAME:
COMPANY:
ADDRESS:
ADDRESS:
ADDRESS:
CITY:
ST.:
ZIP:
CITY:
ST.:
ZIP:
CITY:
ST.:
ZIP:
NAME:
MINE NAME:
COMPANY:
ADDRESS:
ADDRESS:
ADDRESS:
CITY:
ST.:
ZIP:
CITY:
ST.:
ZIP:
CITY:
ST.:
ZIP:
AFFIDAVIT
I hereby certify under penalty of perjury that I am duly authorized to make this tax return;
Signed __________________________________________________________
and that the information herein contained is true and correct.
Title ____________________________________________________________

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