Fillable Form R-9000 - Mineral-Parish Summary Return printable pdf download

Form R-9000 - Mineral-Parish Summary Return

Download a blank fillable Form R-9000 - Mineral-Parish Summary Return in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form R-9000 - Mineral-Parish Summary Return with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

R-9000 (2/04)

If your name has

If your address has

If amended return,

If final return,

changed, mark circle.

mark circle.

Account ID (10 digit BMF #)

Mineral-Parish

Summary Return(M-1S)

Name

Address 1

Louisiana Department of Revenue

Address 2

P.O. Box 201

Baton Rouge, Louisiana 70821-0201

Address 3

(225) 219-7656

(225) 219-2114 (TDD)

FOR OFFICE USE ONLY.

Field flag

Taxable

period

Resource Code

Resource Severed

Quantity (tons)

Tax Rate

Tax Amount Due

Number

Sulphur

$1.03 / long ton

Salt

$0.06 / ton

Salt Brine

$0.005 / ton

Sand, Clay, or Pit Run

$0.06 / ton

Sand-washed

$0.06 / ton

Sand-river

$0.06 / ton

Sand-other

$0.06 / ton

Shell-reef or oyster

$0.06 / ton

Shell-clam

$0.06 / ton

Stone crushed

$0.03 / ton

Marble

$0.20 / ton

Lignite

$0.12 / ton

Total Tax Due

Make payment to:

Louisiana Department of Revenue

Penalty and Interest

Do not send cash.

Total Amount Due

Under the penalties of perjury, I declare that I have examined this return, including all accompanying documents, and to the best of my knowledge and belief, it is true, correct, and complete. If the

return is prepared by a person other than the taxpayer, his declaration is based on all the information relating to the matters required to be reported in the return of which he has any knowledge.

Preparer ID

Date

Signature of preparer other than taxpayer

Signature

Telephone Number

This report is due on or before the last day of the month following the taxable month and becomes delinquent on the first day thereafter. If the

due date falls on a weekend or holiday, the return is due the next business day and becomes delinquent the first day thereafter. See special

instruction for additional filling requirements for taxpayers with liabilities equal to or in excess of $15,000.

Complete only if change in business status has occurred. Please print or type.

Date business sold

Name of purchaser

Date business discontinued