Form Mine-Cert - Application And Affi Davit For Certifi Cation And Approval Of Mineral And Coal Exploration Incentive Credits Page 7

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providing camp costs and the date that the camp costs
9. Total Amount of Exploration Incentive Credit Costs
were incurred, and the legal description or geographic
Add lines 1 through 8 above and enter the total here, and
location describing where the camp was located.
also on Part I, page 1 of this application.
5. Communication Costs
Part V. Exploration Activity Data List
All costs must be directly attributable to the eligible
Provide a list of exploration activity completed during the
mineral exploration activities listed in Part I. Your itemized
year, including but not limited to, the following information:
ledger must include the name and address of the
business providing communication costs and the date
• the number of core or rotary drilling holes completed and
that the communication costs were incurred, and the legal
the representative skeleton drill core or rotary cuttings
description or geographic location describing where the
for each hole drilled
communication costs were incurred.
• chemical analytical data available
6. Geochemical and Geophysical Costs
• aerial photographs or a topographic or geologic map
Costs of a geochemical/geophysical program include: a)
showing the location of drill holes, sample locations, or
sample collection costs that are not included under other
other exploration activities undertaken
costs such as personnel or transportation, and, b) the lease
Part VI. Personnel Information
or purchase of geochemical/geophysical equipment. All
costs must be directly attributable to the eligible mineral
Please provide the requested information. If necessary,
exploration activities listed in Part I. Your itemized ledger
you may provide the Section B information on an additional
must include the name and address of the business
page.
providing geochemical and geophysical program costs
and the date that the costs were incurred, and the legal
Part VII. Identifi cation of Business Type
description or geographic location describing where the
Please indicate the type of business structure of the
service was provided.
company requesting the credit.
7. Contractual Costs
Part VIII. Applicant’s Signature
All costs must be directly attributable to the eligible mineral
This part must be signed by the person who is authorized
exploration activities listed in Part I. Contractual services
to make and is making the offi cial declaration of the validity
include:
of the information submitted on this application. We require
• contracts to obtain exploration permits
the signature to be notarized.
• contracts for geochemical sample preparation and
Part IX. Expenditure Certifi cation/Denial
analysis by a commercial lab
This part will be fi lled out by a representative of the
• contracts for geophysical surveys by a consultant
Department of Revenue and will indicate whether the
• drilling contracts
expenditures requested by this application have been
• heavy equipment contracts
certifi ed or have not been certifi ed. We will make a
determination by September 30.
Your itemized ledger must include the name and address
of the business providing the contracted costs, the date
If your expenses are not certifi ed by us under this section,
that the costs were incurred, and the legal description
we will state the reasons for denial of certifi cation and give
or geographic location describing where the contractual
you an opportunity to correct any defi ciencies or to provide
service was provided.
additional information.
8. Miscellaneous/General Business Operating Costs
Once your expenditures have been certifi ed, we will
specify the exploration activity data list requirements that
All costs must be directly attributable to the eligible mineral
will be required at the time you claim the Mineral and Coal
exploration activities listed in Part I. Miscellaneous costs
Exploration Credit on Form MINE-CERT.
include:
• aerial photography
Mail to:
• consultant fees
Montana Department of Revenue
Corporation Tax Unit
• costs of developing access or additional access
PO Box 7149
• general business operating costs (not including
Helena, MT 59604-7149
personnel costs)
Questions?
Please call us toll free at (866) 859-2254
Your itemized ledger must include the name and address
(in Helena, 444-6900).
of the business providing the operating costs along with
the names of any consultants used, the date that the costs
were incurred, and the legal description or geographic
location describing where the operating costs were
incurred.

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