Forest Excise Tax Return - Private Land - Small Harvester Page 3

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FOREST EXCISE TAX RETURN
Quarter
Year
Small Harvester Detail
See Instructions on Page 2
Detail Page #
If you harvest more than 2 million board feet in a calendar year, you must report on a Standard Harvester Return.
HARVEST FROM PRIVATE LAND
1. Tax Registration Account Number
2. Timber Owner
3. Landowner
4. County Name/Number
5. Permit Number
6. Sec.
Twn
7. Stumpage
8. Haul Zone
Rge
East
Value Area
West
Number of acres harvested this quarter:
9.
12. Volume Harvested this Quarter:
Conifer
Hardwoods
(Round to the nearest MBF)
Partial Cut
Clear Cut
Check only one
MBF
Net Scaled Logs (1 thousand board feet = 1 MBF)
Is harvesting completed for this permit?
10.
Yes
No
Net Weighed Logs Tons (volume that was weighed and
If yes, delete permit on page 1
MBF
not scaled, such as CHW or pulp).
11. Has DNR approved the EARR Credit for this
Divide tons by 8 to convert to thousand board feet (MBF)
permit? (Refer to page 1)
Yes
No
MBF
TOTAL VOLUME
Report under Block #13, or Block #14, but not both.
Harvest & Marketing
Itemized Costs (2a)
13. Sale of Logs
Item
Amount
$
$
1. Gross amount paid by mill .............................................
$
)
($
$
2a.
Harvesting & Marketing Costs .............................
$
Actual H & M costs must be used when
documented records are available.
$
$
Itemize Costs To The Right
$
OR
)
($
$
2b.
Department Allowance ....................................
$
35% of gross amount (line 1)
$
$
$
3. Total Taxable Stumpage Value ....................................
Transfer amount to page 1
TOTAL
$
Transfer to line 2a
14. Purchase of Standing Timber
Total timber purchase price plus other considerations (permanent
roads, reforestation, etc.). Harvesting and marketing costs are not
Total Taxable Stumpage Value: $
allowed.
Transfer amount to page 1
15. EARR Credit –
If block 11 is yes, then multiply Total Taxable Stumpage Value
$
.....................................................
(Block 13 or 14) by 0.008, this is the EARR credit amount.
Transfer amount to page 1
COMPLETE AND RETURN THIS PAGE WITH PAGE 1 TO THE DEPARTMENT OF REVENUE
Page 3
REV 62 0064
(1/20/11)

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