Form 8161 - Annual Gross Products Attachment For Coal Qualifying For Incentive - 2000
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1State of Wyoming
ANNUAL GROSS PRODUCTS
8161
Department of Revenue
ATTACHMENT FOR COAL
th
122 West 25
Street
QUALIFYING FOR INCENTIVE
Cheyenne, WY 82002-0110
Mineral Type:
Surface Coal
Underground Coal
Production Year: _ _ _ _
TAXPAYER INFORMATION
MINE GROUP INVORMATION
Revenue Use Only
Operator ID
Mine Group Number
Taxpayer
Mine Group Name
Contact
Name &
Number
Report all contracts for the year, including those entered into before the beginning of the year.
Contract Number
Purchaser
Dated Signed
Date of first delivery
Contract terms:
tons/year
price/ton
BTU content
Statute being referenced:
39-14-105(b)(i)
39-14-105(b)(ii)
39-14-105(b)(iii)
39-14-105(b)(iv)
Contract Number
Purchaser
Dated Signed
Date of first delivery
Contract terms:
tons/year
price/ton
BTU content
Statute being referenced:
39-14-105(b)(i)
39-14-105(b)(ii)
39-14-105(b)(iii)
39-14-105(b)(iv)
You will also need to file a Form 8160 with this form
I declare under penalty of perjury that I have examined this return, and to the best of my knowledge and belief, it is correct and complete.
MTS 2
12/13/00
Authorized Signature
Title
Date
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