Clear Form
Metalliferous Mines License Tax
MONTANA
MML
For 6-month period ending _______________________
Rev. 12-07
Title 15, Chapter 37, Part 1, MCA
Name:
Address:
Address:
City:
State:
Zip Code:
1. FEIN:
2. Account ID:
q
3. Period:
4. If this is an amended return, check here.
q,
enter the final date. __________
5. If you are no longer in business and want your account cancelled, check this box
q
6. If your mailing address has changed, check this box
and print new address below:
____________________________________________________________________
____________________________________________________________________
Name of Mine:
Smelter Name:
County:
Address:
Section:
Township:
Range:
City:
School District:
State:
Zip:
Type of Mineral:
Quantity in Ounces
Gross Value of Mineral
7. Copper .................................................................................................7.
oz $
8. Gold .....................................................................................................8.
oz $
9. Lead.....................................................................................................9.
oz $
10. Molybdenum ......................................................................................10.
oz $
11. Nickel ................................................................................................. 11.
oz $
12. Palladium ...........................................................................................12.
oz $
13. Platinum.............................................................................................13.
oz $
14. Silver..................................................................................................14.
oz $
15. Zinc ....................................................................................................15.
oz $
16. Rhodium ............................................................................................16.
oz $
17. Other..................................................................................................17.
oz $
18. Total Gross Value (Sum of Lines 7 through 17) ................................................................... 18. $
Deductions:
19. Less: Treatment and Refining Charges ............................................................................... 19. ($
)
20. Less: Transportation from Mine to Smelter.......................................................................... 20. ($
)
21. Merchantable Value (Line 18 Minus Line 19 and Line 20) .................................................. 21. $
If yearly total of gross value is less than $250,000, do not continue. Please file a RITT return.
Tax Computation:
Tax Rate
Tax Due
22. Dore, Bullion and Matte Shipments
a) First $250,000 of value per year .................................................22a.
0%
b) More than $250,000 per year ......................................................22b.
1.6%
$
23. Concentrate or Crude Ore Shipments
a) First $250,000 of value per year .................................................23a.
0%
b) More than $250,000 per year ......................................................23b.
1.81%
$
24. Tax Due (lines 22b plus 23b) ............................................................................................... 24. $
25. Late Pay Penalty (1.5% per month)..................................................................................... 25. $
26. Interest (12% per year computed daily)............................................................................... 26. $
27. Total Amount Due (add lines 24, 25, and 26) ...................................................................... 27. $
Returns for the period ending June 30th are due on August 15th and for period ending December 31st are due on March
31st. Penalties and Interest will be applied if late.
I hereby swear or affirm under penalty of perjury that the statements contained herein are true to the best of my
knowledge.
Signature ___________________________________________
Title _______________________________________________ Phone __________________ Date ________________