Form Dr 0020ax - Amended Colorado Metallic Minerals Severance Tax Return - 2011
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3Departmental use only
DR 0020AX (10/04/11)
COlORADO DEPARTMENT Of REvENUE
Denver Co 80261-0007
(7110)
Amended Colorado Metallic
Minerals Severance Tax Return
Taxable year beginning ____________, 20 _____ Ending __________ , 20 ______
_______________________________
Name
Colorado Account Number
Address
Federal Employer ID Number
City
State
ZIP Code
Telephone Number
(
)
Name of mining operation location as recorded with the Colorado Division of Mines
County or counties in which operation is located
•
RouND To ThE NEAREST DollAR
If this is a final return, check this box.
•
1. Gross income from mining operation .............................................................................................
1
00
2. Specific exemption (see instructions) ................................................................................................ 2
00
•
3. Taxable income, line 1 minus line 2. If line 2 is larger, enter zero ..................................................
3
00
•
4. Tax on gross income 2.25% of amount on line 3............................................................................
4
00
•
5. Ad valorem tax
Accrual basis or
Cash basis .......................................................................
5
00
6. 50% of the tax on line 4 ..................................................................................................................... 6
00
•
7. Ad valorem tax credit, the smaller of lines 5 or 6 ...........................................................................
7
00
•
8. Tax, line 4 minus line 7 ...................................................................................................................
8
00
•
9. Impact assistance credit ................................................................................................................
9
00
10. Net tax, line 8 minus line 9 but not less than zero ............................................................................. 10
00
•
11. Estimated tax and extension payments..........................................................................................
11
00
Stop here to let the Department calculate your refund or balance due. Otherwise, manually complete the
return yourself and continue with line 12.
•
12. If line 11 is larger than line 10, enter your overpayment .................................................................
12
00
•
13. Enter the overpayment from your original return or as previously adjusted ...................................
13
00
•
14. If line 10 is larger than line 11, enter the amount owed ..................................................................
14
00
•
15. Enter the amount owed from your original return or as previously adjusted ..................................
15
00
COMPUTE THE AMOUNT YOU OWE
00
16. Line 13 minus line 12, but not less than zero .................................................................................... 16
00
17. Line 14 minus line 15, but not less than zero .................................................................................... 17
00
18. Additional tax due, total of lines 16 and 17 ........................................................................................ 18
•
00
19. Interest due on additional tax ..........................................................................................................
19
•
00
20. Penalty due ....................................................................................................................................
20
•
00
21. Estimated tax penalty due ..............................................................................................................
21
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