Fillable Form 5400 - Severance Tax Report For Sand & Gravel

SEVERANCE TAX REPORT FOR SAND & GRAVEL

Reporting Number (Mine Group Number): Enter the Mine

Group Number (the 5-digit number beginning with a 9)

(Form 5400) INSTRUCTIONS (revised 1/2001)

assigned by the Department of Revenue. If you are reporting

a mine group which has not been assigned a Mine Group

WHO MUST FILE - All taxes on production shall be

Number, leave this box blank.

remitted by the operator or his duly authorized agent.

Severance taxes are determined from the gross production

Tons Sold and Used: Enter the tons of sand and gravel sold

in the current calendar year.

and used.

This would include both pit run tons and

processed tons produced during the production period.

WHEN TO FILE - This report must be received by the

This figure should match the figure on Line 6 of Form 8601.

Department on or before February 25

of the year following

the year in which production occurred. Monthly reporting

Sales Value: Enter the sales value of sand and gravel sold.

and payment requirements for sand and gravel production

This figure should match the total of Line 1 + Line 3 on

are waived, and the taxpayer shall report and pay the tax

Form 8601.

annually on or before February 25

Tons Mined: Enter the tons of sand and gravel mined during

TAX DUE - If this report shows tax due, the taxpayer shall

the production period. This figure should match Line 7 on

pay the tax due when the report is filed. If the taxpayer

Form 8601.

does not pay the total tax due, that amount is delinquent

and is subject to penalty and interest.

Total Taxable Value: Enter the taxable value of the sand

and gravel mined during the production period. This figure

FOR ASSISTANCE - For assistance with any Wyoming

should match Line 11 on Form 8601.

solid mineral tax question, please call the Mineral Tax

Division of the Department of Revenue at (307) 777-7983.

Total Tax Due: Enter the result of multiplying the Taxable

Value by 2%, rounded to 2 decimal places (for example,

GENERAL INSTRUCTIONS - For the purpose of mineral

$100.12).

taxation, “sand & gravel”

includes aggregates used in

construction.

Please complete a Severance Report For

Previous Tax Paid (amends): For amended reports only.

Sand & Gravel (Form 5400) for each mine, using calendar

Report the severance tax previously paid for this line item. If

year production, sales, and cost information. All sales and

this is an original report, enter 0.

cost information provided should be determined on the

accrual basis of accounting, in accordance with generally

Current Tax Due: Enter the result of subtracting Previous

accepted accounting principles. Round all figures to the

Tax Paid from Total Tax Due.

nearest whole number except where otherwise instructed.

Fill out the report completely. If the report is not filled out

Page Total: Enter the sum of the Current Tax Due column on

completely and accurately, the report may be considered

this Form 5400.

delinquent and may be subject to penalty and interest. For

additional information on the valuation of sand & gravel,

Payment Amount: Enter the amount of the payment being

refer to Wyoming Statute 39-14-601.

sent with the report being filed.

The Department recommends that you complete your

ADJUSTMENTS TO PREVIOUS PRODUCTION YEARS

Annual Gross Products Report For Sand & Gravel (Form

MUST BE REPORTED ON AN AMENDED ANNUAL

8601) before attempting to complete this severance tax

GROSS PRODUCTS REPORT (FORM 8601) AND AN

report (Form 5400). The computation of taxable value and

AMENDED SEVERANCE FORM (FORM 5400). DO NOT

tax due on this From 5400 is based on the information

INCLUDE

PRIOR

YEAR

ADJUSTMENTS

YOUR

reported on Form 8601.

CURRENT YEAR REPORTS.

Operator ID: Enter the operator ID number (the 4-digit

The mailing address for Department of Revenue mineral

number beginning with a 9) assigned to you by the

forms is:

Department of Revenue. If an operator ID has not been

Wyoming Department of Revenue - Mineral Tax Division

assigned to you, leave this box blank.

Herschler Building, 2

Floor West

Taxpayer Name: Enter the Operator Name. Do not enter the

Cheyenne, WY 82002-0110

name of the contact person or tax agent.

Production Period: Enter the production period (month and

year of the production reported). For sand and gravel this

will be December of the previous year (for example,

12/2000).

Form Type: Indicate if the report filed is an original (O) or an

amended (A) report. Do not report original and amended line

items on the same Form 5400.

Form 5400 - Severance Tax Report For Sand & Gravel - 1999

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