Uniform Severance Tax Return Schedule - Alabama Department Of Revenue

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A
D
R
SUB: AUST-A
LABAMA
EPARTMENT OF
EVENUE
Page _____ of _____
08/12
B
& L
T
D
USINESS
ICENSE
AX
IVISION
_______________________
Uniform Severance Tax Return Schedule
Month/Year
Check here if amended return
________________________________________________ County/Municipality
_______________________________________________
Product Code
05 – Limestone
TAXPAYER NAME
Use Separate Schedule For Each County/Municipality
01 – Clay
06 – Sand
(Complete front and back)
______________________________________________
02 – Dolamite
07 – Sand Stone
FEIN
Online filing available at
03 – Granite
08 – Shale
PRODUCER
04 – Gravel
09 – Other
PURCHASER
A
B
C
D*
E
F*
G
H
I
OTHER/
EXEMPTIONS (PRODUCERS ONLY)
PRODUCT
PRODUCERS
PURCHASERS
TOTAL EXEMPT
NET TAXABLE
MINE OR QUARRY NAME
PURCHASER’S
CODE
TONS
TONS
TONS
TONS**
GOVERNMENT
PURCHASER
WASTE
TOTAL
TOTAL
ATTACH TO: FORM AUST
* If tonnage reported in columns D or F, complete corresponding list on reverse.
** Should match total in column D, AUST return.

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