Form Sev 502 - Severance Tax Return On Sand, Gravel Sandstone, Chert, And Limestone

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TENNESSEE DEPARTMENT OF REVENUE

SEVERANCE TAX RETURN ON SAND, GRAVEL

SANDSTONE, CHERT, AND LIMESTONE

ACCOUNT NO.

SSN or FEIN

Period

SEV

Covered

SITUS CODE

502

Due

Date

This report must be filed for severance tax

of mineral products on or before the 15th

day of the month following the period cov-

ered. A separate return must be filed for

each county in which minerals are severed.

Make your check payable to the Tennes-

see Department of Revenue for the amount

shown on Line 6 and mail to:

Tennessee Department of Revenue

Andrew Jackson State Office Building

500 Deaderick Street

Nashville, TN 37242

REMINDERS

1) Read instructions on reverse side before preparing this worksheet.

2) Transfer the amounts reported in the worksheet to the corresponding item numbers in the bottom portion.

3) Be sure to sign and date your return in the signature box on the back of the form.

WORKSHEET FOR COMPUTING TAX

1. TOTAL TONNAGE OF MINERAL TYPE (From Schedule A, Line 7 on the back

of the return) ......................................................................................................... _________________________________

2. MULTIPLY LINE 1 BY TAX RATE (

) .................................................... $ ________________________________

3. CREDIT ................................................................................................................ $ ________________________________

4. PENALTY (If filed late, calculate 5% of the total tax for each 30-day period that

the return is late to a maximum of 25% penalty) ................................................... $ ________________________________

5. INTEREST (If filed late, interest is calculated at

% from due date until

return is filed) ........................................................................................................ $ ________________________________

6. TOTAL AMOUNT DUE (Add Lines 2, 4, and 5; subtract Line 3 if applicable) ...... $ ________________________________

Keep Upper Portion For Your Records

WRITE NUMBERS LIKE THIS

Return Copy Below - Detach Here

SEV

TENNESSEE DEPARTMENT OF REVENUE

Severance Tax Return On All Mineral Products except Coal, Gas,& Oil

502

Period

Due

Covered

Date