Form Sev 502 - Severance Tax Return On Sand, Gravel Sandstone, Chert, And Limestone Page 2
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1
2INSTRUCTIONS
GENERAL:
A tax is levied upon the severance of mineral products from the earth and ready for sale. Exempted from taxation are sales of any
lime or limestone usage covered under the provisions of T.C.A. 67-7-202. Also sales of all minerals for use outside the State of
Tennessee are exempt. Exempt sales do not need to be included in this return; however, records must be maintained to support
the exemption.
DUE DATE:
The return is due by the 15th of the month following the period covered.
TAXPAYER/TAX PREPARER’S SIGNATURE: You must sign and date your return. Paid preparers (accountants, attorneys, etc.) must also sign
the return.
FILING:
A separate return must be filed for each county in which minerals are severed. Make your check payable to the Tennessee
Department of Revenue for the amount shown on Line 6 of the return and mail with the return to: Tennessee Department of
Revenue, Andrew Jackson State Office Building, 500 Deaderick Street, Nashville, TN 37242. NOTE: The payment of the tax by
Electronic Funds Transfer (EFT) does not relieve you of filing a timely tax return.
AMENDED RETURNS: If this return is an “Amended Return,” please indicate “Filing Period” and check the appropriate box on the front of the
form.
COMPUTATION OF TAX:
Line 1:
Total the tonnage of minerals in Schedule A (back of the return) and transfer total to Line 1 (front of return).
Line 2:
Multiply Line 1 by the current tax rate listed on the worksheet on the front of the return.
Line 3:
List any credit available to your tax account to lower your liability.
Line 4:
If filed late, PENALTY is computed at 5% of the fee (Line 2 minus the credit on Line 3) for each 30-day period that the return is
delinquent. Total penalty is not to exceed 25% of the tax due; the minimum penalty is $15.00 regardless of the amount of tax due
or whether there is any tax due.
Line 5:
If filed late, compute INTEREST at the current rate on the tax (Line 2) from the due date to the date paid.
Line 6:
Add lines 2, 4, and 5 and subtract Line 3 (if applicable) to determine total amount due.
SCHEDULE A - WORKSHEET
For additional information, contact the Taxpayer Services Division in one of
SEVERANCE TAX OF MINERALS:
our Department of Revenue Offices:
Compute the severance tax on minerals.
Nashville
Chattanooga
(615) 741-2594
(615) 634-6266
(Transfer amounts to Schedule A below)
Andrew Jackson Building
Suite 350
Mineral Type
Tonnage
500 Deaderick Street
State Office Building
540 McCallie Avenue
1. Sand
...........................................
____________________
Knoxville
Jackson
(615) 594-6100
(901) 423-5747
Suite 300
2. Limestone
...........................................
____________________
Room 405 B
7175 Strawberry
Lowell Thomas Building
Plains Pike
225 Martin Luther King Blvd.
3. Sandstone
...........................................
____________________
Memphis
Tennessee residents can
4. Gravel
...........................................
____________________
(901) 537-2904
also call our statewide toll
Suite 418
free number at 1-800-342-
White Station Tower
1003. Out-of-state callers
5. Lime
...........................................
____________________
5050 Poplar Avenue
must dial (615) 253-0600.
6. Chert
...........................................
____________________
If your account number is not preprinted on the front of the
return, enter your federal employer identification number
(FEIN) or social security number (SSN) in the spaces below:
7. TOTAL TONNAGE ..................................
____________________
Check appropriate box
SCHEDULE A
and fill in number below:
Mineral Type
Tonnage
FEIN or SSN
1. Sand
...........................................
____________________
2. Limestone
...........................................
____________________
3. Sandstone
...........................................
____________________
4. Gravel
...........................................
____________________
Under penalties of perjury, I declare that I have examined this report, and to the best of my
knowledge and belief, it is true, correct, and complete.
5. Lime
...........................................
____________________
Taxpayer's Signature
Date
6. Chert
...........................................
____________________
Signature of Preparer other than Taxpayer
Date
7. TOTAL TONNAGE (Enter here and on
Line 1 on front of return) .........................
____________________
Phone Number
Tax Preparer's Address
INTERNET (12-03)
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