Form Mt-001 - Report Of Net Proceeds Occupation Tax On Mining Of Metallic Minerals - Wisconsin Department Of Revenue

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Mail To:
Wisconsin Department of Revenue
STATE OF WISCONSIN
Manufacturing & Utility Bureau
REPORT OF NET PROCEEDS OCCUPATION TAX ON
2135 Rimrock Road MS 6-97
Madison WI 53713
MINING OF METALLIC MINERALS FOR THE
CALENDAR YEAR ENDED DECEMBER 31, 2011
ON OR BEFORE JUNE 15, 2012
OR FISCAL YEAR ENDED
Forms and related publications
are available on our website at
NAME OF MINE
FEIN#
Name of Operator
Address
Name and Address of Owner If Other Than Above
Municipal & County Location
Acres
Name, Title, Address of Person Having Charge of Tax Matters in Wisconsin:
Phone
1. Gross proceeds — From Schedule B. (See instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Deductions:
2. The actual and necessary expenses incurred during the taxable year for:
a. Labor, tools, appliances and supplies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
b. Extracting, transporting, milling, concentrating, smelting, refining,
reducing, assaying, sampling, inventorying and handling the ore
and for further processing and transferring related to the product
for which gross proceeds are received, including cost of capital
(interest and earnings) imputed to smelting and refining expenses.
Submit Schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
c. Administration, appraising, accounting, legal, medical, engineering,
clerical, and technical services directly related to mining metallic minerals
in Wisconsin. DO NOT include lobbying and corporate officers’ salaries
and expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
d. Repair and maintenance expenses of machinery, mills, reduction
works, buildings, structures, other necessary improvements, tools,
appliances, and supplies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
(over)
MT-001 (2-12)

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