Form Mt-001 - Report Of Net Proceeds Occupation Tax On Mining Of Metallic Minerals - Wisconsin Department Of Revenue Page 2

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3. Taxes paid, exclusive of net proceeds tax, allowed as a deduction for
Wisconsin Corporate income or franchise taxes and allocated to this
mine. See instructions and submit tax schedule showing allocation. . $
4. Rents paid on personal property used in mining product. . . . . . . . . . . . . . . . . $
5. Employe relocation costs within Wisconsin. . . . . . . . . . . . . . . . . . . . . . . . . . . $
6. Cost of premiums for bonds required under sec. 144.86, Wis. Stats . . . . . . . $
7. Cost of insurance premiums on persons or tangible assets related
to this mine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
8. Uninsured casualty losses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
9. Loss on sale of personal property used in this mine. . . . . . . . . . . . . . . . . . . . $
10. Depreciation expense from Schedule A. See instructions. . . . . . . . . . . . . . $
11. Certain royalty payments. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . $
12. Premining cost amortization. See instructions and submit schedule. . . . . $
13. Exploration and development expenses incurred after mining begins. . . . . . . $
14. Restoration and reclamation costs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
15. Interest expense. See instructions and submit computation. . . . . . . . . . . $
16. Cost depletion of ore. Submit computation. . . . . . . . . . . . . . . . . . . . . . . . . $
17. Total Deductions (Sum of Lines 2-16). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
18. Net proceeds (Line 1 minus Line 17) Line 18 should equal Schedule C, Line D. . . . . . . . . . . . . . . . . . . . $
Tax Rates
Net Proceeds
Tax
$00,000,000 to $00,527,600 at a rate of 00%. . . . . . . . . . . . . . . . . . . . . . . . . . . . $
$
$
527,601 to $10,544,000 at a rate of 03%. . . . . . . . . . . . . . . . . . . . . . . . . . . .
$10,544,001 to $21,107,900 at a rate of 07%. . . . . . . . . . . . . . . . . . . . . . . . . . . .
$21,107,901 to $31,662,100 at a rate of 10%. . . . . . . . . . . . . . . . . . . . . . . . . . . .
$31,662,101 to $42,216,400 at a rate of 13%. . . . . . . . . . . . . . . . . . . . . . . . . . . .
$42,216,401 to $52,679,900 at a rate of 14%. . . . . . . . . . . . . . . . . . . . . . . . . . . .
exceeding
$52,679,901 at a rate of 15%. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total net proceeds (Same as Line 18) . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Total net proceeds occupation tax due, before construction fee credit . . . . . . . . . . . . . . . . . . . $
Construction fee credit, submit computation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Submit net proceeds occupation tax due with this report to:
Wisconsin Department of Revenue
Manufacturing & Utility Bureau
2135 Rimrock Road MS 6-97
Madison, WI 53713
I, the undersigned
of the
(Title of Officer in Charge of Account)
(Full Name of Operating Company)
mining the
(Name of Mine)
do certify that this report and all schedules along with supporting documents submitted as part of this report filed for the above indicated
period have been prepared under my direction and that they correctly reflect the net proceeds of this mine as defined in sec. 70.375, Wis.
Stats.
(Signature)
(Post Office Address)
(Date)
2

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