Main Navigation
Form 662sf Fillable Mining License Tax Return Short Form
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)Check if new address (attach explanation) 2013 Mining License Tax Return Short Form 662SF:08/14/13 662SF662SF0405 662SF Rev 08/14/13 page 1 662SF662SF0405 662SF Rev 08/14/13 page 2 Alaska Amended Return Amended returns only Amount paid with original return Amount Paid Amount paid with extension Amount Received Applicable depletion percentage (see instructions) Business Name (dba) Contact Person Contact Telephone Number Cost depletion deduction (multiply line 3 by line 4) Cost or basis of mining property (less residual value) Depletion base (line 6 minus line 7) Depletion deduction (enter line 5 or 15 whichever is greater here and on page 1 line 13) Depletion expense (Schedule A line 16) Depreciation expense DOR ID# Email Address Estimated recoverable units at beginning of tax year (include units previously produced but not Exemption for new mining operation (see instructions) EXPENSES (no deduction except depletion is allowed against royalty income on line 2) Exploration incentive credit (attach Form 665) Federal ID FEIN SSN Federal ID FEIN SSN Film production tax credit (cannot exceed line 20 attach certificate or explanation of carry forward) Final Return First Return Fuel and oil Gross income from mining operation I declare under penalty of perjury that this return including all accompanying schedules and statements has been examined by me and to the best of my If fiscal year filer enter year end INCOME knowledge and belief is a true correct and complete return Limitation (multiply line 13 by 50%) Line 10 or line 14 whichever is less Mail to: Alaska Department of Revenue PO Box 110420 Juneau AK 99811 0420 Mailing Address Mailing Address Maintenance and repairs Mining business education credit (line 6 of Schedule EC can be found on Form 662) Mining License Number Month Day Name and Address of each Lessee Name and Address of each Lessor Net income before depletion (line 11 minus line 12) Net income before depletion (subtract line 11 from line 3) Net tax due or (overpayment) (subtract lines 21 22 and 23 from line 20) Net taxable income (subtract line 15 from line 14) Number of units sold this tax period Other expenses (attach schedule) Page 2 Percentage depletion (multiply line 8 by line 9) PERCENTAGE DEPLETION CALCULATION Printed Name and Title Return Information (check all that apply) Royalties paid (Schedule B line 3) Royalties received (from Schedule C line 2) Salaries and wages SCHEDULE A Depletion COST DEPLETION CALCULATION SCHEDULE B Royalties Paid (see instructions) SCHEDULE C Royalties Received (see instructions and attach additional sheets as necessary) Signature sold) State State Tax (see instructions) Tax before other credits (subtract lines 18 and 19 from line 17) Taxable Income before exemption for new mining operation (subtract line 13 from line 12) Taxpayer Name Taxpayer Name (must agree to mining license application) Telephone Number This form can only be used if taxpayer has only one mining operation and no non mining expenses Otherwise use Form 662 (Long Form) Title Total expenses (add lines 4 through 10) Total expenses (page 1 line 11) Total income from mining operation (add line 1 and 2) Total income from mining operation (page 1 line 3) Total royalties paid Add amounts paid and enter here and on page 1 line 4 Total royalties received Add amounts received and enter here and on page 1 line 2 Transportation costs Unit cost (divide line 1 by line 2) Zip Code Zip Code