The form you are looking for begins on the next page of this file. Before viewing it, please see the important update information below. New Mailing Addresses Addresses for mailing certain forms have changed since the forms were last published. The new mailing addresses are shown below. Mailing address for Forms 706‐ A, 706‐ GS(D), 706‐ GS(T), 706‐ NA, 706‐QDT, 8612, 8725, 8831, 8842, 8892, 8924, 8928: Department of the Treasury Internal Revenue Service Center Kansas City, MO 64999 Mailing address for Forms 2678, 8716, 8822-B, 8832, 8855: Taxpayers in the States Below Mail the Form to This Address Connecticut, Delaware, District of Columbia, Georgia, Illinois, Indiana,Kentucky, Maine, Maryland, Department of the Treasury Massachusetts, Michigan, New Hampshire, New Jersey, Internal Revenue Service Center New York, North Carolina, Ohio, Pennsylvania, Rhode Kansas City, MO 64999 Island, South Carolina, Vermont, Virginia, West Virginia, Wisconsin Alabama, Alaska, Arizona, Arkansas, California, Colorado, Florida, Hawaii, Idaho, Iowa, Kansas, Department of the Treasury Louisiana, Minnesota, Mississippi, Missouri, Montana, Internal Revenue Service Center Nebraska, Nevada, New Mexico, North Dakota, Ogden, UT 84201 Oklahoma, Oregon, South Dakota, Tennessee, Texas, Utah, Washington, Wyoming This update supplements these forms’ instructions. Filers should rely on this update for the changes described, which will be incorporated into the next revision of the forms’ instructions. |
Excise Tax on Certain Transfers of Qualifying Form 8924 OMB No. 1545-2099 (Rev. December 2013) Geothermal or Mineral Interests Department of the Treasury Internal Revenue Service ▶ Information about Form 8924 and its instructions is at www.irs.gov/form8924. Name of entity Employer identification number Number, street, and room or suite no. (If a P.O. box, see instructions) City or town, state or province, country, and ZIP or foreign postal code Tax Computation 1 Date of sale or other disposition (MM/DD/YYYY) . . . . . . . . . . . . . . . . 2 If the property was sold or exchanged, enter the sales price of the interest transferred. If the property was leased, enter the income realized as a result of the transfer . . . . . . . . 2 3 Cost or other basis of interest transferred. Enter -0- if the property was leased . . . . . . 3 4 Gain or income realized. Subtract line 3 from line 2. If zero or less, enter -0- . . . . . . . 4 5 Fair market value of the interest transferred as of the date shown on line 1 . . . . . . . 5 6 Multiply line 5 by 20% (.20) . . . . . . . . . . . . . . . . . . . . . . . 6 7 Multiply line 4 by 35% (.35) . . . . . . . . . . . . . . . . . . . . . . . 7 8 Tax. Add lines 6 and 7 . . . . . . . . . . . . . . . . . . . . . . . . 8 9 Tax paid with Form 7004 . . . . . . . . . . . . . . . . . . . . . . . . 9 10 Tax due. Enter the excess, if any, of line 8 over line 9 . . . . . . . . . . . . . . 10 11 Overpayment. Enter the excess, if any, of line 9 over line 8 . . . . . . . . . . . . 11 Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge Sign and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. ▲ Here Your signature Date Title Print/Type preparer’s name Preparer's signature Date Paid Check if PTIN self-employed Preparer ▶ Firm's EIN ▶ Firm's name Use Only ▶ Phone no. Firm's address For Paperwork Reduction Act Notice, see instructions. Cat. No. 37736P Form 8924 (Rev. 12-2013) Section references are to the Internal Revenue • A conservation sale in which the previous When To File Code. transferor excluded 25% of the qualifying gain, File Form 8924 by the 90th day following the or Future Developments taxable transfer. If you need more time to file, For the latest information about developments • A transfer in which the previous transferor was use Form 7004, Application for Automatic 6- related to Form 8924 and its instructions, such relieved of liability for the Form 8924 tax. Month Extension of Time To File Certain Business Income Tax, Information, and Other as legislation enacted after they were published, Relief from liability. An eligible entity is not Returns, by the due date of Form 8924. Form go to www.irs.gov/form8924. required to file Form 8924 if: 7004 does not extend the time for payment of General Instructions • The transferee is an eligible entity which tax. provides the transferor with a qualifying letter of Purpose of Form intent at the time of the transfer, Amended Return Use Form 8924 to report and pay the excise tax • The transferee is not an eligible entity but To amend a previously filed Form 8924, file a on certain transfers of qualifying geothermal or establishes to the satisfaction of the Secretary of corrected Form 8924 and write “Amended” at mineral interests. the Treasury that the transfer of ownership or the top of the form. Who Must File possession will be consistent with section 170(h) Where To File (5) and provides the transferor with a qualifying An eligible entity who subsequently transfers letter of intent at the time of the transfer, or Send Form 8924 to the following address. ownership or possession (by sale, exchange, or lease) of a qualifying mineral or geothermal • Form 8924 tax has previously been paid as a Department of the Treasury interest must file Form 8924 for each transfer of result of a previous transfer of ownership or Internal Revenue Service Center an interest acquired, directly or indirectly, in: possession of the same interest. Cincinnati, OH 45999 |
Form 8924 (Rev. 12-2013) Page 2 Rounding Off to Whole Dollars Environmental Impact Statement and that is Paid Preparer Use Only You may show money items on the return as located from T. 31 N. to T. 16 N. and R. 13 W. whole dollars. To do so, drop any amount less to R. 7 W.; and A paid preparer must sign Form 8924 and provide the information in the Paid Preparer Use than 50 cents and increase any amount from 50 • Within the Badger Two Medicine Area of the Only section at the end of the form if the preparer cents through 99 cents to the next higher dollar. Flathead National Forest including the land was paid to prepare the form and is not an located in T. 29 N. from the western edge of R. employee of the filing entity. The preparer must Signature 16 W. to the eastern edge of R. 13 W., and the give you a copy of the form in addition to the See the instructions for the signature section of land located in T. 28 N., Rs. 13, and 14 W. copy to be filed with the IRS. your federal income tax return. Qualifying letter of intent. A qualifying letter of If you are a paid preparer, enter your Preparer Interest and Penalties intent means a written letter of intent that Tax Identification Number (PTIN) in the space Interest. Interest is charged on taxes not paid includes the followingstatement. provided. If you work for a tax preparation firm, by the due date at a rate determined under “The transferee’s intent is that this acquisition you must also enter the firm's name, address, section 6621. will serve one or more of the conservation and EIN. However, you cannot use the PTIN of Late filing of return.A penalty of 5% a month purposes specified in clause (i), (ii), or (iii) of the tax preparation firm in place of your PTIN. or part of a month, up to a maximum of 25%, is section 170(h)(4)(A) of the Internal Revenue You can apply for a PTIN online or by filing imposed on the net amount due if Form 8924 is Code of 1986, that the transferee’s use of the Form W-12, IRS Paid Preparer Tax Identification not filed when due. deposits so acquired will be consistent with Number (PTIN) Application and Renewal. For section 170(h)(5) of such Code, and that the use more information about applying for a PTIN Late payment of tax. Generally, the penalty for of the deposits will continue to be consistent online, visit the IRS website at www.irs.gov/ptin. not paying tax when due is 1/2 of 1% of the with such section, even if ownership or unpaid amount, up to a maximum of 25%, for possession of such deposits is subsequently Paperwork Reduction Act Notice. We ask for each month or part of a month the tax remains transferred to another person.” the information onthis form to carry out the unpaid. The penalty is imposed on the net Qualifying mineral or geothermal interest. A Internal Revenuelaws of the United States. You amount due. qualifying mineral or geothermal interest means are requiredto give us the information. We need Definitions an interest in any mineral or geothermal deposit it toensure that you are complying with these Bureau of Land Management land. This term located on eligible federal land that constitutes laws and to allow us to figure and collectthe means the Bureau of Land Management land thetransferor’s entire interest in the deposit. right amount of tax. Section 6109requires return and any federally-owned minerals located south An interest in any mineral or geothermalis not preparers to provide theiridentifying numbers on of the Blackfeet Indian Reservation and east of the transferor’s entireinterest if the interest in the return. the Lewis and Clark National Forest to the that mineral orgeothermal deposit was divided in You are not required to provide the eastern edge of R. 8 W., beginning in T. 29 N. order toavoid the requirements of a qualifying information requested on a form that is subject down to and including T. 19 N. and all of T. 18 mineral or geothermal interest or section170(f)(3) to the Paperwork Reduction Act unless the form N., R. 7 W. (A). displays a valid OMB control number. Books or Conservation sale. A conservation sale means The transferor’s entire interestin such deposit records relating to a form or its instructions must a sale which meets the following requirements. does not fail to be aqualifying mineral or be retained as long as their contents may • The transferee of the qualifying mineral or geothermal interestsolely because the transferor become material in the administration of any geothermal interest is an eligible entity. has retainedan interest in other deposits, even if Internal Revenue law. Generally, tax returns and theother deposits are contiguous with such return information are confidential, as required • At the time of the sale, the transferee provides certain deposit and were acquired by the by section 6103. the transferor with a qualifying letter of intent. transferor along with such certain depositin a The time needed to complete and file this form • The sale is not made under an order of single conveyance. will vary depending on individual circumstances. condemnation or eminent domain. The estimated average time is: Specific Instructions Eligible entity. An eligible entity means: Recordkeeping . . . . . 4 hr., 4 min. • A governmental unit referred to in section Name and address. Enter the name shown on Learning about the law the eligible entity’s most recently filed federal or the form . . . . . . . . 42 min. 170(c)(1) or an agency or department thereof income tax return. If the Post Office does not operated primarily for one or more of the delivermail to the street address and the entity Preparing, copying, assembling, and conservation purposes specified in section170(h) hasa P.O. box, show the box number instead of sending the form to the IRS . . . 47 min. (4)(A)(i), (ii), or (iii), or the street address. If you have comments concerning the • An entity that is described in section 170(b)(1) Foreign Address. Follow the country's practice accuracy of these time estimates or suggestions (A)(vi) or section 170(h)(3)(B) and organized and for entering the postal code. In some countries for making this form simpler, we would be happy at all times operated primarily for one or more of the postal code may come before the city or to hear from you. You can send your comments the conservation purposes specified in section town name. Enter the full name of the country from www.irs.gov/formspubs/. Click on “More 170(h)(4)(A)(i), (ii), or (iii). using uppercase letters in English. Information” and then on “Comment on Tax Eligible federal land. The term eligible federal Forms and Publications.” You can also write to: land means the Bureau of Land Management Tax Computation Internal Revenue Service land and the Forest Service land, as generally Line 10 Tax Forms and Publications depicted on the map entitled “Rocky Mountain The tax due must be paid in full when Form 1111 Constitution Ave. NW, IR-6526 Front Mineral Withdrawal Area” and dated 8924 is filed. Make the check or money order Washington, DC 20224 January 8, 2007. You can view an electronic payable to “United States Treasury.” Write the DO NOT send the tax form to this address. version of the map at www.fs.fed.us/land/staff/ entity’s name, address, employer identification Instead, see Where To File, earlier. rocky_mtn_front_withdrawal.shtml. number, and “Form 8924” on the check or Forest Service land. This term means the money order. Forest Service land and anyfederally-owned minerals located: Line 11 • In the Rocky Mountain Division of the Lewis The IRS will refund the amount on line 11 if no and Clark National Forest, including the other taxes are owed. approximately 356,111 acres of land made unavailable for leasing by the August 28, 1997, Record of Decision for the Lewis and Clark National Forest Oil and Gas Leasing |