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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 following statement. 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 on this form to carry out the
unpaid. The penalty is imposed on the net Qualifying mineral or geothermal interest. A Internal Revenue laws of the United States. You
amount due. qualifying mineral or geothermal interest means are required to give us the information. We need
Definitions an interest in any mineral or geothermal deposit it to ensure 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 collect the
means the Bureau of Land Management land the transferor’s entire interest in the deposit. right amount of tax. Section 6109 requires return
and any federally-owned minerals located south An interest in any mineral or geothermal is not preparers to provide their identifying numbers on
of the Blackfeet Indian Reservation and east of the transferor’s entire interest if the interest in the return.
the Lewis and Clark National Forest to the that mineral or geothermal deposit was divided in You are not required to provide the
eastern edge of R. 8 W., beginning in T. 29 N. order to avoid 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 section 170(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 interest in such deposit records relating to a form or its instructions must
a sale which meets the following requirements. does not fail to be a qualifying mineral or be retained as long as their contents may
• The transferee of the qualifying mineral or geothermal interest solely because the transferor become material in the administration of any
geothermal interest is an eligible entity. has retained an interest in other deposits, even if Internal Revenue law. Generally, tax returns and
the other 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 deposit in 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 deliver mail to the street address and the entity Preparing, copying, assembling, and
conservation purposes specified in section170(h) has a 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 any federally-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
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