Enlarge image | SEVERANCE TAX REPORT FOR SURFACE COAL Form Type: Indicate if the report filed is an original (O) or an amended (Form 5000) INSTRUCTIONS (revised 9/2019) (A) report. Do not report original and amended line items on the same Form 5000. WHO MUST FILE - All taxes on production shall be remitted by the operator or his duly authorized agent. Severance taxes are determined Mine Group Number: Enter the Mine Group Number (the 5-digit number from the gross production in the current calendar year. beginning with a 9) for each line item reported, as assigned by the Department of Revenue. If you are reporting a mine group which has not WHEN TO FILE - Severance tax reports and payment in-full must be been assigned a Mine Group Number, leave this box blank. postmarked by the 25th day of the second month following the month of production. If a taxpayer’s total liability for severance tax was less Rate Code: Enter the proper Rate Code for each line item reported. The than $30,000 for the preceding calendar year, monthly reporting and Rate Code for coal subject to the 7% severance tax rate is “BAS”. The payment requirements are waived and the taxpayer shall report and pay Rate Code for coal which qualifies for the $.60 severance tax per ton the tax annually, by February 25th of the year following the year of limitation is “60C”. A line item with the “BAS” Rate Code must be filed production. If a severance tax report shows tax due, the taxpayer shall for each Mine Group Number. A separate line item with the “60C” Rate pay the tax due when the report is filed. If a taxpayer does not file Code may be filed for each Mine Group Number with production which severance tax reports and pay the total tax due by the due date, the qualifies for the $.60 severance tax per ton limitation. Do not include the severance tax is delinquent and is subject to penalty and interest. production, sales, or taxable value of $.60 coal in the information reported under the “BAS” Rate Code. Rate Code “60C” may only be filed FOR ASSISTANCE - For assistance with any Wyoming solid mineral by those producers with coal production sold under contracts which tax question, please call the Mineral Tax Division of the Department of qualify for the $.60 severance tax per ton limitation allowed under Revenue at (307) 777-7935. Wyoming Statute 39-14-105(b). Producers must submit a letter to the Department for each coal sales agreement which you think qualifies for Coal is assessed for mineral taxation purposes in accordance with the $.60 severance tax per ton limitation. Wyoming Statute 39-14-103. For additional information on the valuation of coal, refer to Wyoming Statute 39-14-103 and Chapter 6 Tons Sold: Enter the tons of coal sold during the production period. of the Rules of the Wyoming Department of Revenue. Sales Value: Enter the sales value of coal sold during the production GENERAL INSTRUCTIONS - Please complete a Severance Tax period. Report For Surface Coal (Form 5000), using production, sales, and taxable value information for the production period reported. IF YOU Tons Mined: Enter the tons of coal mined during the production ARE A MONTHLY FILER, DO NOT REPORT YEAR-TO-DATE period. TOTALS FOR TONS SOLD, SALES VALUE, TONS MINED OR TAXABLE VALUE. REPORT ONLY THE TONS SOLD, SALES Taxable Value: Enter the taxable value of the tons of coal mined during VALUE, TONS MINED AND TAXABLE VALUE FOR THE the production period. Compute the taxable value in accordance with PRODUCTION PERIOD REPORTED. All information provided Wyoming Statute 39-14-103. should be determined on the accrual basis of accounting, in accordance with generally accepted accounting principles. Round all figures to the Total Tax Due: For Rate Code “BAS”, enter the result of multiplying nearest whole number except where otherwise instructed. Fill out the the Taxable Value by 7%, rounded to 2 decimal places (for example, report completely, on the forms provided by the Department. Do not $100.12). For Rate Code “60C”, enter the result of multiplying the substitute computer generated forms. If the report is not filled out Tons Mined by $.60, rounded to 2 decimal places. completely and accurately, the report may be considered delinquent and may be subject to penalty and interest. The sum of the taxable values Previous Tax Paid (amends): For amended reports only. Report the reported on your monthly severance tax reports must equal the total severance tax previously paid for this Mine Group Number and Rate taxable value of your coal production for the calendar year. Code. If this is an original report, enter 0. NOTE: Production, sales, taxable value, and tax due information must Current Tax Due: Enter the result of subtracting Previous Tax Paid still be reported separately for each mine, using the Mine Group from Total Tax Due. Number assigned by the Department of Revenue. However you may now report information for more than one Mine Group Number on Page Total: Enter the sum of the Current Tax Due column on this Form separate lines of the same Form 5000. You may also report information 5000. on production which qualifies for the $.60 severance tax per ton limitation on a separate line of the same form with your information on Payment Amount: Enter the payment submitted with your report(s). production subject to the 7% severance tax rate. AMENDMENT - Form 5000 is now filed on a monthly basis. Year-to- Operator ID: Enter the operator ID number (the 4-digit number beginning date information is no longer reported on each monthly severance with a 9) assigned to you by the Department of Revenue. If an operator report. Corrections to information reported may be implemented for ID has not been assigned to you, leave this box blank. each production period by filing amended severance reports. Amended reports must be filed in accordance with the statute of limitations Operator Name: Enter the Operator Name. Do not enter the name of the described in W.S. 39-14-108. Report the corrected replacement value contact person or tax agent. for Tons Sold, Sales Value, Tons Mined, and Taxable Value on your amended reports. Please indicate the Form Type as (A). Do not report Contact Name and Contact Phone #: Enter the name and telephone original and amended line items on the same Form 5000. number of the person the Department of Revenue may contact about this report. The mailing address for all Department of Revenue mineral forms is: Wyoming Department of Revenue Production Period: Enter the production period (month and year of the Mineral Tax Division production reported). If you qualify to file annually, report the Herschler Building, 3 Floorrd East production period as December (for example, 12/2000). Cheyenne, WY 82002-0110 |
Enlarge image | State of Wyoming Department of Revenue SEVERANCE TAX REPORT 5000 122 West 25th Street Cheyenne WY 82002-0110 FOR SURFACE COAL *5000* DOR USE ONLY: Operator ID: Operator Name: Contact Name: Contact Phone #: ( ) O - Original Prod. Period: / Form Type: A - Amended MINE RATE TONS SOLD SALES VALUE TONS MINED TAXABLE VALUE TOTAL TAX DUE PREVIOUS CURRENT GROUP CODE TAX PAID TAX DUE NUMBER (AMENDS) BAS PAGE TOTAL: DO NOT REPORT YEAR-TO-DATE INFORMATION REPORT PRODUCTION PERIOD INFORMATION ONLY PAYMENT AMOUNT: I declare under penalty of perjury that I have examined this return and, to the best of my knowledge and belief, it is correct and complete. Authorized Signature Title Date REV.2/2000 |