Laserfiche WebLink
~._~' MINNESOTA DEPARTMENT OF REVENUE <br />~,-1 MIXED MUNICIPAL SOLID WASTE FEE MONTHLY REPORT <br /> <br />F^£1L1T¥ LOC^TIOIq: CITY/TOWN ~r-~,y COUNTY }mok~ -' <br /> <br />:[ <br /> <br />Facility Name and Address <br /> <br />Minnesota Tax Identification Humber <br /> <br />I <br />I <br />I <br />I <br />I <br /> <br />Return for the Month of J&nt~al~' <br /> <br />, Year 1905 <br /> <br />2. <br /> <br />3. <br /> <br />4~' <br /> <br />FACILITIES THAT WEIGH THE WASTE - total pounds received during the month <br />of 9,077,8~0 Oivtde the total pounds received, by 600. <br />The result is cubic yards. Enter on line 1. <br /> <br />FACILITIES THAT MEASURE THE WASTE - enter the total cubic yards received <br />during the month on line 2.. <br /> <br />Total cubic yards received during'the month. Add.the amounts on lines 1 <br />and 2, and enter the result on line 3. - . _ ' <br /> <br />Total cubic yards of waste residue received from energy and resource <br />recovery facilities during the month of <br />Multiply this amount by S0% and enter on line 4. (ATTACH STATEMENT OF <br />EXEMPTIONS) <br /> <br />49,$94 <br /> <br />65,024 <br /> <br />m5. <br /> <br />m 6. <br /> <br />Total cubic yards of non-hazardous waste from metalcasting facilities and <br />other exempt material Enter the amount on line 5. <br />(ATTACH STATEMENT OF EXEMPTIONS) <br /> <br />Ad~ the amounts on lines 4 and 5. Enter the total on line 6. <br /> <br />m7. <br /> <br />Substract the amount on line 6 from the amount on line 3. Enter the <br />result on line 7. <br /> <br />?. 65,024 <br /> <br />Multiply the amount on line 7 <br />by the following fees: <br /> <br />-Colum~ ~ Column B <br />Computed Flat Fee <br />Amount Autos, Pickups, <br /> etc. <br /> <br />Add the amounts in Columns <br />and B, Lines SA, 8B and 8Ciiii~y!F <br />This is the amount due eacii~ii!~iiJ;? J <br />agency. <br /> <br />A. Line 7'by $.50, State-Fee ' $ '32;512.'D0 .... -~=~ $ "~m7~-.50 ......... '~tateFee--*--'$ '32F~90.-50 <br /> <br />; B. Line 7 by $.25, County Fee $ 16,256.00 $ 189.25 CountyFee $ 16,445.25 <br /> C. Line 7 by $.15, City Fee $ 9,753,60 $ 113.55 CITYFEE $ 9,B67.15 <br /> <br />Signature ~ - ' ' t ' / litle <br /> <br />'I declare, under the penalties of perjury and criminal liability for willfully making a false return, that this return <br />is true and complete to the best of my knowledge and belief. I confess Judgment to the State of Minnesota for the tax <br />due, if not timely paid. <br /> <br />~LF..ASE SEND THIS COPY TO THE CITY. ALONG WITH THE CITY FEE <br /> <br /> <br />