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Alaska Mining License Application
Extracted from PDF file 2023-alaska-form-661.pdf, last modified January 2019Mining License Application
Form Alaska Mining License Application 661 May 1, ______ to April 30, ______ Submit one Application per Mining Operation (See instructions for more information) Application Type New Current License Number (If applicable) If applicant is a fiscal year tax filer, enter tax year-end Month /Day ______________ Year ________ Renewal Applicant Information – Complete the proper section for your entity type Complete this section if applicant is an individual (Must provide SSN) Individual/Sole Proprietor (Operating under the individual’s name) SSN Individual/Sole Proprietor (Operating under a business name) Complete this section if applicant is a separate legal entity (See instructions, next page) Business Entity Name Federal EIN Corporation Joint Venture Partnership Estate Multiple Member LLC Other _________________ Business Name (dba) Primary Mailing Address Phone Number – Primary State Zip Code Secondary Mailing Address City FEIN (If applicable) Business Name (dba) Single Member LLC City Individual Name Phone Number – Alternate (If applicable) Email State Zip Code Contact Name and Phone Number (If different from above) Property Information Property Location (Name of site) Property Coordinates (Meridian, township, range and section) Recording District for Mining Location (See instructions) APMA Number (If applicable) Applicant Relationship to Property (Check only one) Land Location (Check all that apply) Owner/Operator Lessee/Operator State Private – Patented Owner/Lessor Other __________________ Federal Private – Native Corporation If the applicant is leasing the property (Lessee/Operator), please provide the name and address of the Owner/Lessor Owner/Lessor Name Owner/Lessor Address The type of metal, mineral or other commodity being produced from the operation (Check all that apply) Coal Gold Platinum Tin Copper Lead Silver Zinc Open Pit Placer Other ____________________________ Type of Mining Activity (Check all that apply) Coal Hard Rock Suction Dredging I declare under penalty of unsworn falsification that this application has been examined by me, and to the best of my knowledge and belief is true, correct and complete. Signature Printed Name and Title Date 0405-661 02-01-19- Page 1
Form 661
More about the Alaska Form 661 Other TY 2023
We last updated the Mining License Application in February 2024, so this is the latest version of Form 661, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form 661 directly from TaxFormFinder. You can print other Alaska tax forms here.
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TaxFormFinder has an additional 30 Alaska income tax forms that you may need, plus all federal income tax forms. These related forms may also be needed with the Alaska Form 661.
| Form Code | Form Name |
|---|---|
| Form 661i | Mining License Application Instructions |
View all 31 Alaska Income Tax Forms
Form Sources:
Alaska usually releases forms for the current tax year between January and April. We last updated Alaska Form 661 from the Department of Revenue in February 2024.
Historical Past-Year Versions of Alaska Form 661
We have a total of three past-year versions of Form 661 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:
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