nm3clol-public/Russell_County/Commissioner_of_Revenue/Coal Severance Affidavit/README.md

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---
type: document
title: Coal Severance Affidavit
file: ../Coal Severance Affidavit.pdf
tags:
- Russell_County
- Commissioner_of_Revenue
docDate: null
contentType: application/pdf
contentLength: 39050
sha256sum: 3862b7925bd45408172b2016a158373bab1f93e4100059c5aa9e4eb22eb03d07
sha1sum: 524aceb4fe7b7bf9d58de68d6d36cff68bf76c34
---
COAL SEVERANCE AFFIDAVIT
Company Name Mine Name
Operators Name Mite Index #
Owners Name County
Tons Mined
Company Name
Operators Signature
Subject to any supplemental assessment made pursuant fo an audit, this is to certify that
the above named operator has paid all local coal license taxes pursuant to Section 45.1-
21(1), 58.1-3712 and 58.1-3713 of the Code of Virginia.
Date Russell County Commi:
- of the Revenue
Subject to any supplemental assessment made pursuant to an audit, this is to certify that
the above named operator, as of this date, has paid all personal property (including
merchants capital and/or machinery and tools) real estate and mineral land taxes
associated with this mining operation in accordance with 45.1-21 of the Code of Virginia,
as amended.
Date Treasurer of Russell County