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| document | Coal Severance Affidavit | ../Coal Severance Affidavit.pdf |
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null | application/pdf | 39050 | 3862b7925bd45408172b2016a158373bab1f93e4100059c5aa9e4eb22eb03d07 | 524aceb4fe7b7bf9d58de68d6d36cff68bf76c34 |
COAL SEVERANCE AFFIDAVIT
Company Name Mine Name Operator’s Name Mite Index # Owner’s Name County ‘Tons Mined
Company Name
Operator’s 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