Railroad Annual Revenue and Assessment Report Form for Calendar Year 2022 2021 CPC or CMRS #: AlphanumOnly No , Company Name: Required AlphanumOnly No , Company Address1: Required AlphanumOnly No , Company Address2: AlphanumOnly No , Company City:   State: Nevada Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming  Zip: CityRequired StateRequired ZipRequired Company Telephone: Required Invaild Format Type of Utility: Railroad Railroad Telecommunications Water / Sewer / Waste * Preparer First Name: *  Last Name: * AlphanumOnly No , AlphanumOnly No , Confirmation Email: Invalid Format Required   Use Company Address Information Above   Preparer Company: AlphanumOnly No , Required Preparer Address1: AlphanumOnly No , Required Preparer Address2: AlphanumOnly No , Preparer City:  State: Nevada Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming  Zip: CityRequired StateRequired ZipRequired Preparer Telephone: TelephoneRequired Invaild Format ANNUAL PAYMENT    QUARTERLY PAYMENT ASSESSABLE REVENUE: I/We the undersigned, under penalty prescribed in NRS 704.035, do hereby certify that total gross operating revenue received from freight and passenger intrastate movement as defined in NRS 704.033 and as contained in appropriate company ledgers for the above calendar year commencing January 1, 2023 and ending December 31, 2023 was: * * * ASSESSABLE REVENUE: ASSESSMENT: The assessment rate for this reporting period is 2.29 mills (0.00229). Your assessment for this year is the above ASSESSABLE REVENUE x 0.00229. The MINIMUM assessment is $100. ASSESSMENT: LATE FEE: The Late Fee for late payment (payment not made on or before August 1, 2023 is one (1) percent of the total unpaid balance for each month or portion thereof that the assessment is delinquent, or $10, whichever is greater, but no Late Fee may exceed $1,000 for each delinquent payment. * LATE FEE: AMOUNT DUE: Total of ASSESSMENT and LATE FEE. This amount is due and payable on July 1, 2023 with penalties payable if paid after August 1, 2023. If the quarterly payment option is chosen, the first payment is due July 1, 2023 with subsequent payments due October 1, 2023, January 1, 2024, and April 1, 2024. If the assessment is paid late the appropriate Late Fee is to be included in the payment. AMOUNT DUE: * * PAYMENT AMOUNT: