Appendix 05 Sample Use Report.pdf
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- Attached to
- Chequamegon-Nicolet National Forest Prospectus for Campground and Related Granger-Thye Concessions
- Solicitation number
- Not on record
- Issued by
-
Department of Agriculture Forest Service
About this file
This is a sample use report template for a Granger-Thye concession permit issued by the United States Department of Agriculture Forest Service for the Chequamegon-Nicolet National Forest. The document serves as an accounting and fee calculation form for campground and related concession operations, specifically designed for the Mondeaux Concession Special Use Permit.
The report requires operators to calculate a land use fee to the government based on adjusted gross revenue. Gross revenue is defined as total receipts from the sale of goods or services provided by the permit holder or third party and includes income from sales (alcoholic beverages, other beverages, food, ice, miscellaneous items, wholesale goods, and wood) and services (boat rental, Forest Service passes, and showers). Revenue additions include the value of donated or bartered goods and services, as well as gratuities not available to the general public. Revenue exclusions consist of amounts paid to state license authorities, revenue from sale of operating equipment and capitalized assets, and refunds of fees provided to the public. The adjusted gross revenue is calculated by adding revenue additions to gross revenue and subtracting revenue exclusions. The land use fee to the government is determined by multiplying the adjusted gross revenue by a specified percentage factor identified in the permit. Both the permit holder and a government official must sign and date the completed report, which is typically submitted by December 31 of the operating year.
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Text version
United States Department of Agriculture
Prospectus for Campground and Related Granger-Thye Concessions
Chequamegon-Nicolet National Forest
Appendix 05: Sample Use Report
Appendix 5
Sample Use Report
Mondeaux Concession Special Use Permit
20__ Operating Season
_______________: Operator
Permit Fees Accounting Records
December __ , 20__
Factor on __% of adjusted gross revenue as described in permit
Gross Revenue – defined as The total amount of receipts from the sale of goods or services provided by the holder or third party under the permit. = $______
Revenue Additions – defined as (a) The value of goods and services that are donated or bartered; and
(b) The value of gratuities, which are goods, services, or privileges that are not available to the general public. = $______
Revenue Exclusions (State Licenses) = $______
Adjusted Gross Revenue (Gross Revenue + Revenue Additions– Revenue Exclusions) = $______
Land Use Fee to Government:
Adjusted Gross Revenue x ____% = $______
Holder Signature & Date
Government Official Signature & Date
Mondeaux Dam Lodge Profit and Loss
January 1 – December 31, 20__
Gross Revenue Income (Sales) Alcoholic Beverages Other Beverages Food Ice Miscellaneous Wholesale Wood Other Total Income (Services) Boat Rental FS Passes Showers Total Value of Donated/Bartered Goods and Services
Total
Value of Gratuities Total Total Gross Revenue
Revenue Exclusions Amts paid to State License Authority
Total
Revenue from sale of Operating Equipment and from Capitalized or Other Assets
Total
Refunds of Fees provided to public by Holder
Total
Total Cost of Revenue Exclusions
File details come from the government source that posted it. Updated .