Form Rpd-41137 - Registration Update For Oil And Gas Taxes

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RPD - 41137
STATE OF NEW MEXICO - TAXATION & REVENUE DEPARTMENT
REV. 10/2006
REGISTRATION UPDATE FOR OIL AND GAS TAXES
(FORM RPD-41137)
Request for a
OGRID Number
NEW OGRID
CURRENT INFORMATION
Company Name
CHANGE OF ADDRESS
Natural Gas Processors Tax Filer
Oil and Gas TaxesFiler
Master Operator (Equipment Tax )
New Address
City, State, Zip Code
Addressee
Phone: (
)
Effective Date
Fax:
(
)
Are you closing operations or reporting responsibilities in New Mexico? If so, answer the questions below.
1. Will you be filing any additional oil and gas tax reports with the Department?
No
Yes
If yes, when will the final report be submitted? Date: _________________________
An OGRID (Oil and Gas Reporting Identification Number) will not be deactivated if any payments and detail line
entries previously reported are unidentified or if there are any account notices such as Notices of Assessment
of Taxes, Notices of Tax Credit or Notices of Overpayment which are still outstanding and are currently recog-
nized in your account balance.
Additional Comments: _______________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
THIS REGISTRATION UPDATE MUST BE SIGNED BY THE TAXPAYER OR TAXPAYER'S REPRESENTATIVE.
FOR DEPT. USE ONLY
I declare that the information reported on this form is true and correct.
Authorization for
Starting Date Change ______
Print Name
Title
Date
Signature
Send the original to the Taxation & Revenue Department office listed on the back of this form. Taxpayer, please make a copy for your files.
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