Form R-9035 - Natural Gas Franchise Tax Return 2005
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1R-9035 (6/05)
N. G. F. T. - 100
Natural Gas Franchise Tax Return
Taxpayer Services Division
Revenue account number ______________________________
P.O. Box 201
Baton Rouge, LA 70821-0201
Taxpayer name ______________________________________
(225) 219-7656
(225) 219-2114 (TDD)
Address ____________________________________________
City
State
ZIP
____________________________________________
Year 20____
Quarter Ending:
March 31
June 30
Sept. 30
Dec. 31
Column 1
Column 2
Check (✓) One
Intrastate
Interstate
1. Gross receipts (round to whole-dollar amounts):
1A
A. From the sale of natural gas........................................................
1B
B. For hire ........................................................................................
1C
C. For use ........................................................................................
1D
D. Other income ..............................................................................
1E
E. Total gross receipts (Add Line 1A through Line 1D)......................
1F
F. Deduct: Cost of gas purchased for resale ..................................
1G
G. Total adjusted gross receipts (Subtract Line 1E minus Line 1F)
2. Interstate Allocation
2A
A. Total miles of pipeline ..................................................................
2B
B. Average receipts per mile (Column 2, Line 1G ÷ Line 2A) ........
2C
C. Louisiana miles of pipeline ..........................................................
2D
D. Taxable interstate gross receipts (Multiply Line 2B x Line 2C)
3. Calculation of Tax, Interest, and Penalty
3A
A. Amount of tax (Col. 1 = 1% of Line 1G) (Col. 2 = 1% of Line 2D).
3B
B. Total tax due (Total of Line 3A (Column 1 + Column 2) ..............
3C
C. Penalty, 5% per month from due date of payment, not to exceed 25%
3D
D. Interest (1.25 % per month from due date to date of payment) ....
3E
E. Total due (Add Line 3B + Line 3C + Line 3D) ............................
I declare, under the penalty for filing false returns, that this return has been examined by me, and is to the best of my
knowledge and belief, true, correct, and complete.
This return is due on or before the last
Signature
day of the month following the last day
of the quarter annual period and shall
Title
become delinquent after that date.
Area code/Telephone
5505
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