North Dakota Oil Producers Report And Oil Purchasers Report Instructions Sheet Page 11
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23Specific Instructions For
Form T-10A and Form T-12A County Summary
NO COUNTY SUMMARY IS REQUIRED IF TAX IS NOT REPORTED AND PAID WITH A
T-10 OR T-12 REPORT COVERSHEET.
LINE INSTRUCTIONS
Current or Amended Report:
• Check only one.
• No amended or corrected reports for prior reporting periods may be reported on a current monthly report.
• Individual T-10 or T-12, county summaries must accompany the coversheet and worksheets and must be submitted for each
monthly period being reported.
• Do not combine months on the same report.
Month/Year: Enter numerals, e.g. 0 7 9 6 for July 1996
Federal I.D. Number: Enter nine-digit Federal I.D. number.
Name: Enter company name.
County Breakdown: Block 7 or Block 11 amounts applicable to each county correspond to the total of the Block 7 or Block 11 entries
on the T-10 or T-12 worksheets for that county.
Total Tax Paid with Report: Add the totals of each of the individual counties for Block 7 and Block 11. Totals must agree with Lines
1 and 5 on the T-10 or T-12 coversheet and totals of Block 7 and Block 11 on the T-10 or T-12 worksheets.
Page 10
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