Instructions For Completing Form O-10 printable pdf download

Instructions for completing Form O-10

Applying for stripper well status

The taxpayer number must be furnished on this

Name of reporting company

Parish, field, producer, lease codes,

This application is for the certification of stripper wells

application. All data required on this form must be

Name of producer or duly authorized representative

well serial number

for oil severance tax purposes. A stripper well is

supplied. It is important that all code data be furnished

submitting the application.

Refers to code numbers assigned by the Office of

defined as a well that is incapable of producing an

and that the data be accurate.

Conservation and reported as such on the Form R-1

average of more than 10 barrels of oil per producing

Company number

and DM-1-R.

day. A copy of the latest form DM-1-R, including test

Certification of stripper wells

Code number assigned to the reporting company by

data pertaining to all wells included in the lease

Any stripper wells certified as such are eligible for the

the Office of Conservation or the Department of

Opening stock

property, must be submitted with this application.

stripper oil severance tax rate of 3.125% of value.

Revenue and Taxation.

This is the prior production remaining in the tank for

each well serial.

This application may be filed by the producer,

Wells which have been certified as stripper wells on

Revenue Account Number

This is your 10-digit Louisiana Tax Number for

purchaser, or duly authorized representative.

this application must be reported each month on Form

Production

Corporation Income and Franchise tax, Sales tax,

SEV O-3 if the certification number assigned to the

This is the total production from this well for the given

Withholding tax or Oilfield Site Restoration Fee. If you

The due date for filing this application is on or before

well(s) is prefixed with the letter “A.”

taxable period.

are not registered for any of these taxes, please write

the fifteenth day of the second month following the

or call the Department of Revenue and Taxation for a

production month in which the well(s) attained stripper

Failure to report monthly production and disposition

Number of producing days

registration application, Form R-16018.

status. If the due date falls on a weekend or holiday,

barrels as required on the report Form SEV 0-3 could

This is the number of days the well produced during

the return is due the next business day and becomes

result in denial of the stripper oil severance tax rate of

the given taxable period.

Field name

delinquent the first day thereafter.

3.125% of value.

Official name assigned by the Office of Conservation

Daily average production

to identify a field. A separate application must be

A separate application is required for each field and

Should any wells certified as stripper wells on this

This is calculated by dividing “production” by “number

submitted for each field.

must be filed in triplicate (original and two copies).

application subsequently produce an average of more

of producing days.”

The original application will remain on file with the

than 10 barrels of oil per producing day, the stripper

Producer and lease name

Louisiana Department of Revenue and Taxation; one

tax rate of 3.125% of value is NOT applicable for that

Number of wells on lease (definitions)

The producer is defined as that person or company

copy will be returned to the producer; and one copy

month.

Capable well is a well producing an average of

under whose name oil is reported to the Office of

will be furnished to the taxpayer immediately after

more than 10 barrels of oil per day and less than

Conservation on their Form R-1. Lease name refers

departmental approval. Copies returned to the

Any well certified on Form SEV. O-10 that may qualify

50% salt water.

to the official name assigned by the Office of

Incapable well is a well incapable of producing an

producer and taxpayer will include certification

for the incapable tax rate at a later production month

Conservation to identify a lease.

numbers assigned by the Department of Revenue

must be certified by the department on Form SEV.

average of more than 25 barrels of oil per

and Taxation.

O-25 before the incapable rate can be taken. The

producing day and which also produces 50% or

Conservation well number

department does not allow rate changes between the

more salt water per day.

This is the well number assigned by the Office of

The completed application must be submitted to the

reduced rates (stripper or incapable) unless the well is

Stripper well is a well incapable of producing an

Conservation to identify a well on a lease.

Department of Revenue and Taxation, Severance

properly certified by the department on Forms SEV. O-

average of more than 10 barrels of oil per

Tax Division, P. O. Box 201, Baton Rouge, LA

10 or SEV. O-25.

producing day.

70821-0201.

Condensate is not at any time subject to reduced

severance tax rates, and is taxable at 12.5% of value.

A condensate well is defined as a capable well.

Instructions For Completing Form O-10

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