Form 300-A-R-12-97 - Oklahoma Tax Commission Gross Production And Petroleum Excise Tax Summary Report
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1GPX
0400400
E.
000
O
T
C
GPX0004-12-97-BT
300-A-R-12-97
KLAHOMA
AX
OMMISSION
G
P
A
P
E
T
ROSS
RODUCTION
ND
ETROLEUM
XCISE
AX
S
R
UMMARY
EPORT
A. Taxpayer FEIN/SSN
B. Production Period(s)
REPORT TYPE
M M D D
C. Company Number
- OFFICE USE ONLY -
300-R-97
Magnetic Tape
GROSS PRODUCTION TAX
PETROLEUM EXCISE TAX
1.
Oil
2.
Condensate
3.
Reclaimed Oil
4.
Casinghead Gas
5.
Natural Gas
6.
Natural Gas Liquids
7.
Taxes Paid Conditionally
8.
Total Tax Due
9.
Interest
10.
Penalty (Delinquent Tax)
11.
Penalty (Failure To File)*
12.
Total Credit Taken**
13.
Totals Due
14.
*Penalty and Interest Detail
(Attach copy of assessment letter(s)
Oklahoma Tax Commission Reference number(s)
15.
**CREDIT DETAIL (Attach memos and letters)
Oklahoma Tax Commission
credit memo numbers
16.
Letter of Credit Reference numbers
Company check/voucher number(s)
for total amount remitted.
(List each check separately)
D.
Name
Address
City
State
Zip
I declare that the information contained in this document and any attachments is true and correct to the best
of my knowledge and belief.
of my knowledge and belief.
SIGN
HERE:
Date
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