Form 0405-330 - Tax Credits For Certain Losses And Expenditures - Alaska Department Of Revenue Page 6
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12Alaska Department of Revenue
Alaska Oil and Gas Production Tax Credit Claim
Tax Division
Schedule B-1
550 W 7th Ave Ste 500
Anchorage AK 99501-3566
AS 43.55.023(a)(2)
Phone 907.269.6620
Fax 907.269.6644
This form is available online at
DEPT USE ONLY
APP ID
A. Producer or Explorer Name
Federal EIN
Date of this Claim
0
0
B. Geophysical, Geological or Well Exploration Project Name or Description
Type of Project (eg. well or seismic)
Completion date (expected)
C. Location of Project
Start date
D. Producer or Explorer Qualified Geophysical, Geological or Well Exploration Expenditures
1)
Contractors ……………………..……...….…………………………………………………….
2)
Drilling rig and drilling contractor costs ……………………………………………………….
3)
Drilling casing, tubings, equipment and supplies……………………………………………………
4)
Rig mobilization costs …………..……………………………………………………………………
5)
Rig de-mobilization costs ……………………………………………………………………………
6)
Labor costs ……………...……………….……………………………………………………………
7)
In-state transportation of personnel …………………………………………………………………
8)
Transportation of equipment …………………………………………………………………………
9)
Equipment rental ……………………..………………………………………………………………
10)
Equipment, owned ……………….……………………………………………………………………
11)
Transportation equipment ……………………………………………………………………………
12)
Camp quarters and subsistence ……………………………………………………………………
13)
Aviation or marine equipment rental …………………………………………………………………
14)
Aviation or marine equipment, owned ………………………………………………………………
15)
Mapping and/or surveying ……………………………………………………………………………
16)
Fuel ……………….…………………..….………………………………………………………………
17)
Supplies …………...……………………...……………………………………………………………
18)
Repairs …………………….…………………...………………………...……………………………
19)
Offsite equipment rental ……………………...………………………………………………………
20)
Offsite equipment, owned ……………………………………………………………………………
21)
Communications …………………………………….…………………………………………………
22)
Construction of roads, docks, heli-pads and landing strips ………………………………………
23)
Abandonment ……………………...…………………………………………………………………
24)
Well-logging, exploratory only ………………………………………………………………………
25)
Other …………………………………………………..……………...…………………..……………
26)
Less: Reimbursements or payments received for qualifying expenditures ………………………
27) Total qualifying expenditures incurred by explorer claiming the credit …………………………
$
-
Carry Line (26), total qualifying expenditures, to Line B (1) of Schedule B
Form 0405-330.4 (rev 03/09) • page 4
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