Form Dr 0021d - Colorado Oil And Gas Severance Tax Schedule - 2008

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Dr 0021D (09/30/08)
coloraDo DEPartmEnt oF rEVEnuE
Page _____ of _____
coloraDo oil anD gas
DENVER CO 80261-0007
sEVErancE taX schEDulE
Please round dollars
to whole dollars.
(attach to Form Dr 0021)
For tax year beginning _____________________ , 20 ____ ending ______________________, 20 ____
Taxpayer’s Name
Social Security or Colorado Account No.
(A)
(B)
(C)
(D)
(E)
(F)
(G)
Producer Name
Gross Income
Gross Income
Net Gross Income
Ad Valorem
Ad Valorem
Net Ad Valorem
List each 0021W on a
Attributable to
(Column B-C)
Attributable to
(Column E-F)
Separate Line
Stripper Well
Stripper Well
Production
Production
check accounting method
cash basis or
accrual basis
•
..........................
.00
1. Net gross income [total of column (D)] ........................................
•
.00
..........................
2. Tax on total gross income (see tax rate schedule below) ............
•
.00
3. Net ad valorem tax [total of column (G)] ....................................
•
.00
..........................
4. Ad valorem tax credit, 87.5% of the amount on line 3 .................
5. Net tax on oil and gas income, line 2 minus line 4. If line 4 is larger enter 0.
.00
............................
Enter here and on line 1 of Form DR 0021 ..................................
taX ratE schEDulE
if total gross income is:
the tax is:
Under $25,000
2% of gross income
$25,000–$99,999
$500 plus 3% of the excess over $24,999
$2,750 plus 4% of the excess over $99,999
$100,000–$299,999
$300,000 and over
$10,750 plus 5% of the excess over $299,999

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