Form Rpd-41131 - Oil And Gas Taxes Summary Report - 1997
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1RPD - 41131
NEW MEXICO TAXATION AND REVENUE DEPARTMENT
REV. 09/97
P.O. Box 2308
Santa Fe, NM 87504-2308
(505) 827-0812
OIL AND GAS TAXES SUMMARY REPORT
(FORM RPD - 41131)
1.
Date Submitted .............................................................................................................................
_____ / _____ / _____
Month
Day
Year
2.
OGRID Number .............................................................................................................................
3.
Operator or Purchaser ("O" or "P") ................................................................................................
4.
Final Return - See Instructions ...................................................................................................
USE THESE FIELDS FOR ESTIMATED PAYMENT PURPOSES ONLY
5a. Estimated Payment Remittance: Enter this amount here and on line 13. Attach a request for
.
extension of time to file. Do not submit Form(s) RPD-41132 Detail Report (See Instructions). .
5b. Previous Estimated Payment Remittance: Completed Form(s) RPD-41132 are required. Attach a
.
copy of an approved extension of time to file (See Instructions).................................................
.
6.
Total Oil and Gas Taxes from RPD-41132 (Total of Tax Due Column) ........................................
.
7.
Total Assessments Paid (Attach "Notice of Assessment of Taxes" turn-around document(s).) ....
.
8.
TOTAL TAX DUE (Add lines 6 and 7 only)...................................................................................
.
9.
Total Credit(s) Taken (Attach "Notice of Tax Credit" turn-around document(s).) ..........................
.
10.
Total Overpayment(s) Taken (Attach "Notice of Overpayment" turn-around document(s).) .........
11.
Total Credit(s) or Overpayment(s) Taken (Add lines 5b, 9 and 10) ...............................................
.
12.
Net Advance Payment (or Credit) - See Instructions ..................................................................
.
13.
TOTAL REMITTANCE (Enter amount from line 5a OR subtract line 11 from line 8 & add line 12)
.
14.
Type of Payment:
Cash
Check
ACH Credit
Fedwire
ACH Debit
FOR TAXATION AND REVENUE DEPARTMENT USE ONLY
Validated Remittance Amount
In / Out State Check
Postmark Date
This Report Submitted by
Company Name _________________________________________________ Telephone Number (
) ________________________
Address _______________________________________________________________________________________________________
City _____________________________________________ State ___________________________ Zip Code _____________________
This report for the month(s) of ____________________________, 19 ________ through ___________________________, 19 ________
consisting of _____ RPD-41132 pages, has been examined by me and, to the best of my knowledge and belief, is true, complete and in
accordance with law and regulation. NOTE: This return is not complete unless signed by the taxpayer.
Name ____________________________________________________ Title ________________________________________________
Signature __________________________________________________________
Date ___________________________________
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