Form 20-107 - Texas Gross Receipts Tax Report

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Remember to print and sign your report.
20-107
PRINT FORM
(Rev.3-13/9)
b.
Texas Gross Receipts Tax Report
under Chapters 552 and 559, Government Code,
Oil and Gas Well Servicing
You have certain rights
to review, request and correct information we have on file about you.
19100
Type or print.
Do NOT write in shaded areas.
Contact us at the address or phone numbers listed on this form.
a. T Code
c. Taxpayer number
d. Filing period
f. Due date
e.
IMPORTANT
g. Name and mailing address (Make any necessary name or address changes below.)
h.
Blacken this box if your mailing
address has changed. Show changes
1.
by the preprinted information.
Blacken this box if you are no
longer in business and write in the
2.
date you went out of business.
ABCBCBD
Month
Day
Year
Instructions for Completing Oil and Gas Well Servicing Report
i.
j.
Who must file -
Every person (sole owner, partnership, corporation or
Electronic reporting and payment
options are available 24 hours a
other organization) that performs taxable oil well
day, 7 days a week. Have this
servicing activities in Texas must file this report and pay
form available when you log on.
the tax due.
When to file -
Item 4 -
Reports must be filed on or before the 20th day of the
Penalty due: If you file the report or pay the tax after the
month following each reporting period. If the due date
due date, enter penalty. If 1-30 days late, enter 5% of
falls on a Saturday, Sunday or legal holiday, the next
Item 3. If more than 30 days late, enter 10% of Item 3.
business day will be the due date. A report must be filed
for every month even if no tax amount is due.
Item 5 -
Interest due: If any tax due is unpaid 61 days after the due
Whom to contact for assistance -
date, enter interest on the amount of Item 3 calculated at
t h e r a t e p u b l i s h e d o n P u b . 9 8 - 3 0 4 , o n l i n e a t
For assistance, contact the Texas Comptroller's office at
1-800-531-5441, ext. 3-4276, or 512-463-4276.
or by phone at 1-877-447-2834.
Calculate the amount of tax due. Report dollars and cents.
1. Total taxable receipts
1.
2. Tax rate
0.0242
2.
3. Tax due (Multiply Item 1 by Item 2)
3.
** DO NOT DETACH **
4. Penalty due (See instructions)
4.
5. Interest due (See instructions)
5.
6. TOTAL AMOUNT DUE AND PAYABLE (Item 3 plus Item 4 and Item 5)
6.
k.
l.
Taxpayer name
T Code
Taxpayer number
Period
I declare that the information in this document and any attachments is true and correct to
the best of my knowledge and belief.
Taxpayer or duly authorized agent
State Comptroller
Make the amount in Item 6 payable to
.
Business phone
Mail to:
Comptroller of Public Accounts
Date
P.O. Box 149361
Austin, TX 78714-9361
111 A
20-107 (Rev.3-13/9)

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