Form Mt-05a - Remittance Form For Crude Oil Tax - 2013 Page 2
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5KANSAS DEPARTMENT OF REVENUE
CUSTOMER RELATIONS
MINERAL TAX RETURN
TOPEKA, KANSAS 66625-0918
REGISTRATION I.D.NO.
JANUARY 31, 2013
MARCH 20, 2013
REPORTING PERIOD THROUGH
MUST BE FILED AND PAID BY
CRUDE OIL
KCC
REMITTANCE FORM FOR CRUDE OIL TAX
TAX
$
PENALTY
INTEREST
NET ADJUSTMENT
TOTAL DUE
X
SIGNATURE
I certify that this is a true, correct and complete returns.
MT-05a
$
REMITTANCE
(Rev. 1/11)
KANSAS DEPARTMENT OF REVENUE
CUSTOMER RELATIONS
MINERAL TAX RETURN
TOPEKA, KANSAS 66625-0918
REGISTRATION I.D.NO.
FEBRUARY 28, 2013
APRIL 20, 2013
REPORTING PERIOD THROUGH
MUST BE FILED AND PAID BY
CRUDE OIL
KCC
REMITTANCE FORM FOR CRUDE OIL TAX
TAX
$
PENALTY
INTEREST
NET ADJUSTMENT
TOTAL DUE
X
SIGNATURE
I certify that this is a true, correct and complete returns.
MT-05a
$
REMITTANCE
(Rev. 1/11)
KANSAS DEPARTMENT OF REVENUE
CUSTOMER RELATIONS
MINERAL TAX RETURN
TOPEKA, KANSAS 66625-0918
REGISTRATION I.D.NO.
MARCH 31, 2013
MAY 21, 2013
REPORTING PERIOD THROUGH
MUST BE FILED AND PAID BY
CRUDE OIL
KCC
REMITTANCE FORM FOR CRUDE OIL TAX
TAX
$
PENALTY
INTEREST
NET ADJUSTMENT
TOTAL DUE
X
SIGNATURE
I certify that this is a true, correct and complete returns.
MT-05a
$
REMITTANCE
(Rev. 1/11)
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