R-9051i (4/07)
Oilfield Restoration Fee Return
{ Natural Gas Production }
Line 1a
Full rate MCFs: Number of MCFs paid at the full rate, Tax Rate Code 1, from the severance tax return
(Form SEV. G-1s).
Line 1b
Amount of fee: The fee for the full rate MCFs; Line 1a multiplied by the fee rate of $0.0030 per MCF,
rounded to nearest dollar amount.
Line 2a
Incapable oil well gas: Number of MCFs paid at the incapable oil well gas rate, Tax Rate Code 2, from the
severance tax return (Form G-1s).
Line 2b
Amount of fee: The fee for the incapable oil well gas rate MCFs; Line 2a multiplied by the fee rate of $0.0012
per MCF, rounded to the nearest dollar amount.
Line 3a
Incapable gas well gas: Number of MCFs paid at the incapable gas well gas rate, Tax Rate Code 3, from the
severance tax return (Form G-1s).
Line 3b
Amount of fee: The fee for the incapable gas well gas rate MCFs; Line 3a multiplied by the fee rate of
$0.000525 per MCF, rounded to the nearest dollar amount.
Line 4
Total fees: Add Lines 1b, 2b, and 3b.
Line 5
Interest: Interest is due if the payment is late. Refer to the Tax Interest Rate Schedule (R-1111) for monthly
interest rates that apply. Form R-1111 is available on the Department’s website at
Line 6
Delinquent penalty: 5 percent for each 30 days or fraction thereof, from the due date, not to exceed
25 percent of Line 4, rounded to the nearest dollar amount.
Line 7
Total fees, interest, and penalty due: Add Lines 4, 5, and 6. Make payment to: Louisiana Department of
Revenue. Do not send cash.
The return is due on or before the 25th day of the second month following the taxable period and becomes delinquent the
first day thereafter. If the due date falls on a weekend or legal holiday, the return is due the next business day and becomes
delinquent the first day thereafter. Failure to file this return will result in additional penalties for negligence and collection
costs that will be added to the assessment.
Amended returns should cover the entire taxable period that is being amended.
5001