Form R-9020i - Instructions For Completing Form O-2

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R-9020i (9_12)
instructions for completing Form o-2
This application may be filed by the producer, purchaser, or duly authorized
50 percent salt water, the tax on this well and on any other incapable wells on the
reported to the Office of Conservation on their Form OGP. Lease name refers to the
representative.
lease must be paid at the full rate. Any well certified on form SEV. O-2, that may
official name assigned by the Office of Conservation to identify a lease.
qualify for the stripper tax rate at a later production month, must be certified by the
Applying for stripper well status
department on separate Form SEV. O-2 before the stripper rate can be taken. We
conservation well number (4 digits)
do not allow tax rate changes between the reduced rates (stripper or incapable)
This application is for the certification of stripper wells for oil severance tax
This is the well number assigned by the Office of Conservation to identify a well
unless the well is properly certified by the department on Form SEV. O-2.
purposes. A stripper well is defined as a well that is incapable of producing an
on a lease.
average of more than 10 barrels of oil per producing day.
Filing Procedures
Parish, field, producer, lease code, well serial number
A separate application is required for each field. The original application will
Wells that have been certified as stripper wells on this application must be reported
Refers to code numbers assigned by the Office of Conservation and reported as
remain on file with the Louisiana Department of Revenue; a copy will be returned
each month on Form SEV O-3 if the certification number assigned to the well(s) is
such on the Form DM-1-R and the permit to drill.
to the producer; and a copy will be furnished to the taxpayer immediately after
prefixed with the letter “A.”
departmental approval. Copies returned to the producer and taxpayer will include a
opening stock (do not round off)
certification code assigned by the Department.
Failure to report monthly production and disposition barrels as required on the
This is the inventory “prior production” remaining in the tank for each well serial.
report Form SEV 0-3 could result in denial of the stripper oil severance tax rate of
The taxpayer number must be furnished on this application. All data required on
3.125 percent of value.
Production (do not round off)
this form must be supplied. It is important that all data be furnished and that the
codes be accurate.
certification of stripper wells
This is the total production from this well for the given taxable period.
Any stripper wells certified as such are eligible for the stripper oil severance tax
The stripper or incapable status of a well may not be transferred. A change in
number of producing days
rate of 3.125 percent of value. The certification number is prefixed with the letter
ownership of a well requires a new application for stripper or incapable status.
codes of either “A” or “B”.
This is the number of days the well produced during the given taxable period.
The completed application must be submitted to the Department of Revenue,
Should any wells certified as stripper wells on this application subsequently
Daily average production (do not round off)
Severance Tax Section, Special Programs, Post Office Box 66362, Baton Rouge,
produce an average of more than 10 barrels of oil per producing day, the stripper
LA 70896-6362. The due date for filing this application is on or before the twenty-
This is calculated by dividing “production” by “number of producing days.”
tax rate of 3.125 percent of value is NOT applicable for that month.
fifth day of the second month following the production month.
Percentage of salt Water Produced Daily
Any stripper well certified on Form SEV. O-2 that may qualify for the incapable tax
name of reporting company
rate at a later production month must be certified by the department on a separate
For incapable well certification include the percentage of salt water produced
Name of producer or duly authorized representative submitting the application.
Form SEV. O-2 before the incapable rate can be taken. The Department does not
daily.
allow rate changes between the reduced rates (stripper or incapable) unless the
Address of reporting company
well is properly certified by the department on Form SEV. O-2.
number of wells on lease (3 digits)
Address of producer or duly authorized representative submitting the application.
Well Definitions
Applying for incapable well status
company number (5 digits)
This application is for the certification of incapable wells for oil severance tax
capable well is a well producing an average of more than 10 barrels of oil per day
purposes. An incapable well is defined as a well which is incapable of producing
and less than 50 percent salt water.
Code number assigned to the reporting company by the Louisiana Office of
an average of more than 25 barrels of oil per producing day and produces 50
Conservation or the Department of Revenue.
percent or more salt water (salt water production must be equal to or greater than
incapable well is a well incapable of producing an average of more than 25 barrels
oil production). All wells on the lease or property must be incapable or stripper.
of oil per producing day and which also produces 50 percent or more salt water
revenue Account number
per day.
This is your 10-digit Louisiana Tax Number.
certification of incapable wells
stripper well is a well incapable of producing an average of more than 10 barrels
Any incapable wells certified as such are eligible for the incapable oil severance
Production month
of oil per producing day.
tax rate of 6.25 percent of value. The certification number is prefixed with the letter
The month and year this production is to be certified for.
code of “P”.
Condensate is not at any time subject to reduced severance tax rates, and is
Field name
taxable at 12.5 percent of value.
Wells that have been certified, as incapable wells, on this application must be
reported each month on Form SEV O-3. Failure to report monthly production and
Official name assigned by the Office of Conservation to identify a field. A separate
disposition barrels as required on the report Form SEV 0-3 could result in denial of
Taxpayer number
application must be submitted for each field.
the incapable oil severance tax rate of 6.25 percent of value.
Company responsible for remitting the severance tax on this production.
Producer and lease name
Should any wells certified as incapable wells on this application subsequently
The producer is defined as that person or company under whose name oil is
produce an average of more than 25 barrels of oil per producing day or less than

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