Form R-9016 - Registration Application For Oil Spill Contingency Fee

Download a blank fillable Form R-9016 - Registration Application For Oil Spill Contingency Fee in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form R-9016 - Registration Application For Oil Spill Contingency Fee with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

R-9016 (7/10)
Registration Application for
Oil Spill Contingency Fee
Special Programs Division
P.O. Box 4998
Baton Rouge, LA 70821-4998
(225) 219-7656
(225) 219-2114 (TDD)
Revenue Account Number _____________________________________________________________________________________
Name ______________________________________________________________________________________________________
Address
City
State
ZIP+4
Mailing address ______________________________________________________________________________________________
Address
City
State
ZIP+4
Location address _____________________________________________________________________________________________
Area code and telephone number ________________________________________________________________________________
Contact person ______________________________________________________________________________________________
Briefly describe below your operations as they relate to the handling of crude oil:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Average number of barrels unloaded monthly:
__________________________ domestic
__________________________ foreign
Average number of barrels loaded monthly:
__________________________ delivered within Louisiana
__________________________ exported
__________________________________________________________________
Signature of applicant
__________________________________________________________________
Date
(mm/dd/yyyy)

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form R-9016 - Registration Application For Oil Spill Contingency Fee Form R-9016 - Registration Application For Oil Spill Contingency Fee Financial
Form R-9016-l - Registration Application For Oil Spill Contingency Fee Form R-9016-l - Registration Application For Oil Spill Contingency Fee Financial
Form R-9004-l (4/07) - Oil Spill Contingency Fee Quarterly Return Form R-9004-l (4/07) - Oil Spill Contingency Fee Quarterly Return Financial
Form R-5305 - Registration Application For Gasoline Blend Stocks Form R-5305 - Registration Application For Gasoline Blend Stocks Financial
Form R-5377 - Registration Application For Diesel Fuels Refund Form R-5377 - Registration Application For Diesel Fuels Refund Financial
Instructions For Form R-16019 (registration Application For Louisiana State Taxes) Instructions For Form R-16019 (registration Application For Louisiana State Taxes) Legal
Form Tc-5pc - Payment Coupon For Oil & Gas Conservation Fee Form Tc-5pc - Payment Coupon For Oil & Gas Conservation Fee Financial
Form R-9010 - Certification Of Continued Responsibility For Payment Of Oil Spill Contingency Fee Form R-9010 - Certification Of Continued Responsibility For Payment Of Oil Spill Contingency Fee Financial
Form R-9010 - Certification Of Continued Responsibility For Payment Of Oil Spill Contingency Fee Form R-9010 - Certification Of Continued Responsibility For Payment Of Oil Spill Contingency Fee Financial
Form R-9004 - Oil Spill Contingency Fee Quarterly Return Form R-9004 - Oil Spill Contingency Fee Quarterly Return Financial

Related Categories

Parent category: Financial
Download
Go