Form 2000 - Severance Tax Report Oil

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State of Wyoming
2000
SEVERANCE TAX REPORT
Department of Revenue
*2000*
122 West 25th Street
Enter ‘O’ for an original report. Enter ‘A’ for an
OIL
Cheyenne WY 82002-0110
amended report.
DEPARTMENT OF REVENUE USE ONLY:
Operator ID:
O - Original
Form Type:
Taxpayer Name:
A - Amended
Contact Name:
Contact Phone Number:
PRODUCTION
REPORTING
RATE
GROSS SALES
GROSS SALES
EXEMPT
TAXABLE
TOTAL TAX DUE
PERIOD
GROUP
CODE
VOLUME
VALUE
ROYALTY AND
VALUE
(mmyyyy)
NUMBER
TRANSPORTATION
NOTE: For amended returns
1
Taxpayer’s name. Do not enter an
Taxpayer’s Operator ID as assigned by the
(Form Type ‘A’) report
agent’s name here.
Wyoming Oil and Gas Conservation
VALUES ONLY.
2
Commission (WOGCC), or as assigned by
3
the Mineral Tax Division.
Contact Person or Agent's telephone number including area code and
extension.
NOTE: A change in Rate Code
4
requires BOTH an amended
for the originally reported rate
5
code and an original report for the
new rate code.
6
Name of the person, agent, or agency responsible for completing this report who can answer
questions regarding this report.
7
NOTE: For amendments Total
8
Tax Due is the replacement
will not reflect previous tax applied
9
to your account. Be sure to account
Use Form 2000 to report oil and lease condensate (liquids separated at the lease).
for tax previously applied to your
10
account prior to remitting the
current payment.
11
Always report volumes and values except Total Tax Due rounded to the nearest whole
number. Total Tax Due must be reported to the cent.
12
MTSII 10/8/01
PAGE TOTAL:
I declare under penalty of perjury that I have examined this return and, to the best of my knowledge and belief, it is correct and complete.
Authorized Signature
Title
Date
State of Wyoming
2000
SEVERANCE TAX REPORT
Department of Revenue

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