Form 2000 - Severance Tax Report Oil Page 2
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6122 West 25th Street
*2000*
OIL
Cheyenne WY 82002-0110
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
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Month and year (mmyyyy). If you are an annual filer
(Form Type ‘A’) report
report production for the entire year as December
VALUES ONLY.
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(12yyyy).
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NOTE: A change in Rate Code
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Enter the five digit Reporting Group Number
requires BOTH an amended
assigned by the Mineral Tax Division.
for the originally reported rate
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code and an original report for the
Enter the proper Rate Code Identifier for the Reporting
new rate code.
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Group (see Rate Code Table). Form 2000 is used to enter
the combined Rate Code total for a specific Reporting
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Group. Individual wells in a Reporting Group that qualify
NOTE: For amendments Total
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for well incentives must also be itemized on Form 2002.
Tax Due is the replacement
will not reflect previous tax applied
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to your account. Be sure to account
Operators enter barrels sold, after deducting
for tax previously applied to your
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barrels taken in-kind. Take In-Kind interest owners
account prior to remitting the
enter barrels taken in-kind.
current payment.
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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
*2000*
122 West 25th Street
OIL
Cheyenne WY 82002-0110
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