Form 2000 - Severance Tax Report Oil Page 5
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6Contact 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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(Form Type ‘A’) report
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Severance Tax Forms and payment in full must be post-marked by the 25
day of
VALUES ONLY.
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the second month following the month of production. If a taxpayer’s total liability
for severance tax was less than $30,000 for the preceding calendar year, the
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taxpayer can report annually, by February 25th of the year following the
NOTE: A change in Rate Code
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production year. All delinquent severance taxes are subject to penalty and
requires BOTH an amended
interest.
for the originally reported rate
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code and an original report for the
new rate code.
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The mailing address for all Department of Revenue mineral forms is:
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Wyoming Department of Revenue
NOTE: For amendments Total
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Mineral Tax Division
Tax Due is the replacement
122 West 25th Street
will not reflect previous tax applied
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to your account. Be sure to account
Cheyenne, WY 82002-0110
for tax previously applied to your
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account prior to remitting the
current payment.
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All paper forms must be signed and dated originals.
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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
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