Form 381 - Oil Severance Tax Return
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OIL
Michigan Department of Treasury
FOR CALENDAR YEAR 2013
381 (Rev. 12-12)
Oil Severance Tax Return
Issued under authority of P.A. 48 of 1929, as amended. Filing is mandatory.
PART 1: IDENTIFICATION AND TAX COMPUTATION
C.
ESTIMATE
ACTUAL
ADJUSTED
A. Name
B. Tax Identification Number (Required)
D. Reporting Operations For:
__ __
_______
M
M
Y Y Y Y
E. Address
City, State, ZIP Code
(Enter All Negative Values In Brackets)
COLUMN 1
COLUMN 2
COLUMN 3
PART 2:
BARRELS
VALUE
TAXES AND FEES
REGULAR PRODUCER WELLS - OIL
1. Gross barrels and value of oil produced from regular producer wells
1.
2. Exempt barrels and value of oil produced from regular producer wells
2.
3. Taxable oil produced from regular producer wells (subtract line 2 from line 1).
3.
4. Severance tax due on regular producer wells: 6.6% (.066) of line 3, column 2)
4.
COL. 1 - BARRELS
REGULAR PRODUCER WELLS - CONDENSATE
5. Gross barrels and value of condensate produced from regular producer wells
5.
6. Exempt barrels and value of condensate produced
6.
7. Taxable barrels and value of condensate produced (subtract line 6 from line 5)
7.
8. Severance Tax due on condensate produced: 6.6% (.066) of line 7, column 2)
8.
COL. 1 - BARRELS
MARGINAL/STRIPPER WELLS - OIL
9. Gross barrels and value of oil produced from marginal and stripper wells
9.
10. Exempt barrels & value of oil produced from marginal and stripper wells
10.
11. Taxable oil produced from marginal and stripper wells (subtract line 10 from line 9)
11.
12. Severance Tax due on marginal and stripper wells: 4% (.04) of line 11, column 2
12.
COL. 1 - BARRELS
MARGINAL/STRIPPER WELLS - CONDENSATE
13. Gross barrels and value of condensate produced
13.
14. Exempt barrels and value of condensate produced
14.
15. Taxable barrels and value of condensate produced (subtract line 14 from line 13)
15.
16. Severance Tax due on condensate produced: 4% (.04) of line 15, column 2
16.
PART 3:
17. Total Severance Tax due. Add column 3, lines 4, 8, 12 and 16.
17.
18. Total Value Reported. Add column 2, lines 3, 7, 11 and 15.
18.
19. Total Oil and Gas Fee due: 0.84% (0.0084) of line 18.
19.
20. Total Tax Due for this return. Add lines 17 and 19.
20.
21. Previous Estimated Payment
21.
22. Subtract line 21 from line 20
22.
23. Penalty (see instructions)
23.
24. Interest (see instructions)
24.
25. Total Payment Due. Add lines 22, 23 and 24. (Make checks payable to State of Michigan - Severance Tax)
25.
TAXPAYER'S AND PREPARER'S CERTIFICATION
I declare under penalty of perjury that the information in this return and attachments
I declare under penalty of perjury that this return is based on all
is true and complete to the best of my knowledge.
information of which I have any knowledge.
Yes
No
I authorize Treasury to discuss my return with my preparer.
Signature of Taxpayer
Date
Signature of Preparer Other Than Taxpayer
Date
Title
Telephone Number
Business Name, Address and Identification Number
Telephone Number
MAIL REPORT TO: Michigan Department of Treasury; P.O. Box 30474; Lansing, MI 48909-7974.
If you have questions, call (517) 636-4600.
n.gov /taxes
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