Form O And G Purchaser-2 - Oil And Gas Purchaser'S Tax Return Schedule

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D
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Page _______ of _________
O&G Purchaser-2
LABAMA
EPARTMENT OF
EVENUE
Rev. 6/09
S
, U
& B
T
D
ALES
SE
USINESS
AX
IVISION
RESET
______________________________
Production Month / Year
Oil and Gas Purchaser’s Tax Return Schedule
Check here if amended return
_____________________________________ County/Municipality
Production Code
05 — Propane
TAXPAYER NAME
01 — Crude Oil
06 — Ethane
Use Separate Schedule For Each County/Municipality and Tax Rate
02 — Condensate
07 — Natural Gasoline
FEIN
03 — Residue / Methane Gas @ 14.65 PSI
08 — Plant Fuel / Lease Use – Oil
04 — Butane
09 — Plant Fuel / Lease Use – Gas
100% PURCHASED
PURCHASERʼS LIABILITY
DEDUCTIONS
PERMIT
PRODUCT
PRODUCER
WELL / UNIT NAME
NET TAXABLE VALUE
NUMBER
CODE
VOLUME
VALUE
VOLUME
VALUE
EXEMPT INTEREST
OTHER
PAGE TOTALS
COUNTY TOTALS
REPORT TOTALS
_______% Production Tax . . . .
_______% Privilege Tax . . . . .
TOTAL TAX REMITTED . . . . $
ATTACH TO: FORM O&G PURCHASER-1

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