Alternative Tax Credit For Oil And Gas Exploration Under As 43.55.025 Page 6
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7Alaska
310
Alternative Tax Credit for Oil and Gas
Exploration under AS 43.55.025
Schedule E - Designated Joint Applicant and Members of a Consortium of Explorers
Federal EIN
Date of this Claim
Name of Designated Joint Applicant Filing Credit Application
Contact Person
Contact Phone Number
Email Address of Contact Person
Proportion of interest (as a %) in exploration costs
Proportion of the cost (in dollars) of the exploration well or project incurred by designated joint
incurred by designated joint application
applicant
0.00%
Relationship of designated joint applicant to the consortium of explorers (partner, joint venture, operator, or other)
Name and location of exploration well or project
Completion date of exploration activity
Signature
Name and Title
Date
List below each member of the consortium of explorers participating in this exploration project. Each member must sign
under penalty of perjury that this application and each attachment, to the best of his or her knowledge, is true and complete.
Federal EIN
Name of Joint Applicant
Phone Number
Mailing Address
City
State
Zip Code
Proportion of interest in exploration credit (%) incurred by this explorer
Proportion of the cost (in dollars) of the exploration well or project incurred
by this explorer
0.00%
Explorer’s relationship to the consortium of explorers (partner, joint venture, operator, or other)
Signature
Name and Title
Date
Federal EIN
Name of Joint Applicant
Phone Number
Mailing Address
City
State
Zip Code
Proportion of interest in exploration credit (%) incurred by this explorer
Proportion of the cost (in dollars) of the exploration well or project incurred
by this explorer
0.00%
Explorer’s relationship to the consortium of explorers (partner, joint venture, operator, or other)
Signature
Name and Title
Date
Federal EIN
Name of Joint Applicant
Phone Number
Mailing Address
City
State
Zip Code
Proportion of interest in exploration credit (%) incurred by this explore
Proportion of the cost (in dollars) of the exploration well or project incurred
by this explorer
0.00%
Explorer’s relationship to the consortium of explorers (partner, joint venture, operator, or other)
Signature
Name and Title
Date
(Use additional pages as necessary, the sum of the
This form is available online at
proportion of interests of all members must total 100%)
310
Submit completed applications via the Tax Division Online Tax
Information System (OTIS) at
0405-310 Rev 09/06/13- page 6
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