Instructions For The 2012 Supplemental Cost Report

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Instructions for the 2012 Supplemental Cost Report
Note: The Supplemental Cost Report is due annually from all producers and explorers on March 31 of each year for the previous calendar year. For 2012
reporting, due April 1, 2013, only those costs related to qualified capital expenditures under AS 43.55.023(a) need be reported.
Lines 1 – 8 – Disregard for 2012 reporting
Line 9 – Enter "2012"
Line 11 – Enter the date the report was approved
Line 18 – Enter the company Federal EIN
Line 19 – Enter the company name
Lines 21-22 – Enter the company address
Line 23 – Enter the city where the report is prepared
Line 24 – Enter the state where the report is prepared
Line 25 – Enter the appropriate zip code
Line 26 – Enter the preparer's name
Line 27 – Enter the preparer's contact phone number
Line 28 - Enter the preparer's email address
Line 29 – Enter the signature for the authorized signer
Line 30 – Enter the authorized signer's printed name
Line 31 – Enter the authorized signer's contact phone number
Line 32 – Enter the authorized signer's email address
Line 34 – Enter the total CapEx costs for G&G for 2012
Line 35 – Enter the total CapEx costs for Exploratory Drilling for 2012
Line 36 – Enter the total CapEx costs for Development Drilling for 2012
Line 37 – Enter the total CapEx costs for Facilities for 2012
Line 38 – Enter the total CapEx costs for "Other Costs" as defined in page 2 of the instructions
Line 39 – Enter the amount of Exclusions and Adjustments based on AS 43.55.165(e)(18)&(19)
Line 40 – Report will automatically calculate total for categories identified
NOTE: Category definitions for lines 34-39 are provided on page 2 of these instructions.
Alaska Department of Revenue

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