Form W 3A PDF Details

Form W-3A is an informational return used by employers to report wages and withholding paid to employees. The form is a summary of the wages and tax information reported on Forms W-2, Wage and Tax Statement, submitted by the employer to the IRS. Form W-3A must be filed annually with the IRS, no later than January 31. Employers who use an electronic filing system may file Form W-3A electronically. Form W-3A is used to report wage and withholding information for a specific year. The form is used to summarize wage and tax information reported on Forms W-2, which are submitted by employers to the IRS annually. The form must be filed with the IRS each year by January 31st. Employers who use an electronic filing system may also file Form W-3A electronically. It's important for employers to understand when they're required to file Form W 3A as well as what information needs to be included on this document. In this blog post, we'll take a closer look at what's involved in completing and

QuestionAnswer
Form NameForm W 3A
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestx rrc w, form 3a commission form, w 3a, how to texas form 3a

Form Preview Example

 

 

 

RAILROAD COMMISSION OF TEXAS

Form W-3A

 

 

 

 

Type or print only

 

Rev 1/1/83

 

 

Oil and Gas Division

 

 

 

(02/00)

 

 

 

Notice of Intention to Plug and Abandon

 

 

 

WWW-1

 

 

 

 

Operators must comply with RRC plugging procedures as outlined on the reverse side.

1. Operator's Name and Address (Exactly as shown on Form P-5, Organization Report)

3. RRC District No.

4. County of Well Site

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. API No.

 

 

 

6. Drilling Permit No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

42-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. Rule 37 Case No.

8. Oil Lease No. or

 

 

 

9. Well No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gas Well ID No.

 

 

 

 

 

 

 

 

 

2. RRC Operator Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. Field Name (Exactly as shown on RRC records)

 

 

 

 

 

 

 

 

 

11. Lease Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12. Location

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• Section No.

 

 

 

 

 

Block No

 

 

Survey

 

 

 

 

 

 

 

 

 

 

 

 

No.

 

 

 

Abstract No. A-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• Distance (in miles) and direction from a nearby town in this county (name the town).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13. Type of well

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14. Type of completion

 

 

 

15. Total depth

 

 

1.

oil

3.

 

disposal

5. other (specify)

 

 

 

 

 

 

 

 

 

 

 

 

Single

 

 

Multiple

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

gas

4.

injection

 

 

Enter appropriate no. in box

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16. Usable-quality water strata (as determined by Texas Dept. of Water Resources) occur to a

 

 

 

 

 

 

 

 

 

 

 

 

 

 

depth of

 

 

 

 

 

 

feet and in deeper strata from

 

 

 

 

 

to

 

 

 

feet: and from

 

 

 

 

 

to

 

 

feet

17.•If there are wells in this area which are producing from or have produced from a shallower zone, state depth of zone

• If there are wells into which salt water is being or has been disposed of into a shallower zone, state depth of zone

18. Casing record (list all casing in well)

 

 

 

 

 

 

Drilled

Top of

 

 

 

 

Cement

 

hole

cement

Size

 

Depth

(sacks)

 

size

(feet)

 

 

 

 

 

 

 

 

 

Top of cement determined by:

Cement

Temper.Bond

Survey Calculated Log

Anticipated

casing

recovery (feet)

SET @

 

W/

SET @

 

 

W/

SET @

 

 

W/

SET @

 

W/

SET @

 

W/

19. Has notice of intent to plug been filed previously for this well?

 

 

 

 

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

No

Mo. Day

 

Yr.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21. Record of perforated intervals or open hole

 

 

 

 

 

 

 

 

 

 

 

Perforations

 

 

Open

Plugged

 

Plugging method

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Open Hole

22. Name and address of cementing company or contractor

20.Plugging proposal (List all bridge and cement plugs. Load the hole with at least 9.5 lbs. per gallon mud.)

No. of sacks

Depth In feet (top & bottom)

1.

2.

3.

4.

5.

6.

7.

8.

23. Anticipated plugging date for this well is:

/ /

Mo. Day

Yr.

 

 

 

 

 

 

 

 

Typed or printed name of operator's representative

 

 

 

Title of person

 

 

 

/

/

 

 

 

Telephone: Area Code Number

Date:

Mo. Day

Yr.

 

Signature

 

 

 

 

 

 

 

 

 

 

RRC District Office Action

 

Expiration date

/

/

 

 

 

 

Mo.

Day Yr.

 

District Director

Date

How to Edit Form W 3A Online for Free

Working with PDF files online is always very easy with our PDF tool. Anyone can fill in rrc form w here and use a number of other functions we provide. Our team is aimed at giving you the absolute best experience with our tool by continuously presenting new capabilities and enhancements. With these updates, working with our editor gets easier than ever! If you are looking to get started, here's what you will need to do:

Step 1: Just hit the "Get Form Button" above on this webpage to see our pdf file editor. Here you will find everything that is required to work with your document.

Step 2: As you open the online editor, there'll be the document all set to be filled in. Other than filling out different fields, you may also perform several other things with the file, specifically writing your own text, modifying the initial textual content, adding graphics, signing the form, and a lot more.

This form will need particular information to be entered, hence you need to take whatever time to enter precisely what is required:

1. Complete your rrc form w with a number of necessary blank fields. Gather all the important information and make certain not a single thing omitted!

Step # 1 of submitting form 3a commission form

Step 3: Spell-check what you have inserted in the blanks and hit the "Done" button. Sign up with FormsPal today and immediately get access to rrc form w, ready for downloading. All alterations made by you are kept , allowing you to edit the pdf further as required. We don't share or sell the information you enter while dealing with forms at our site.