Ldr Form R 9004 PDF Details

Are you looking to file your Form R 9004 - the long-distance rider form from the U.S. Department of Transportation? Filing this document is a requirement for anyone who drives more than 75 miles in a single day, so if you're curious about how to get it done, look no further! In this blog post, we'll walk through all the steps that are necessary when filing Ldr Form R 9004, as well as provide helpful tips on things to keep in mind while completing the paperwork. Ensure your compliance with DOT regulations by taking these simple steps and soon you'll be back behind the wheel —so let's dive right in!

QuestionAnswer
Form NameLdr Form R 9004
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameslouisiana state quarterly state unemployment report, Statutes, R-1111, Deparment

Form Preview Example

R-9004 (7/10)

Oil Spill Contingency Fee Quarterly Return

(R.S. 30:2451–2496)

Special Program Division

Severance Tax Section

P.O. Box 201

Baton Rouge, LA 70821-0201

This return is due on or before the last day of the first month following the taxable period and becomes delinquent on the first day thereafter. If the due date falls on a weekend or holiday, the return is due the next business day and becomes delinquent the first day thereafter.

Quarter Ending

Account number

__________________________________________

Name

__________________________________________

Address

__________________________________________

City, State, ZIP

__________________________________________

1Number of barrels of crude oil unloaded from a vessel a Domestic (Louisiana)

b From other states

cForeign

dTotal (Add Lines 1a, 1b, and 1c.)

e

Less barrels on which other operators are paying fee (See Schedule A on back.)

‹

›

 

 

 

 

 

 

f

Net total (Subtract Line 1e from Line 1d.)

 

 

2Number of barrels of crude oil loaded onto a vessel a Louisiana destination

b For export to other states

cFor export to foreign countries

dTotal (Add Lines 2a, 2b, and 2c.)

e

Less barrels on which other operators are paying fee (See Schedule A on back.)

‹

›

 

 

 

 

 

 

f

Net total (Subtract Line 2e from Line 2d.)

 

 

3Total of Lines 1f and 2f

4Multiply Line 3 by $0.02.

5

Less vendor’s compensation (1.5% of Line 4 if timely filed)

‹

›

 

 

 

 

 

 

6

Net fee due

 

 

7Delinquent penalty (5% for each 30 days or fraction thereof from due date of payment, not to exceed 25%)

8Interest (See instructions.)

9Total amount due (Make payment to: Louisiana Department of Revenue. Do not send cash. Pay this amount. u

Under the penalties of perjury, I declare that I have examined this return, including all accompanying documents, and to the best of my knowledge and belief, it is true, correct, and complete.

Signature

Telephone

Date

5507

Instructions for Oil Spill Contingency Fee Quarterly Return (R-9004)

Anyone operating a marine terminal facility as defined in Louisiana Revised Statutes 30:2451-2496 must file an Oil Spill Contingency Fee Quarterly Return (Form R-9004) with the Louisiana Department of Revenue. Returns are due on April 30, July 31, October 31, and January 31.

Lines 1a through 1f are for reporting oil unloaded from a vessel. It must be segregated by oil produced in Louisiana, oil imported from other states, and oil imported from foreign countries. If other marine terminal operators are paying the fee on any part of the oil, the number of barrels must be indicated on Line 1e. The

amount on Line 1e must be itemized on Schedule A below.

Lines 2a through 2f are for reporting oil loaded onto a vessel. It must be segregated by oil with a Louisiana destination, oil being exported to other states, and oil being exported to foreign countries. If other marine terminal operators are paying the fee on any part of the oil, the number of barrels must be indicated on Line 2e. The amount on Line 2e must be itemized on Schedule A below.

Lines 3 and 4 are self-explanatory.

Line 5 may be used to deduct vendor’s compensation of 1.5% of the amount due on Line 4, provided the return is timely filed.

Lines 6 and 7 are self-explanatory.

Line 8: Interest is due if the payment is late. Refer to the Tax Interest Rate Schedule (R-1111) for monthly interest rates that apply. Form R-1111 is available on the Depar- ment’s webiste at www.revenue.louisiana.

gov.

Line 9 is self-explanatory.

Schedule A – Other Operators Paying Fee

Amounts reported on Line 1e or Line 2e on the front of this form must be itemized below according to operator. The total should equal the total of Lines 1e and 2e.

Name of operator

Account number

Number of barrels

Total

5508

How to Edit Ldr Form R 9004 Online for Free

Using PDF files online can be surprisingly easy with this PDF tool. Anyone can fill in R-1111 here and try out various other functions we provide. Our tool is consistently evolving to give the very best user experience attainable, and that is because of our dedication to continuous development and listening closely to feedback from customers. If you're seeking to get going, this is what it requires:

Step 1: Just hit the "Get Form Button" above on this webpage to open our form editing tool. This way, you will find everything that is needed to work with your document.

Step 2: After you launch the file editor, you will see the form prepared to be filled out. Aside from filling in different blank fields, you might also do other actions with the form, that is adding custom textual content, modifying the original text, inserting images, putting your signature on the document, and much more.

This PDF will require particular data to be typed in, thus make sure you take whatever time to type in exactly what is expected:

1. Fill out your R-1111 with a group of necessary fields. Consider all the information you need and ensure nothing is missed!

Filling out part 1 in Deparment

2. Once your current task is complete, take the next step – fill out all of these fields - b For export to other states, c For export to foreign countries, d Total Add Lines a b and c, e Less barrels on which other, f Net total Subtract Line e from, Total of Lines f and f, Multiply Line by, Less vendors compensation of, Net fee due, Delinquent penalty for each, Interest See instructions, Total amount due Make payment to, Under the penalties of perjury I, Signature, and Telephone with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Writing section 2 in Deparment

It is easy to get it wrong when completing your Less vendors compensation of, therefore make sure you reread it prior to deciding to send it in.

3. Completing Name of operator, Account number, and Number of barrels is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Deparment completion process described (step 3)

4. This fourth subsection comes with these fields to complete: Total.

Deparment conclusion process clarified (portion 4)

Step 3: Check everything you've entered into the blank fields and click on the "Done" button. Grab the R-1111 as soon as you register at FormsPal for a 7-day free trial. Conveniently view the form from your personal account page, along with any modifications and adjustments being conveniently synced! At FormsPal, we do everything we can to ensure that all your details are maintained protected.

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