Are you a resident of North Dakota looking to file your taxes? Have you come across the mysterious and often confusing Form T 12 from the Tax Commissioner? Understanding tax forms can be tricky, so we’re here to break it down for you. You’ll learn what exactly the purpose of this form is, when and why it needs to be completed, and who needs to use it! Read on for all the details about North Dakota's Form T 12.
Question | Answer |
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Form Name | North Dakota Form T 12 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | t12 oil north dakota t12 form |
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NORTH DAKOTA OFFICE OF STATE TAX COMMISSIONER |
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600 E. BOULEVARD AVE., BISMARCK, ND |
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OIL GROSS PRODUCTION AND OIL EXTRACTION TAX REPORT |
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ORIGINAL |
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PRODUCER |
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(Check One) |
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(Check One) |
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YEAR/MONTH |
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AMENDED |
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PURCHASER |
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(i.e., 1999, 2000) |
(i.e., 01, 12) |
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FEDERAL I.D. NUMBER |
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NAME |
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ADDRESS |
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PHONE |
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CITY |
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STATE/PROV. |
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ZIP CODE |
FORM
(August 2000)
For Office Use Only
For instruction booklet or forms contact the Office of State Tax Commissioner:
You must attach all
GROSS PRODUCTION TAX
1. Gross Production Tax Paid With Report ………………….….…………….…………...…………
2. Penalty on Gross Production Tax ………………………… (See Instructions)…………….....………
3. Interest on Late Gross Production Tax …………..…….… (See Instructions)………………..………
4. Total Due ……...…… (Add Lines 1, 2, and 3) …………………..……………………………………………...…………..……………………
Line 1 - Total from
Block 8 on
Worksheet
OIL EXTRACTION TAX
5.Oil Extraction Tax Paid With Report ……………...…………………...……………………………
6.Penalty on Oil Extraction Tax ……………………………… (See Instructions)……………..…………
7.Interest on Late Oil Extraction Tax …………...…………… (See Instructions)…..…………….………
8.Total Due …..……… (Add Lines 5, 6, and 7) ……………………………..…………………………...……………………………………
Line 5 - Total from Block 13 on
9. |
Total Due With This Report ...….. (Add Lines 4 and 8)………………………………….…………………..……………...………………… |
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10. |
Tax Credits Claimed …….……….. (Enter as a positive value) ……………….….………………………………...……….……… |
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11. |
Total Gross Production and Oil Extraction Tax Remitted With This Report …………...……… (Line 9 minus Line 10) …… |
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If Line 11 Results in Credit Balance, Apply to: |
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Credit |
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Refund |
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I declare under penalties of North Dakota Century Code Section
Report Prepared by: |
Date: |
(Please Print or Type)
Please Do Not Write In This Space
Check here if PAYMENT has been
submitted electronically.
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North Dakota Statement of Oil Purchases/Sales |
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Gross Production & Oil Extraction Tax |
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(August 2000) |
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YEAR/MONTH |
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(i.e., 1999, 2000) |
(i.e., 01, 12) |
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FEDERAL I.D. NUMBER |
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TAXPAYER NAME |
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Page |
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of |
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Gross Production Tax |
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Oil Extraction Tax |
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Barrels of Oil |
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Value of Oil |
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Value of Exempt |
Taxable Value of Oil |
Pool |
Well |
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Taxable Value of Oil |
Other Party |
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Purchased/Sold |
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Government |
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Federal I.D. |
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Purchased/Sold |
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(Block 2 - Block 3) |
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Code |
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(Same as Block 4) |
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(Round to two Places) |
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Royalties |
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Number |
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1 |
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2 |
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3 |
4 |
A |
B |
9 |
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14 |
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Oil |
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Posting |
Additional |
Transportation |
Other |
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Total Production Tax Due |
5 |
Total Extraction Tax Due |
10 |
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15 |
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Gravity |
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Code |
Value |
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Deduction |
Deductions |
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(5% of Block 4) |
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(4% or 6.5% of Block 9) |
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C |
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D |
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F |
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Production Tax |
6 |
Extraction Tax |
11 |
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16 |
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Previously Paid |
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Previously Paid |
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API Number: |
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Sequence # |
Condensate |
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Production Tax Paid |
7 |
Extraction Tax Paid |
12 |
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17 |
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33 |
- |
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( |
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YES |
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By Others |
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By Others |
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Production Tax Paid |
8 |
Extraction Tax Paid |
13 |
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Well or Lease Name: |
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with Report |
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with Report |
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1 |
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2 |
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3 |
4 |
A |
B |
9 |
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14 |
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Oil |
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Posting |
Additional |
Transportation |
Other |
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Total Production Tax Due |
5 |
Total Extraction Tax Due |
10 |
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15 |
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Gravity |
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Code |
Value |
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Deduction |
Deductions |
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(5% of Block 4) |
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(4% or 6.5% of Block 9) |
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C |
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D |
E |
F |
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Production Tax |
6 |
Extraction Tax |
11 |
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16 |
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Previously Paid |
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Previously Paid |
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API Number: |
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Sequence # |
Condensate |
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Production Tax Paid |
7 |
Extraction Tax Paid |
12 |
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17 |
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33 |
- |
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( |
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YES |
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By Others |
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By Others |
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Production Tax Paid |
8 |
Extraction Tax Paid |
13 |
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Well or Lease Name: |
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with Report |
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with Report |
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1 |
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2 |
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3 |
4 |
A |
B |
9 |
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14 |
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Oil |
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Posting |
Additional |
Transportation |
Other |
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Total Production Tax Due |
5 |
Total Extraction Tax Due |
10 |
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15 |
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Gravity |
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Code |
Value |
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Deduction |
Deductions |
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(5% of Block 4) |
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(4% or 6.5% of Block 9) |
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C |
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D |
E |
F |
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G |
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Production Tax |
6 |
Extraction Tax |
11 |
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16 |
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Previously Paid |
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Previously Paid |
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API Number: |
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Sequence # |
Condensate |
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Production Tax Paid |
7 |
Extraction Tax Paid |
12 |
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17 |
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33 |
- |
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( |
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YES |
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By Others |
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By Others |
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Production Tax Paid |
8 |
Extraction Tax Paid |
13 |
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Well or Lease Name: |
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with Report |
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with Report |
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Page Total |
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Page Total |
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Sum of Block 8: |
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Sum of Block 13: |
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