Monthly Conservation Excise Tax Report Form - Oklahoma Tax Commission

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GPC
9300208
000
OKLAHOMA TAX COMMISSION
GPC0002D-0492-BT
MONTHLY CONSERVATION EXCISE TAX REPORT
308-R-4-92
A. TAXPAYER FEIN
OR SSN
B. COMPANY NAME
C. PAGE ____ OF ____
PRODUCTION PERIOD
MO. ______ YR. ______
D.
E.
F.
G.
H.
I.
J.
C
O
OTC ASSIGNED
VOLUME OF GAS
VOLUME OF GAS
VOLUME OF GAS
VALUE OF GAS
CONSERVATION
D
PRODUCTION UNIT NO.
PRODUCED
EXEMPT
SUBJECT TO TAX
SUBJECT TO TAX
EXCISE TAX
E
1.
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3.
4.
5.
6.
7.
8.
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10.
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PAGE TOTALS K.
I declare that the information contained in this document and any
attachments is true and correct to the best of my knowledge and belief.
Date
SIGN
HERE:

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