Reporting Instructions Form For Oil And Gas Taxes - North Dakota Office Of State Tax Commissioner Page 26

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Company Name:
Federal I.D. # :
NORTH DAKOTA OFFICE OF STATE TAX COMMISSIONER
OIL PRODUCER FILING WAIVER AND AGREEMENT
This agreement is made as of the
day of
, 2000, by and between
, the producer or operator (hereinafter “Producer”) and the North Dakota State Tax
Commissioner (“Commissioner”).
The Commissioner grants to the Producer a waiver of the requirement to file a producer’s monthly report subject
to the following conditions:
• The purchaser must report and pay all tax due on forms prescribed by the Commissioner.
• All tax due on production and sales of oil that is not subject to the purchaser’s monthly reporting
must be reported and paid by Producer on forms prescribed by the Commissioner even though
a waiver has been received. This includes enhanced recovery units, lease use oil, lost oil, and
stolen or unaccounted for oil.
• Production and sales information must be remitted by Producer on a timely basis to the North
Dakota Industrial Commission.
• Producer must continue to maintain production and sales records for inspection by the
Commissioner and must respond in a timely manner to all requests for information relating to
discrepancies between tax and the North Dakota Industrial Commission reports.
• Producer agrees to be subject to N.D.C.C. §§ 57-51-09 and 57-51-19 statutory assessment
and refund dates established by the purchaser’s report for Producer’s wells.
• Producer agrees to provide the Producer’s valid Federal Identification Number to the purchaser
for use in the reporting of purchased interests.
Page 24

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