Reporting Instructions Form For Oil And Gas Taxes - North Dakota Office Of State Tax Commissioner Page 28
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42Company Name:
Federal I.D. # :
NORTH DAKOTA OFFICE OF STATE TAX COMMISSIONER
GAS 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/processor must report and pay all tax due on forms prescribed by the
Commissioner.
• All tax due on gas that is not subject to the purchaser’s/processor’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 gas not processed at a gas plant, vented or flared without
permit, or used for nonexempt purposes.
• Production and delivery 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/processor's report for Producer’s wells.
• Producer agrees to provide the Producer’s valid Federal Identification Number to the
purchaser/processor for use in the reporting of purchased interests.
Page 26
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