Reporting Instructions Form For Oil And Gas Taxes - North Dakota Office Of State Tax Commissioner Page 8
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42T-12 COVERSHEET INSTRUCTIONS
Original or Amended Report:
•
Check only one.
•
No amended entries for prior reporting periods may be reported on an original monthly report.
•
Individual T-12 coversheets and worksheets must be submitted for each monthly period being reported.
Do not combine months on the same report.
Producer or Purchaser Report:
•
Check only one.
Year/Month: Enter numerals, e.g. 200007 for July 2000.
Federal I.D. Number: Enter nine-digit Federal I.D. number.
Name, Address, and Telephone Number: Enter company name and address (including a nine-digit zip code). Enter telephone number
of individual completing report.
Line 1.
Gross Production Tax Paid with Report: Total of the Block 8 entries on the T-12 worksheets (round to two decimal places).
Line 2.
Penalty on Gross Production Tax: N.D.C.C. § 57-51-10 provides that a penalty of $5.00 or 5% of the tax due, whichever is
greater, is imposed on delinquent oil taxes due. Penalty will not be imposed if all of the following conditions are met:
•
The original report was filed by the due date.
•
The tax reported and paid on the original report was 90% or more of the total tax due for the month.
•
An amended monthly report is filed within sixty days of the due date of the original report.
Line 3.
Interest on Late Gross Production Tax: N.D.C.C. § 57-51-10 provides for the payment of interest on all late payments of
the gross production tax at the rate of 1% of the tax due per month, for all or part of each calendar month the delinquency
continues, except for the month in which the tax became due. N.D.C.C. § 57-51-05(1) provides further that any taxpayer who
requests and is granted an extension of time for filing a report shall pay interest at the rate of 12% per annum (daily rate
of .000333) from the date the tax was due to the date the tax is paid.
Line 4.
Total Due: Add lines 1, 2, and 3.
Line 5.
Oil Extraction Tax Paid with Report: Total of the Block 13 entries on the T-12 worksheets (round to two decimal places).
Line 6.
Penalty on Oil Extraction Tax: Same as gross production tax.
Line 7.
Interest on Late Oil Extraction Tax: Same as gross production tax.
Line 8.
Total Due: Add lines 5, 6, and 7.
Line 9.
Total Due with Report: Line 4 plus line 8.
Line 10.
Tax Credits Claimed: Enter the credit to be applied as a positive. Line 10 may not exceed line 9.
Line 11.
Total Paid with this Report: Line 9 minus line 10.
Credit or Refund: If line 11 is a negative number, check “credit” or “refund” to indicate how the overpayment is to be applied.
Electronic Payment: If payment is submitted electronically, check the box in the lower left hand corner of the coversheet.
Page 6
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