Form R-9023-L - Oil And/or Condensate Severance Tax Return
ADVERTISEMENT
1Page
of
O-1s
Form Sev.
R-9023-L (7/98)
State of Louisiana
Reporting company name
Reporting company number
Department of Revenue and Taxation
P. O. Box 201, Baton Rouge, LA 70821-0201
Street or P.O. address
Report submitted during month of
Oil and/or Condensate Severance Tax Return
Revenue Account Number
City, State, ZIP
Parish Summary
Taxable
Tax
Par.
Taxable
Tax, penalty, and
period
rate
Under the penalties of perjury, I declare that I have examined this return, including all
Parish name
code
barrels
interest amount
code
Month
Year
accompanying documents, and to the best of my knowledge and belief, it is true, correct, and
complete.
.
$
.
I understand that the information reported on this return will be used in the administration and
enforcement of the Severance Tax laws, rules and regulations, and may be disclosed to other
.
$
.
parties involved in these reported transactions.
.
$
.
Name and Title (Print or type.) __________________________________________________
.
$
.
Signature __________________________________________________________________
.
$
.
Date ______________________________________________________________________
.
$
.
(
)
Telephone __________________________________________________________________
.
$
.
This return is due on or before the last day of the month following the taxable period and
becomes delinquent the first day thereafter. If due date falls on a weekend or holiday, the
.
$
.
return is due on the first business day following the due date and becomes delinquent the first
day thereafter. See special instructions for additional filing requirements for taxpayers with
liabilities equal to or in excess of $20,000.
.
$
.
File original of this return only.
.
$
.
Section below to be completed on the last sheet of SEV. O-1’s only-See reverse side for instructions.
Tax rate
.
$
.
Total tax and
Summary
Total barrels
interest amount
% of Value
.
$
.
Totals, Full Rate-Oil & Condensate
1
12.5%
.
$
.
Totals, Half Rate-Incapable Oil
2
6.25%
.
.
.
$
.
Totals, Quarter Rate-Stripper Oil
3
3.125%
.
.
.
$
.
Totals, Reclaimed Oil
9
3.125%
.
.
Produced Water Injection Incentive - Approved Projects Only
.
$
.
Totals, Produced Water-Full Rate
1P
10.0%
.
.
.
$
.
Totals, Produced Water-Incapable Oil Rate
2P
5.0%
.
.
.
$
.
Totals, Produced Water-Stripper Oil Rate
3P
2.5%
.
.
.
$
.
Total interest and penalty
6
N/A
.
.
.
$
.
GRAND TOTAL
N/A
N/A
.
$
.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial