Form 320 - Oil And Gas Production Tax Credit Certificates Issued Under As 43.55.023 And 43.55.025 Applied To Tax Under As 43.55.011(E)

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Alaska
320
Oil and Gas Production Tax Credit Certificates
Issued Under AS 43.55.023 and 43.55.025
Applied to Tax Under AS 43.55.011(e)
Federal EIN
Date
Taxpayer Name
Mailing Address
City
State
Zip Code
Contact Person for Examination of Records
Title
Contact Phone Number
Contact Fax Number
Contact Email Address
Apply tax credit to oil and gas production taxes owed under AS 43.55.011(e) as follows:
For certificates issued under AS 43.55.023
Credit certificate number __________________________
Tax year to reduce _____________
1. Enter total tax credit certificate balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
2. Enter tax credit certificate amount applied this tax year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
3. Enter total tax due under AS 43.55.011(e) for the calendar year (estimate if mid-year) . . . . . . $
4. If line (3) is greater than 0, enter 20% of the amount on line (3), the credit is limited to this
$
amount. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. Enter the smaller of line (2) or line (4), current year tax credit under AS 43.55.023(e) . . . . . . . $
6. Unused credit carry-forward, line (1) minus line (5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
For certificates issued under AS 43.55.025
Credit certificate number __________________________
Tax month and year to reduce _______________
1. Enter total tax credit certificate balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
2. Enter tax credit certificate amount applied to this tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
3. Unused credit carry-forward, line (1) minus line (2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Please note: The tax credit may only be applied against oil or gas production taxes due under AS 43.55. It may not be applied against interest,
penalties, or surcharges.
I declare under penalty of perjury that I am authorized to sign on behalf of the taxpayer for this application and each attachment
has been examined by me and to the best of my knowledge and belief is true, correct and complete.
Signature
Date
Printed Name
PrintedTitle
This form is available online at
Submit completed applications via the Department’s Online
Tax Information System (OTIS) at
320
Mail to: Alaska Department of Revenue, 550 W 7th Ave STE 500, Anchorage AK 99501-3555
0405-320 Rev
/1

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