Form 330 - Tax Credit Summary And Certificate Request For Oil And Gas Production Tax Credits Page 10

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Alaska
Oil and Gas Production Tax Credits
under AS 43.55.023
Schedule E - Information & Documentation Required for Certificate
Federal EIN
Date of Claim
Tax Period
Taxpayer Name
To re
a tax credit certificate under AS 43.55.023 the following information and documentation is required*:
PLEASE COMPLETE ALL APPLICABLE SECTIONS
Check Box if
Not Applicable
to Current
File
Notes to Information Filed (attached
Date(s)
Claim
Name(s)
additional pages as needed)
Provided
15 AAC 55.320(b)(2) a list of any authorizations for expenditure that apply to the expenditures for
which the credit is claimed and copies of those authorizations;
15 AAC 55.320(b)(3) a schedule of the relevant expenditures incurred, identifying any applicable
authorizations for expenditure and showing the accounts charged and, in the case of expenditures
included in a joint interest billing, the month billed [this should be submitted as an Excel
spreadsheet of the General Ledger or other backup and include columns for AFE #, AFE
Name, GL Account Name, Invoice #, Invoice Date, Posting Date, Vendor Name, Description
of the Expenditure, Invoice Amount, and Claimed Amount (as applicable). The total of the
backup must either tie to the claim or another sheet containing a reconciliation to the claim
must be included.];
15 AAC 55.320(b)(4) a description of the lease or property or other land where the exploration,
development, or production activities with respect to which the relevant expenditures were incurred
took place, and a map or survey showing the location of the activities;
15 AAC 55.320(b)(5) if the relevant expenditures include costs associated with drilling a well, [for each well claimed] a
(A) Copy of:
(i) the Well Completion or Recompletion Report and Log (Form 10-407) filed with the
Alaska Oil and Gas Conservation Commission under 20 AAC 25.070; or
(ii) a well completion report that is filed with a federal agency and that is substantially
similar to the filing described in (i) of this subparagraph; or
(B) well status report, if at the time the application is made material described in (A) of this
paragraph is not yet due to be filed and has not been filed;
This form is available online at
Submit completed applications via the Tax Division’s Online Tax
Information System (OTIS) at

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