Form SFN29416 "Application to Register for Oil & Gas Taxes" - North Dakota

What Is Form SFN29416?

This is a legal form that was released by the North Dakota Office of State Tax Commissioner - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2017;
  • The latest edition provided by the North Dakota Office of State Tax Commissioner;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form SFN29416 by clicking the link below or browse more documents and templates provided by the North Dakota Office of State Tax Commissioner.

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Download Form SFN29416 "Application to Register for Oil & Gas Taxes" - North Dakota

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APPLICATION TO REGISTER FOR OIL & GAS TAXES
OFFICE OF NORTH DAKOTA STATE TAX COMMISSIONER
SFN 29416 (2-17)
Application Purpose
New Business
Change
Update
(Please Print)
Taxpayer Legal Name
Federal Employer Identification Number
Doing Business As Name (if different from line 1)
Business Telephone Number
State
ZIP Code
City
Mailing Address
Fax
Business Contact
Email
Beginning date of operations in North Dakota (Month, day and year)
Organization Type
Partnership
LLC
Corporation
Sole Proprietorship
LLP
Government
Type of Filing Requirement
Oil Producer
Oil Purchaser
Oil Condensate
Gas Producer
Gas Purchaser
If returns are filed at a different location indicate below or skip to next section
Name of Tax Return Preparer
Email
Business Telephone Number
L
Address of Preparer (Street or PO Box, City)
State
ZIP Code
Complete if you acquired the business in whole or in part
Date of Acquisition (Month, day and year)
Prior Owner's Business Name and Address
Prior Owner's Federal Identification Number
Yes
No
Is Prior Owner Still in Business?
Application must be signed by authorized individual
Title
Signtuare (authorized individual)
Telephone Number
Date
Print Name
I declare under the penalties of North Dakota Century Code ch. 12.1-11-02, which provides for a Class A misdemeanor for making a false statement in a
governmental matter, that this application, including any accompanying schedules and statements, has been examined by me and to the best of my
knowledge and belief is a true, correct and complete application.
FOR OFFICE USE ONLY
Mail to: Office of State Tax Commissioner
Contact: Telephone: 701.328.1241
Business Registration
Fax: 701.328.0332
600 E. Boulevard Ave., Dept. 127
Email: taxregistration@nd.gov
Bismarck, ND 58505-0599
Website: www.nd.gov/tax
Visit North Dakota's New Business Registration site at www.nd.gov/businessreg for general information and registration forms.
APPLICATION TO REGISTER FOR OIL & GAS TAXES
OFFICE OF NORTH DAKOTA STATE TAX COMMISSIONER
SFN 29416 (2-17)
Application Purpose
New Business
Change
Update
(Please Print)
Taxpayer Legal Name
Federal Employer Identification Number
Doing Business As Name (if different from line 1)
Business Telephone Number
State
ZIP Code
City
Mailing Address
Fax
Business Contact
Email
Beginning date of operations in North Dakota (Month, day and year)
Organization Type
Partnership
LLC
Corporation
Sole Proprietorship
LLP
Government
Type of Filing Requirement
Oil Producer
Oil Purchaser
Oil Condensate
Gas Producer
Gas Purchaser
If returns are filed at a different location indicate below or skip to next section
Name of Tax Return Preparer
Email
Business Telephone Number
L
Address of Preparer (Street or PO Box, City)
State
ZIP Code
Complete if you acquired the business in whole or in part
Date of Acquisition (Month, day and year)
Prior Owner's Business Name and Address
Prior Owner's Federal Identification Number
Yes
No
Is Prior Owner Still in Business?
Application must be signed by authorized individual
Title
Signtuare (authorized individual)
Telephone Number
Date
Print Name
I declare under the penalties of North Dakota Century Code ch. 12.1-11-02, which provides for a Class A misdemeanor for making a false statement in a
governmental matter, that this application, including any accompanying schedules and statements, has been examined by me and to the best of my
knowledge and belief is a true, correct and complete application.
FOR OFFICE USE ONLY
Mail to: Office of State Tax Commissioner
Contact: Telephone: 701.328.1241
Business Registration
Fax: 701.328.0332
600 E. Boulevard Ave., Dept. 127
Email: taxregistration@nd.gov
Bismarck, ND 58505-0599
Website: www.nd.gov/tax
Visit North Dakota's New Business Registration site at www.nd.gov/businessreg for general information and registration forms.