Form 29404 "Oil Producer Filing Waiver and Agreement" - North Dakota

What Is Form 29404?

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 July 1, 2010;
  • 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 29404 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 29404 "Oil Producer Filing Waiver and Agreement" - North Dakota

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Oil Producer Filing Waiver and Agreement
North Dakota Office of State Tax Commissioner
Company Information
Fax Number
Company Name
FEIN
Street or Other Mailing Address
City
State
Zip Code
Business Contact Name
E-Mail Address
Phone
Technical Contact Name
Phone
E-Mail Address
This agreement is made as of the __________ day of _____________________, 201___, by and
between _________________________, the producer or operator (hereinafter "Producer") and the North
Dakota State Tax Commissioner ("Commissioner").
The Commissioner grants to the Producer a waiver of the requirement to file a producer's monthly
report subject to the following conditions:
• The purchaser must report and pay all tax due on forms precribed by the Commissioner.
• All tax due on production and sales of oil that is not subject to the purchaser's monthly reporting
must be reported and paid by Producer on forms prescribed by the Commissioner even though a
waiver has been received. This includes enhanced recovery units, lease use oil, lost oil, and stolen
or unaccounted for oil.
• Production and sales information must be remitted by Producer on a timely basis to the North
Dakota Industrial Commission.
• Producer must continue to maintain production and sales records for inspection by the
Commissioner and must respond in a timely manner to all requests for information relating to
discrepancies between tax and the North Dakota Industrial Commission reports.
• Producer agrees to be subject to N.D.C.C. §§ 57-51-09 and 57-51-19 statutory assessment and
refund dates established by the purchaser's report for Producer's wells.
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Oil Producer Filing Waiver and Agreement
North Dakota Office of State Tax Commissioner
Company Information
Fax Number
Company Name
FEIN
Street or Other Mailing Address
City
State
Zip Code
Business Contact Name
E-Mail Address
Phone
Technical Contact Name
Phone
E-Mail Address
This agreement is made as of the __________ day of _____________________, 201___, by and
between _________________________, the producer or operator (hereinafter "Producer") and the North
Dakota State Tax Commissioner ("Commissioner").
The Commissioner grants to the Producer a waiver of the requirement to file a producer's monthly
report subject to the following conditions:
• The purchaser must report and pay all tax due on forms precribed by the Commissioner.
• All tax due on production and sales of oil that is not subject to the purchaser's monthly reporting
must be reported and paid by Producer on forms prescribed by the Commissioner even though a
waiver has been received. This includes enhanced recovery units, lease use oil, lost oil, and stolen
or unaccounted for oil.
• Production and sales information must be remitted by Producer on a timely basis to the North
Dakota Industrial Commission.
• Producer must continue to maintain production and sales records for inspection by the
Commissioner and must respond in a timely manner to all requests for information relating to
discrepancies between tax and the North Dakota Industrial Commission reports.
• Producer agrees to be subject to N.D.C.C. §§ 57-51-09 and 57-51-19 statutory assessment and
refund dates established by the purchaser's report for Producer's wells.
Page 1
• Producer agrees to provide the Producer's valid Federal Identification Number to the purchaser for
use in the reporting of purchased interests.
This waiver may be terminated by the Commissioner at any time by providing written notice to
Producer that a report must be filed for the production month following the month in which the notice of
termination is issued. The Producer may terminate this waiver only by providing the Commissioner with
written notice that a report will be filed in the next succeeding month. When a waiver is terminated by
either the Commissioner or Producer, failure thereafter to file a timely report may subject Producer to
penalties under N.D.C.C. §§ 57-51-06 and 57-51-10.
The Commissioner's waiver of Producer's requirement to file a report does not constitute a waiver of
the Commissioner's authority to audit Producer's records and to assess Producer for additional gross
production and oil extraction taxes.
Each signatory represents that they have full authority to execute this agreement on behalf of the party
designated.
Agreed to this _______ day of ____________________, 201___.
NORTH DAKOTA STATE TAX COMMISSIONER
By: _________________________________________
Oil & Gas Tax Supervisor
Agreed to this _______ day of ____________________, 201___.
_________________________________________
Producer's Name
Print Name: ___________________________________
Signature: ___________________________________
Title:
___________________________________
29404
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