Form 29405 "Gas Producer Filing Waiver and Agreement" - North Dakota

What Is Form 29405?

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 29405 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 29405 "Gas Producer Filing Waiver and Agreement" - North Dakota

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Gas Producer Filing Waiver and Agreement
North Dakota Office of State Tax Commissioner
Company Information
Company Name
Fax Number
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/processor must report and pay all tax due on forms precribed by the Commissioner.
• All tax due on gas that is not subject to the purchaser's/processor'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 gas not processed at a gas plant, vented or flared without permit, or
used for nonexempt purposes..
• Production and delivery 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/producer's report for Producer's wells.
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Gas Producer Filing Waiver and Agreement
North Dakota Office of State Tax Commissioner
Company Information
Company Name
Fax Number
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/processor must report and pay all tax due on forms precribed by the Commissioner.
• All tax due on gas that is not subject to the purchaser's/processor'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 gas not processed at a gas plant, vented or flared without permit, or
used for nonexempt purposes..
• Production and delivery 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/producer's report for Producer's wells.
Page 1
• Producer agrees to provide the Producer's valid Federal Identification Number to the
purchaser/processor 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 return 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 return 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 return 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 tax.
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:
___________________________________
29405
Rev. 7/10
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