Form STC12:35 "West Virginia Oil and Gas Producer/Operator Return" - West Virginia

What Is Form STC12:35?

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

Form Details:

  • Released on January 1, 2020;
  • The latest edition provided by the West Virginia State Tax Department;
  • 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 printable version of Form STC12:35 by clicking the link below or browse more documents and templates provided by the West Virginia State Tax Department.

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Download Form STC12:35 "West Virginia Oil and Gas Producer/Operator Return" - West Virginia

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WEST VIRGINIA OIL AND GAS
NRA #
PRODUCER/OPERATOR RETURN
COUNTY
DIST-ACCT NO.
COUNTY _____________________________
DISTRICT ____________________________
PRODUCER/OPERATOR AND PROPERTY INFORMATION (INSTRUCTIONS ENCLOSED)
SCHEDULE 1.
WELL/LEASE NAME __________________________________________________________________________________________________________
PRODUCER NAME
__________________________________________________________________________________________________________
STREET __________________________________________________CITY________________________________________STATE _______________
DBA, ATTN., AGENT____________________________________________________PHONE____________________EMAIL_______________________
LAND BOOK ACREAGE ___________________________LEASE ACREAGE _______________________NUMBER OF WELL(S) ______________________
CALENDAR YEAR 2019
PRODUCTION INFORMATION
- (INSTRUCTIONS ENCLOSED)
SCHEDULE 2.
Round all production and income amounts.
Gross receipts are field line receipts.
If more than one well is measured through
one meter, the individual well information must be determined or estimated by your office.
At a minimum, divide the
Do Not Deduct Any Operating Expenses.
production by the total number of wells.
INITIAL
WORKING
WORKING
PROD
TOTAL
TOTAL
INTEREST
INTEREST
PRODUCING
WELL
API
DATE
TOTAL
TOTAL
OIL
GAS
OIL
GAS
FORMATION/
DAYS IN
STATUS
#
M/D/Y
BBLs.
MCFs
RECEIPTS
RECEIPTS
RECEIPTS
RECEIPTS
PLAY
PRODUCTION
1) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
2) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
3) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
4) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
5) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
6) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
7) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
8) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
9) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
10) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
TOTAL
$________ $________
________
________
TAX YEAR 2021
STC 12:35(R2020)
RETURN POSTMARKED ON OR BEFORE AUGUST 1, 2020
1
As August 1 is a Saturday the due date is August 3
this year
1
rd
WEST VIRGINIA OIL AND GAS
NRA #
PRODUCER/OPERATOR RETURN
COUNTY
DIST-ACCT NO.
COUNTY _____________________________
DISTRICT ____________________________
PRODUCER/OPERATOR AND PROPERTY INFORMATION (INSTRUCTIONS ENCLOSED)
SCHEDULE 1.
WELL/LEASE NAME __________________________________________________________________________________________________________
PRODUCER NAME
__________________________________________________________________________________________________________
STREET __________________________________________________CITY________________________________________STATE _______________
DBA, ATTN., AGENT____________________________________________________PHONE____________________EMAIL_______________________
LAND BOOK ACREAGE ___________________________LEASE ACREAGE _______________________NUMBER OF WELL(S) ______________________
CALENDAR YEAR 2019
PRODUCTION INFORMATION
- (INSTRUCTIONS ENCLOSED)
SCHEDULE 2.
Round all production and income amounts.
Gross receipts are field line receipts.
If more than one well is measured through
one meter, the individual well information must be determined or estimated by your office.
At a minimum, divide the
Do Not Deduct Any Operating Expenses.
production by the total number of wells.
INITIAL
WORKING
WORKING
PROD
TOTAL
TOTAL
INTEREST
INTEREST
PRODUCING
WELL
API
DATE
TOTAL
TOTAL
OIL
GAS
OIL
GAS
FORMATION/
DAYS IN
STATUS
#
M/D/Y
BBLs.
MCFs
RECEIPTS
RECEIPTS
RECEIPTS
RECEIPTS
PLAY
PRODUCTION
1) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
2) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
3) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
4) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
5) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
6) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
7) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
8) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
9) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
10) A P S E
_______
_____
______
______
$________
$________
________
________
_________
_________
TOTAL
$________ $________
________
________
TAX YEAR 2021
STC 12:35(R2020)
RETURN POSTMARKED ON OR BEFORE AUGUST 1, 2020
1
As August 1 is a Saturday the due date is August 3
this year
1
rd
WORKING INTEREST, ROYALTY, AND OVERRIDING ROYALTY OWNERS (INSTRUCTIONS ENCLOSED).
SCHEDULE 3
.
(NOTE:
TOTAL DECIMAL INTEREST SHOULD TOTAL 1 UNLESS FLAT RATE ROYALTIES ARE INVOLVED.
TOTAL INCOME SHOULD EQUAL TOTAL OIL AND GAS RECEIPTS IN SCHEDULE 2).
OWNER'S NAME
ADDRESS
CODE
DECIMAL INTEREST
INCOME
(ALPHABETICAL BY LAST NAME)
(ROUNDED)
(Last Name, First Name)
1.
_______________________________
__________________________
____
_________
$____________
__________________________
2.
_______________________________
__________________________
____
_________
$____________
__________________________
3.
_______________________________
__________________________
____
_________
$____________
__________________________
4.
_______________________________
__________________________
____
_________
$____________
__________________________
5.
_______________________________
__________________________
____
_________
$____________
__________________________
6.
_______________________________
__________________________
____
_________
$____________
__________________________
7.
_______________________________
__________________________
____
_________
$____________
__________________________
8.
_______________________________
__________________________
____
_________
$____________
__________________________
9.
_______________________________
__________________________
____
_________
$____________
__________________________
10.
_______________________________
__________________________
____
_________
$____________
__________________________
11.
_______________________________
__________________________
____
_________
$____________
__________________________
12.
_______________________________
__________________________
____
_________
$____________
__________________________
13.
_______________________________
__________________________
____
_________
$____________
__________________________
14.
_______________________________
__________________________
____
_________
$____________
__________________________
15.
_______________________________
__________________________
____
_________
$____________
__________________________
TOTAL
_________
$____________
Note: Total Decimal Interest should equal 1, unless flat rate royalties are involved. Total Income must equal the Total Oil and Gas Receipts above.
RETURN POSTMARKED ON OR BEFORE AUGUST 1, 2020
2
TAX YEAR 2021
STC 12:35 (R2020)
As August 1 is a Saturday the due date is August 3
this year.
2
rd
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