Revision 04-20-2026
General Instructions
Use this spreadsheet to report your Local Impact Mitigation Tax. Always check the revision
date to be sure you have the newest form. Keep all supporting documentation in case of
audit. Visit our
Local Impact Mitigation Tax information page
for more help.
Note:
This is the only approved template to upload your data.
Follow these steps to complete and submit your return:
- Download the current template and save to your computer before using.
- Follow the line-by-line instructions to complete and save your return.
- Log into your account at Taxpayer Access Point (TAP)
- Upload and submit your file.
Important
- Don’t copy or alter cells or their formatting. If you must paste from other data, use the PASTE VALUES command.
- Don’t leave blank lines in the spreadsheet. It will cause errors.
- Dropdown menus have been provided where possible.
- Microsoft Excel 2010 automatically saves files as .xlsx. You must save your file as .xls to upload.
Line-by-Line Instructions – Return
Enter the following information.
Line 1
Total tax on oil. (This line will calculate for you)
Line 2
Total tax on gas. (This line will calculate for you)
Line 3
Total tax liability. (This line will calculate for you, pay this amount)
Schedule A
Enter the following information.
Column 1
Producing entity number.
Column 2
API number.
Column 3
County code. (See below for list of county codes)
Column 4
County name. (This column will populate based on column 3 selection)
Column 5
- Product type produced, saved or sold or transported. (OL, GS)
- Volume of product produced, saved, sold or transported.
Column 6
Stripper volumes.
Column 7
First six months of developmental well volumes.
Column 8
First 12 months of wildcat well volume.
Column 9
Volume used during processing to bring to marketable condition.
Column 10
Taxable volumes. (This column will calculate for you)
Column 11
Tax on oil. (This column will calculate for you and transfer to the summary page)
Column 12
Tax on gas. (This column will calculate for you and transfer to the summary page)
County Codes
01-Beaver
02-Box Elder
03-Cache
04-Carbon
05-Daggett
06-Davis
07-Duchesne
08-Emery
09-Garfield
10-Grand
11-Iron
12-Juab
13-Kane
14-Millard
15-Morgan
16-Piute
17-Rich
18-Salt Lake
19-San Juan
20-Sanpete
21-Sevier
22-Summit
23-Tooele
24-Uintah
25-Utah
26-Wasatch
27-Washington
28-Wayne
29-Weber
References/Resources
Forms & Publications
Returns and Schedules: You may be penalized if you do not file the correct forms and
schedules. Visit our penalty and interest information page for details.
Information Updates: Contact the Tax Commission immediately if account information changes.
Submit changes on the following forms:
- TC-69, Utah State Business and Tax Registration- open a new business or change ownership
- TC-69C Notice of Change for a Tax Account— change address, close an outlet or account, and add or remove an officer or owner
Taxpayer Resources:
The Tax Commission offers online workshops to help taxpayers understand Utah taxes.
If you need more information or access to online services, forms or publications, and for a list of all training resources visit the
Tax Commission’s site
.
You may also write or visit the Utah State Tax Commission at 210 North 1950 West, Salt Lake City, UT 84134-0400, or phone 801-297-3620 (1-800-662-4335 outside the Salt Lake area). You can email questions to Misctaxes@utah.gov .
For accommodations under the Americans with Disabilities Act, contact the Tax Commission at 801-297-3811 or TDD
801-297-2020. Please allow three working days for a response.