INSTRUCTIONS FOR 4231: ANNUAL GROSS PRODUCTS ...

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INSTRUCTIONS FOR 4231: ANNUAL GROSS PRODUCTS ATTACHMENT FOR GAS

COMPLETE 4231 WHENEVER PLANT PRODUCTS ARE INVOLVED. ALWAYS REPORT ALL VOLUMES AND VALUES ROUNDED TO THE NEAREST WHOLE NUMBER. PRODUCTION YEAR: calendar year in which production occurred. TAXPAYER INFORMATION: Operator ID - Taxpayer's Operator ID as assigned by the Wyoming Oil and Gas Conservation Commission (WOGCC), or as assigned by the Mineral Tax Division of the Wyoming Department of Revenue. Taxpayer - Taxpayer's name. NOT a tax agent. PRODUCING ASSET SECTION: Reporting Group Number - the Reporting Group number assigned to the producing asset by the Mineral Tax Division. Reporting Group Name - Name of the producing asset. A. FORM TYPE Enter "O" for an Original Report. Enter "A" for an Amended Report. B. TAXPAYER TYPE Enter "O" if you are the operator of this producing asset. Enter "T" if you are an interest owner taking production in-kind on this producing asset. C. PROCESSING PLANT NAME: Enter the name of the processing plant where processing occurred. D. PLANT OPERATOR: Enter the operator of the plant where processing occurred.

INSTRUCTIONS FOR 4231

Page 2

E. PLANT PRODUCTS: Enter the volumes and gross values of plant products sold. Use product units in the volume sold column. (Example: 5,000 mcf of residue gas, 100 bbls of Plant Condensate, 50 long tons of sulfur, etc..). LINE 1 through Line 11 - Enter the gross value of all plant products here and on 4201 Section D Line 7. Line 12 through Line 14 - Enter any volume from the plant that was re-injected into the same field and formation from which it was produced on line 12. Enter any volume that was flared at the plant on line 13. Enter any volume of plant shrinkage on Line 14. Do not enter plant deductions as well-head deductions on form 4201. in block C - 2a, 2b, 2c, or 2d. Gross Value of Plant Products - Total the values reported on lines 1 through 11. This amount must equal the Gross Sales Value of Plant Products entered on Form 4201 Section D Line 7.

rev 12/5/2000

Gross Products Tax Reporting Instructions State of Wyoming Department of Revenue 122 West 25th Street Cheyenne, WY 82002-0110

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ANNUAL GROSS PRODUCTS MTD ATTACHMENT FOR GAS

Production Year: __ __ __ __ PRODUCING ASSET

TAXPAYER INFORMATION Operator ID

4231

Revenue Use Only

Reporting Group Number

Calendar year in which production occurred. Taxpayer

Reporting Group Name

O = Original A = Amended

A.

Form Type:

C.

Processing Plant Name

Line ID

1. 2. 3.

B. D.

Enter ‘O’ for an original report. Enter ‘A’ for anProduct amended Type report RESIDUE GAS

Plant Operator

E. PLANT PRODUCTS Enter ‘O’ if you are the operator of thisVolume property. Enter ‘T’ if you are Value an interest owner taking production inkind on this property

NATURAL GAS EnterLIQUIDS the name of the Plant where processing occurred. PLANT CONDENSATE

Enter the name of the Plant Operator.

Taxpayer’s Operator ID as assigned by the Wyoming Oil SULFUR and Gas Conservation Commission (WOGCC), or as by the Mineral Tax Division. 5. assigned NON-HYDROCARBON GAS 4.

6.

O = Operator T = Take In-Kind Interest Owner

Taxpayer Type:

Reporting Group Name The Reporting Group Number assigned by the Mineral Tax Division

OTHER - Explain:

7. OTHER - Explain: Taxpayer’s name. Do not enter an agent’s name here. 8.

OTHER - Explain:

9.

OTHER - Explain:

10.

OTHER - Explain:

11. 12.

OTHERCOMPLETE - Explain: FORM 4231 AND ATTACH TO FORM 4201 WHENEVER PLANT PRODUCTS ARE INVOLVED. REPORT ALL VOLUMES AND PLANTVALUES RE-INJECTION ROUNDED TO THE NEAREST WHOLE NUMBER. N/A

13.

PLANT FLARED

N/A

14.

PLANT SHRINKAGE

N/A GROSS VALUE OF PLANT PRODUCTS (Enter on 4201, Section D, Line 7)

I declare under penalty of perjury that I have examined this return, and , to the best of my knowledge and belief, it is correct and complete.

Authorized Signature

Title

MTSII

Date Form 4231 page 1

Gross Products Tax Reporting Instructions State of Wyoming Department of Revenue 122 West 25th Street Cheyenne, WY 82002-0110

!"#$%!&

ANNUAL GROSS PRODUCTS MTD ATTACHMENT FOR GAS

Production Year: __ __ __ __ PRODUCING ASSET

TAXPAYER INFORMATION Operator ID

4231

Reporting Group Number

Revenue Use Only

Taxpayer

Reporting Group Name

O = Original A = Amended

A.

Form Type:

C.

Processing Plant Name

B.

Taxpayer Type:

O = Operator T = Take In-Kind Interest Owner

D. Plant Operator Line 1 through Line 11: enter the volumes and gross values of plant products sold. Use product units in the Volume Column, (example: 5,000mcf of Residue E. PLANT PRODUCTS Gas, 100 gallons of Plant Condensate, 50 Long Tons of Sulfur, etc.). Product Type Volume Value

Line ID

1.

RESIDUE GAS

2.

NATURAL GAS LIQUIDS

3.

PLANT CONDENSATE

4.

SULFUR

5.

NON-HYDROCARBON GAS

6.

OTHER - Explain:

7.

OTHER - Explain:

8.

OTHER - Explain:

9.

OTHER - Explain:

10.

OTHER - Explain:

11.

OTHER - Explain:

12.

PLANT RE-INJECTION

N/A

13.

PLANT FLARED

N/A

14.

PLANT SHRINKAGE

N/A

Volume from the tailgate of the Plant that was re-injected into the same Field and Formation from which it was produced. Do not enter this Plant Deduction as a Well-Head Deduction on Form 4201. Volume flared at the plant. Do not enter this Plant Deduction as a WellHead Deduction on Form 4201. Volume of Plant Shrinkage. Do not enter this Plant Deduction as a Well-Head Deduction on Form 4201.

GROSS VALUE OF PLANT PRODUCTS Total value must equal From (Enter on 4201, Section D, Line 7) under penalty of perjury that I have examined this return, and , to the best of my knowledge and belief, it is correct and complete. 4201 SectionI declare D Line 7.

Authorized Signature

Title

MTSII 12/16/99

Date Form 4231 page 2

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