Form 320-A - Instructions printable pdf download

320-A I

NSTRUCTIONS

To be completed by the operator for each well drilled producing oil or gas

I I I I

T T T T E E E E M M M M

N N N N

U U U U M M M M B B B B E E E E R R R R

1 .

Provide the name of the lease.

2 .

Provide the name of the well and well number.

3 .

Provide the name of the county(ies) where the lease is located. If the lease is located within two (2) counties, provide both

county names and provide the percentage of the lease contained in each county.

4 .

Provide the total lease acreage that the well holds.

5 .

Provide the legal description of the lease by section, township and range. Provide the acreage description in quarter

sections.

6 .

Provide the A.P.I. (American Petroleum Institute) Number.

7 .

Specify the well classification (oil or gas). The classification is determined by the Gas Oil Ratio. (GOR)

If a well produces from one (1) to fifteen thousand (15,000) cubic feet of gas to each barrel of oil, the well classification is

an oil well. If the gas production exceeds fifteen thousand (15,000) cubic feet to one (1) barrel of oil, the classification is a

gas well.

8 .

Provide the formation name that the well is producing from.

9 .

Specify if the well is spaced. If yes, complete items a., b. & c.

Provide the spaced acreage and the legal description described by section, township and range. The acreage descrip

Also provide the spacing order number.

If the well is an additional completion to an existing spacing, providing the increased density order number.

1 0 .

Provide:

Product code:

1 = oil or condensate,

5 = natural or casinghead gas,

6 = gas constituents - any liquid hydrocarbon, carbon dioxide, hydrogen sulphide, helium

nitrogen or other gas constituents extracted from the gas stream wherein the proceeds of such

Name of company purchasing each product.

OTC assigned reporting number.

Enter the OTC assigned reporting number of who will be remitting taxes.

Note: See Item 11 for operator approval to remit tax.

Enter the date of first sale for type of product.

1 1 .

Provide reason for requesting the operator or interest owner to remit taxes.

1 2 .

Operator information and signature are required before form can be approved.

Form 320-A - Instructions

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