Form Mts2 - Annual Gross Products Breakdown By County/tax District For Oil - Wyoming Department Of Revenue
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1State of Wyoming
ANNUAL GROSS PRODUCTS
Department of Revenue
122 West 25th Street
BREAKDOWN BY COUNTY/TAX
"
Cheyenne, WY 82002-0110
DISTRICT FOR OIL
__ __ __ __
Production Year:
TAXPAYER INFORMATION
PRODUCING ASSET
Revenue Use Only
Reporting Group Number
Operator ID
Taxpayer
Reporting Group Name
B. Tax District Breakdown of Taxable Value
County & Tax District
Volume Produced
Volume Sold
Taxable Value
TOTALS
Note
: Total Volume Produced must equal 4101, Section D, Line 4; Total Volume Sold must equal 4101, Section D, Line 6; Total Taxable Value must equal
4101, Section D, Line 9.
MTS2
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.
1/19/00
Authorized Signature
Title
Date
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