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Instructions for Form R-9055 - L (SEV G-5)

Monthly Gas Well Report for Exempt Wells

Reporting company name/address – Self-explanatory.

Revenue Account Number – This is your 10-digit Louisiana Tax Number.

Reporting company number – Producer code number or transporter code number assigned by

the Louisiana Office of Conservation or number assigned by the Department of Revenue

(Severance Tax Section) to taxpayers who are not producers or transporters.

Taxable Period – Period for which the tax is due. Volumes and taxes for more than one taxable

period are not to be combined; they are to be reported separately.

Field, Producer, Lease, Well names – Self-explanatory.

Exempt tax rate code - See below for explanation. This should be the same as reported on Form

R-9036-L (G - 1d), Gas Severance Tax Return - Lease Detail. These wells must be approved by

the Office of Conservation before the exemption can be taken.

Conservation well serial number – Number assigned by the Louisiana Office of Conservation.

Parish, Field, Producer, Lease codes – Codes assigned by the Louisiana Office of Conservation.

Gross production MCF – All production for each property as reported on the R-1 or R-5P to the

Office of Conservation.

Value for payout of well cost – Gross sales price or book value, if not sold, less royalty and direct

well operating costs, will be used to determine payout of well costs. Do not fill out this block for any

well with an exemption code I.

Taxpayer number– Producer code number or transporter code number assigned by the Louisiana

Office of Conservation or number assigned by the Department of Revenue (Severance Tax Division)

to taxpayers who are not producers or transporters.

Description

Code

Deep wells - any well drilled to a true vertical depth of more than 15,000 feet and from

which production commences after July 31, 1994. The exemption is for two years or

until payout of the well cost is achieved.

Horizontal wells - any well drilled or recompleted horizontally and from which production

commences after July 31, 1994. The exemption is for two years or until payout of the

well cost is achieved.

Inactive wells - any well returned to production after being inactive for two years, or

having less than thirty days of production for two years from the date of application

starting after July 31, 1994 and ending June 30, 2000, shall be exempt for a period of

five years.

New discovery wells - any discovery well spudded after September 30, 1994 and

completed between September 30, 1994 and September 30, 2000. The exemption

is for two years or until payout of the well cost is achieved.

Instructions For Form R-9055 - L (Sev G-5) - Monthly Gas Well Report For Exempt Wells