Form 61 - Nebraska Schedule I - Resources Severed From School Lands
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NEBRASKA SCHEDULE I — Resources Severed from School Lands
FORM 61
Schedule I
Use separate schedule for each county.
Name as Shown on Form 61
Nebraska ID Number
Tax Month and Year
Nebraska County
45 —
NONSTRIPPER
STRIPPER OIL
NATURAL GAS
OGCC
OIL
Lease
Lease Name and Description
Column A
Column B
Column C
Column D
Column E
Column F
Number
Barrels
Value
Barrels
Value
MCF
Value
$
$
$
1 Totals of columns A through F ..................
1
2 Quantities and values of resources
exempt from taxes (see instructions)........
2
3 Quantities subject to taxes (line 1 minus
line 2 in columns A, C, and E) ..................
3
$
4 Values subject to taxes from: (line 1 minus line 2 in
columns B, D, and F)
a. Wells producing stripper oil (enter here, and total
of all Schedules I on line 1 of Form 61) ..................... 4a
$
b. Wells producing nonstripper oil (enter here, and
total of all Schedules I on line 2 of Form 61) ............. 4b
c. Natural gas (enter here, and total of all Schedules I
$
on line 3 of Form 61) .................................................. 4c
5 Severance tax rate ......................................................... 5
.02
.03
.03
6 Severance tax due from school lands (line 4a through
$
$
$
4c multiplied by line 5). Enter here, and total of all tax
from Schedules I on line 5 of Form 61 ........................... 6
Attach this schedule to Form 61 and mail to: NEBRASKA DEPARTMENT OF REVENUE, PO BOX 94818, LINCOLN, NE 68509-4818
Mail a copy to: OIL AND GAS CONSERVATION COMMISSION
RETAIN A COPY FOR YOUR RECORDS.
7-2011
5-123-1975 Rev.
Supersedes 5-123-1975 Rev. 10-2008
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