Form 61 - Nebraska Schedule Ii - Resources Severed From Other Than School Lands
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NEBRASKA SCHEDULE II
FORM 61
Resources Severed from Other Than School Lands
Schedule II
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 II on line 1 of Form 61) .................... 4a
$
b. Wells producing nonstripper oil (enter here, and
total of all Schedules II on line 2 of Form 61) ............ 4b
c. Natural gas (enter here, and total of all Schedules II
$
on line 3 of Form 61) .................................................. 4c
5 Severance tax rate ......................................................... 5
.02
.03
.03
6 Severance tax due from other than school lands (line 4a
$
$
$
through 4c multiplied by line 5). Enter here, and total of
all tax from Schedules II on line 6 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
7-2011
5-149-1981 Rev.
RETAIN A COPY FOR YOUR RECORDS
Supersedes 5-149-1981 Rev. 10-2008
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