Form Dte 6 - Ohio Return Of Oil And Gas Properties
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hio
DTE 6
Department of
Rev. 3/07
Taxation
County name
Auditor
Ohio Return of Oil and Gas Properties for
Calendar Year Ending Dec. 31,
File with county auditor by June 30 following above date (see instructions on back).
Name of operator
Address
Tax billing address
State of incorporation (if a corporation)
Permit number(s)
Description of Property
1. Name of land owner
Location: City, village or township
Taxing district
Parcel number(s)
No. of acres
Production Information
2. (a) Number of producing wells on property at end of year
(b) Number of commonly metered wells included on this report
3. If fl ush production is claimed: Date of fi rst production
Number of days left in year
Oil (Bbls.)
Gas (MCF)
4.
4. Flush production ...........................................................................................
5.
5. Secondary recovery production (don’t claim if fl ush production is claimed) ..
6.
6. Total production for calendar year ................................................................
7.
7. Less: 42.5% of fl ush production on line 4 .....................................................
8.
8. Less: 50% of secondary recovery production on line 5 ................................
9.
9. Net annual production after deductions (line 6 minus lines 7 and 8) ............
10.
10. Average daily production (see instructions) ..................................................
Valuation of Oil and Gas Deposits (to be completed by operator)
Avg. Daily Production
Decimal Working
Taxable Value
X
X
Assessed Value
=
(line 10)
Interest
(see instructions)
%
11. Oil
Bbls.
X
X
per Bbl.
=
%
12. Gas
MCF
X
per MCF
=
X
13. Total assessed value of working interest
Valuation of Royalty Interest
14. Assessment to each owner listed below equals line 10 times interest owned times taxable value per Bbl. or MCF.
Oil
Gas
Total Assessed
Name and Address of Each
Value
Royalty Interest Owner
Decimal
Assessed
Decimal
Assessed
(attach schedule if more space is needed)
Interest
Value
Interest
Value
Declaration
I declare under penalty of perjury that I have examined this return, including any accompanying schedules and
statements, and to the best of my knowledge and belief, this return is true, correct and complete.
Taxpayer
Prepared by
Date
Signature
Title
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