Form Dte 6a - Ohio Return Of Oil And Gas Properties
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hio
DTE 6A
Department of
Rev. 3/07
Taxation
County name
Auditor’s number
Ohio Return of Oil and Gas Properties
All Taxes Paid by Operator for Calendar Year Ending Dec. 31,
File with county auditor by June 30 following above date (see instructions on back).
Important: The operator of the oil and gas well must complete this form when the operator pays
the full amount of taxes assessed against the property, including taxes assessed against all royalty
interests. If the operator does not pay all taxes assessed against all interests, the operator must fi le
DTE 6, which requires a listing of all royalty interests.
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 (do not 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
Taxable Value
X
Assessed Value
=
(line 10)
(see instructions)
=
X
11. Oil
Bbls.
per Bbl.
X
=
12. Gas
MCF
per MCF
13. Total assessed value of working interest
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
By
Date
Signature
Title
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