Form Rpd-41163 - Enhanced Oil Recovery Application And Reporting Instructions

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RPD - 41163
STATE OF NEW MEXICO - TAXATION AND REVENUE DEPARTMENT
REV. 11/2000
ENHANCED OIL RECOVERY
APPLICATION AND REPORTING INSTRUCTIONS
(FORM RPD - 41163)
Name of Individual, Firm or Organization
OGRID Number
Contact Person
Telephone Number
Mailing Address
City
State
Zip Code
Please check one:
❑ Well Operator
❑ Working Interest Owner
❑ Purchaser
Name of Project
Date Positive Production
Response Occurred
Project Operator(s)
PRODUCTION UNIT NUMBERS FOR QUALIFYING WELLS
Please attach a copy of the Oil Conservation Division's Certificate of Positive Production Response.
DEPARTMENT USE ONLY
CERTIFICATE OF APPROVAL TO USE ENHANCED OIL RECOVERY TAX RATE
We are approving use of the reduced tax rate for the above PUNs based on the information that you have provided. Only
production from wells within the project area are qualified to use the reduced rate. Production from wells outside the project
area must be reported and paid at the normal rate on a separate line entry. This Department reserves the right to determine
compliance with the provisions on the Enhanced Oil Recovery Act.
Approval for use of the reduced rate begins with sales month
.
Please use Special Tax Rate Code
on your Form RPD-41132 as it applies to the specific Production Unit
Number(s) listed above.
Date
Approved By
- 41 -

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