Form Rpd-41161 - Production Unit Number Informational Request printable pdf download

Form Rpd-41161 - Production Unit Number Informational Request

RPD - 41161

STATE OF NEW MEXICO - TAXATION AND REVENUE DEPARTMENT

REV. 10/2004

PRODUCTION UNIT NUMBER

INFORMATIONAL REQUEST

(FORM RPD - 41161)

NOTE: THIS FORM IS FOR INFORMATIONAL PURPOSES ONLY AND NOT FOR THE ASSIGNMENT OF

PRODUCTION UNIT NUMBERS. PLEASE CALL (505) 827-9694 FOR QUESTIONS PERTAINING TO ASSIGN-

MENT OF PRODUCTION UNIT NUMBERS.

Name or 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

Should you need existing Production Unit Number information,

the following information will be necessary:

1. API number:

2. Pool name/number:

3. Property name:

4. Legal description:

(Well #, Lot #, Section,

Township, and Range)

5. Operator name:

DEPARTMENT RESPONSE

Based upon the information provided above, the Production Unit Number is_________________________.

The suffix(s) associated with this Production Unit Number is (are) _________________________________________.

Mail or deliver the completed form to:

Effective Date ____________________.

New Mexico Taxation and Revenue Department

Inactive Date _____________________.

Oil and Gas Bureau

1200 South St. Francis Drive

P. O. Box 2308

Santa Fe, NM 87504-2308

Telephone: (505) 827-9877

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Form Rpd-41161 - Production Unit Number Informational Request