KANSAS DEPARTMENT OF REVENUE
DIVISION OF TAX OPERATIONS
MINERAL TAX
TOPEKA KS 66625-0918
PHONE: 785-296-7713
FAX: 785-296-4993
EMAIL ADDRESS:
ks.op.pur.chngrqst@kdor.ks.gov
WEB SITE:
OPERATOR AND PURCHASER CHANGE REQUEST
Both pages of this form must be completed for each new operator or purchaser when transferring a lease(s).
Check all that apply and return form to Mineral Tax Section:
___ Lease has another operator. Operator transfer date: ____________. (mmddyy)
___ Lease has another purchaser. Purchaser transfer date: ____________. (mmddyy)
New Operator Name and Address
New Purchaser Name and Address
Contact Information
Contact Information
Operator I.D. Number:
Purchaser I.D. Number:
Signature of Authorized Officer or Agent
Date
Operator’s Phone Number
Previous Operator Name and Address
Previous Purchaser Name and Address
Contact Information
Contact Information
Operator I.D. Number:
Purchaser I.D. Number:
If additional copies of this form are needed, they are found on the Kansas Department of Revenue’s web site at:
.
The MT-8 is a fillable form and only available on the Kansas Department of Revenue’s web site.
This form can be submitted by email: ks.op.pur.chngrqst@kdor.ks.gov,
fax: 785-296-4993 or by mail to the address below.
Kansas Department of Revenue
Customer Relations-Mineral Tax Section
915 SW Harrison St
Topeka, Kansas 66625-0918
MT-8 (6/11)