Alternative Tax Credit For Oil And Gas Exploration Under As 43.55.025 Page 5

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Alaska
310
Alternative Tax Credit for Oil and Gas
Exploration under AS 43.55.025
Schedule D - Agreement Required by AS 43.55.025(f)(2)
Federal EIN
Date of Claim
Taxpayer Name
Exploration Data Contact Person
Title
Mailing Address
City
State
Zip Code
Email Address of Contact Person
Telephone Number
Fax Number
Explorer/taxpayer hereby agrees with all requirements
under AS 43.55.025(f)(2):
to the valuation of unleased acreage in the same vicinity, or unless
(A) to notify the Department of Natural Resources, within 30 days after
the well is on private land and the owner, including the lessor but not
completion of seismic or geophysical data processing, completion of well
drilling, or filing of a claim for credit, whichever is the latest, for which
the lessee, of the oil and gas resources has not given permission to
release the well data;
exploration costs are claimed, of the date of completion and submit
a report to that department describing the processing sequence and
(ii) in the case of seismic or other geophysical data, other than seismic
providing a list of data sets available;
data acquired by seismic exploration subject to (k) of this section,
for 10 years following the completion date, at which time the
(B) to provide to the Department of Natural Resources, within 30 days
Department of Natural Resources will release the information after
after the date of a request, unless a longer period is provided by the
Department of Natural Resources, specific data sets, ancillary data, and
30 days’ public notice, except as to seismic or other geophysical
reports identified in (A) of this paragraph; in this subparagraph,
data acquired from private land, unless the owner, including a
lessor but not a lessee, of the oil and gas resources in the private
land gives permission to release the seismic or other geophysical
(i) a seismic or geophysical data set includes the data for an entire
data associated with the private land; See current statutes and
seismic survey, irrespective of whether the survey area covers non-
regulations for complete citation.
state land in addition to state land or land in a unit in addition to land
outside a unit;
(iii) in the case of seismic data obtained by seismic exploration subject
to (k) of this section, only until the expiration of 30 days’ public
(ii) well data include all analyses conducted on physical material,
notice issued on or after the date the production tax credit certificate
and well logs collected from the well, results, and copies of data
is issued under (5) of this subsection;
collected and data analyses for the well, including well logs; sample
analyses; testing geophysical and velocity data including seismic
profiles and check shot surveys; testing data and analyses; age
See current statutes & regulations for complete citation.
data; geochemical analyses; and tangible material;
NOTE: The information required above should be sent
to:
(C) that, notwithstanding any provision of AS 38, information provided
under this paragraph will be held confidential by the Department of Natural
Resources,
State of Alaska
Department of Natural Resources,
(i) in the case of well data, until the expiration of the 24-month period
Division of Oil and Gas
of confidentiality described in AS 31.05.035(c), at which time the
Attn: Resource Evaluation Section
Department of Natural Resources will release the information after
30 days’ public notice unless, in the discretion of the commissioner
550 W 7TH AVE STE 1100
of natural resources, it is necessary to protect information relating
ANCHORAGE AK 99501
I declare under penalty of perjury that I am authorized to act on behalf of the filer.
Signature
Date
Printed Name
Printed Title
This form is available online at
Submit completed applications via the Tax Division Online Tax Information
System (OTIS) at
310
0405-310 Rev 09/06/13- page 5

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