Form Mts2 - Severance Tax Schedule Oil Well Incentive Reporting - 2002 Page 3
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1
2
3
4Severance Tax Form Instructions
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2002
SEVERANCE TAX SCHEDULE
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Oil Well Incentive Reporting
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DEPARTMENT OF REVENUE USE ONLY:
Operator ID:
Taxpayer Name:
Severance Well Rate Code Table for Oil (as of 1/1/2002)
Rate
Mineral
Rate
API NUMBER
352'8&7,21
5(3257,1*
5$7(
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6,'(75$&.
5(6(592,5
Code
Type
Description
3(5,2'
*5283
&2'(
180%(5
180%(5
180%(5
180%(5
*5266 6$/(6 92/80(
*5266 6$/(6 9$/8(
7$;$%/( 9$/8(
WRK
Oil
Well
Workover - Incremental
PP\\\\
180%(5
1
REC
Oil
Well
Recompletion - Incremental
NEW
Oil
Well
New Well
2
WLD
Oil
Well
Wildcat
3
COL
Oil
Well
Collection Well
REN
Oil
Well
Renewed Production
4
5
The cumulative total of all qualifying wells listed on Form 2002 for a particular Production Period, Reporting
6
Group Number, and Rate Code must total to Form 2000 for the same Production Period, Reporting Group Number,
and Rate Code.
7
8
The mailing address for all Department of Revenue mineral forms is:
9
Wyoming Department of Revenue
10
Mineral Tax Division
122 West 25th Street
11
Cheyenne, WY 82002-0110
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13
All paper forms must be signed and dated originals.
I declare under penalty of perjury that I have examined this return and, to the best of my knowledge and belief, it is correct and complete.
Authorized Signature
Title
Date
MTS2 12/16/99
Severance Tax Form 2002; page 3
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