Form 4101 - Annual Gross Products For Oil Page 2

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Instructions for 4101
Page 2
B. TAXPAYER TYPE
Enter "O" if you are the operator of this producing asset.
Enter "T" if you are an interest owner taking production in-kind on this producing
asset.
EXPLANATION FOR AMENDMENT - (amended returns only) explain the specific reason(s) that
the return is being amended.
C. CLAIM FOR STRIPPER RATE
Operator: Mark an "X" in the Claim for Stripper Rate Box and complete lines
one, two, and three.
Take In-Kind Interest Owner If the operator's report qualifies for the stripper rate you
will qualify for the Stripper Rate. Take in-kind interest owners do not complete Section
C.
Line 1 - If a single well is registered for this Reporting Group Number enter 1. If
multiple wells are registered to the Reporting Group Number enter the total number of
registered producing oil wells and active injection wells only. Gas wells cannot be
counted. If multiple wells belonging to an approved unit are registered under multiple
Reporting Group Numbers enter the total number of registered producing oil wells and
active injection wells in the entire unit.
Line 2 - If a single well is registered for this Reporting Group enter the number of days
that you wanted to produce but could not due to mechanical failure or disruption. If
multiple wells are registered to this Reporting Group enter the total number of days for
each well that you wanted to produce but could not due to mechanical failure or
disruption. If multiple wells belonging to an approved unit are registered under multiple
Reporting Group Numbers enter the total number of days per well in the entire unit
that you wanted to produce but could not due to mechanical failure or disruption.
Line 3 - Multiply Line 1 times 365 days then subtract Line 2. Multiply this remainder
times 10.(Note: beginning with 1995 production, if Sales Value (line D7) divided
by Volume Sold (line D6) is less than $20, multiply this remainder times 15). If
Line 3 is equal to, or greater than, Section D, Line 4, the property qualifies for the
stripper rate.

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