Form 4101 - Annual Gross Products For Oil Page 3

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Instructions for 4101
Page 3
D. TOTAL PRODUCTION AND SALES FOR THE PERIOD
TAKE IN-KIND INTEREST OWNERS SKIP TO LINE 6.
Line 4 - OPERATOR ONLY, enter the total gross production for the year.
Lines 5a 5b and 5c - OPERATOR'S WHO ARE DEDUCTING PRODUCTION
TAKEN IN-KIND ONLY, itemize each interest owner taking production in-kind who
is reporting on their own behalf and the volume taken. Accurately enter the TIK
interest owner’s name and Operator ID. If the Operator ID is unknown, contact the
Mineral Tax Division. If there are more than three interest owners taking production
in-kind who are reporting on their own behalf, complete and attach 4111. (Note,
ASCII filers must report all TIK on 4111.)
Line 5d) - OPERATOR ONLY, enter total volume taken in-kind from form 4111.
Line 5 - OPERATOR ONLY, enter total volume taken in-kind, (5a + 5b + 5c + 5d).
Line 6 - Enter barrels sold.
Line 7 - Enter the gross sales value for the year. Gross Sales Value includes all revenue
relating to the production for the reported year, including tax reimbursements and all
other revenue received or credited to all interest owners not taking in-kind and
reporting on their own behalf, and including all Federal, State, or Tribal royalty owner's
interest.
Box 8a - Enter the value of the Federal Royalty exemption, if any. NOTE: if exemption
exceeds 12.5% of box #7, attach an explanation.
Box 8b - Enter the value of the State Royalty exemption, if
any.
Box 8c - Enter the value of the Tribal Royalty exemption, if
any.
Box 8d - Enter Transportation "to market" costs which occur between the well head
and point of sale for which you can produce invoices for verification.
Line 8 - Enter Total Deductions (8a + 8b + 8c + 8d).
Line 9 - Enter Taxable Value (Line 7 minus Line 8).

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