Form 4121 - Annual Gross Products Breakdown By County/tax District For Oil Page 2
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1
2
3
4
5Instructions for 4121 and 5221
Page 2
Taxable Value - Enter the dollar amount of 4101 Section
D Line 9, attributable to the tax district listed.
Totals
-
The
total
of
the
Volume
Produced
Column,
(operators
only),
must
equal
4101
Section
D
Line
4
(Oil), or 4201 Section C Line 1 (gas); the total of the
Volume Sold Column must equal 4101 Section D Line 6
(oil), or 4201 Section D Line 6 plus Line 7 (gas); the
total of the taxable value column must equal 4101 or
4201 Section D Line 9.
COUNTY PREFIXES
Albany
01
Natrona
25
Big Horn
03
Niobrara
27
Campbell
05
Park
29
Carbon
07
Platte
31
Converse
09
Sheridan
33
Crook
11
Sublette
35
Fremont
13
Sweetwater
37
Goshen
15
Teton
39
Hot Springs
17
Uinta
19
Johnson
19
Washakie
43
Laramie
21
Weston
45
Lincoln
23
rev. 12/5/2000
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