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10-160
                                                             BBBB                                                  RESET FORM               PRINT FORM
                                             (Rev.12-08/2)
                                                                                    b.
                                          36100
                                    a.                                                                                              Page ______ of ______
                                                                               SEE INSTRUCTIONS ON BACK.
                                                                               c. Taxpayer number                             d. Filing period
Texas CRUDE OIL Tax
-- PURCHASER Lease Detail Supplement --
                                                                                                                                             f.
e. Taxpayer name



                                                                                                                                                          HP

1. Lease name (as recorded with the Railroad Commission)                    1. Lease name (as recorded with the Railroad Commission)

2. County of production                                                     2. County of production

3. Producer's name                                                          3. Producer's name




4. County code                                                              4. County code
                                                              Check                                                                               Check
                                                              digit                                                                               digit
5. Lease number                                                             5. Lease number
                                                       YES            NO                                                          YES                     NO
                                                        1              2                                                           1                       2
6. Is Item 5 a drilling permit number?                                      6. Is Item 5 a drilling permit number?


7. Exempt type (If applicable)                                              7. Exempt type (If applicable)

8. API number (If applicable)                                               8. API number (If applicable)
                                               Baseline       Incremental                                                  Baseline               Incremental
9. Incremental exemption                                                    9. Incremental exemption
                                                  1                2                                                          1                        2
   (If applicable)                                                             (If applicable)

10. Producer's                                                              10. Producer's
    taxpayer number                                                             taxpayer number
                                                       YES            NO                                                          YES                     NO
                                                        1              2                                                           1                       2
11. Are you liable for tax?                                                 11. Are you liable for tax?
If quot;NOquot; in Item 11, complete                                                If quot;NOquot; in Item 11, complete
only Items 12, 13 and 16 below.                                             only Items 12, 13 and 16 below.
12. API gravity                                                             12. API gravity


13. Gross barrels                                                           13. Gross barrels
    (Enter whole barrels)                                                       (Enter whole barrels)
14. Governmental                                                            14. Governmental
    royalty barrels                                                             royalty barrels
    (Enter whole barrels)                                                       (Enter whole barrels)

15. Taxable barrels                                                         15. Taxable barrels
    (Enter whole barrels)                                                       (Enter whole barrels)

                            $                                                                           $
16. Gross value                                                             16. Gross value
    (Dollars and cents)                                                         (Dollars and cents)
17. Governmental                                                            17. Governmental
                            $                                                                           $
    royalty value                                                               royalty value
    (Dollars and cents)                                                         (Dollars and cents)

                            $                                                                           $
18. Trucking costs                                                          18. Trucking costs
    (Dollars and cents)                                                         (Dollars and cents)

                            $                                                                           $
19. Net taxable value                                                       19. Net taxable value
    (Dollars and cents)                                                         (Dollars and cents)
Form 10-160 (Back)(Rev.12-08/2)




                                    INSTRUCTIONS FOR COMPLETING
                       TEXAS CRUDE OIL TAX PURCHASER LEASE DETAIL SUPPLEMENT
                                       You have certain rights under Chapters 552 and 559, Government Code, to
                                       review, request and correct information we have on file about you. Contact us
                                                  at the address or toll-free number listed on your report.

Items 1, 5, & 6 - For the lease name shown in Item 1, enter the identification number assigned by the Texas Railroad Commission (RRC) in Item 5.
Add a leading quot;0quot; (zero) to the 5-digit oil lease number assigned by the RRC. Enter the check digit in the box to the right. The Comptroller's office
can give you this number, or you may leave it blank. If the lease number has not been assigned by the RRC, use the drilling permit number in Item
5. Mark Item 6 to denote if Item 5 is a drilling permit number.
Items 2 & 4 - In Item 2, enter the county of production. Enter the 3-digit county code for the county of production in Item 4. A list of county codes is
available in the Crude Oil Tax Guide and on the Comptroller's Web site at www.window.state.tx.us/taxinfo/taxforms/10-codes.html.
Items 3 & 10 - In Item 3, enter the name of the producer from whom you purchased crude oil. In Item 10, enter the 11-digit taxpayer number,
assigned by the Comptroller's office, for the producer name listed in Item 3. A taxpayer number search is available on the Comptroller's Web page.
Item 7 - Enter the Comptroller approved numeric legislative exempt type, if applicable.
           02 = Enhanced Oil Recovery Projects approved prior to January 1, 1994
           03 = Two-Year Inactive Wells effective September 1, 1997
           04 = Enhanced Oil Recovery Projects approved January 1, 1994 through August 31, 1997
           05 = Enhanced Oil Recovery Projects approved after August 31, 1997
           06 = Incremental Production Leases effective September 1, 1997
           07 = Three-Year Inactive Wells effective September 1, 1993 (expired February 28, 2006)
           08 = Co-Production Projects effective January 1, 1994
           09 = Texas Experimental Research Recovery Activity (TERRA) Wells effective January 1, 1996
           10 = Temporary Severance Tax Relief effective February 1, 1999 (expired July 31, 1999)
           11 = Qualifying Low-Producing Leases effective September 1, 2005
           12 = Reactivated Orphaned Wells effective January 1, 2006
           13 = Enhanced Efficiency Equipment Wells effective September 1, 2005
           14 = Enhanced Recovery Project Using Anthropogenic Carbon Dioxide effective September 1, 2007
Item 8 - Enter the last 8 digits of the American Petroleum Institute (API) number assigned to each well that qualifies for a well-level exemption. This
          must be entered or the exemption will be disallowed. This includes exempt types 3, 7, 12 and 13.
Item 9 - For expanded EOR projects, mark the incremental exemption block to indicate that baseline production or incremental production is being
          reported. NOTE: If you are reporting incremental production, baseline production must also be reported separately.
          Complete this item for ALL lease types, even if you do not owe any tax. If you mark quot;YESquot; (responsible for tax remittance), complete all
Item 11 -
          remaining items. If you mark quot;NOquot; (not responsible for tax remittance), complete Items 12, 13 and 16 only.
Item 12 - Enter the API gravity for the lease. This should be a numeric figure to the tenth (xx.x).
Item 13 - The first purchaser must report the gross volume of oil bought from an operator or producer. Round all volumes up to the nearest whole
          number.
Item 14 - Enter the volume of oil not subject to tax because of a governmental exempt status, such as state royalty. See Rule 3.34 Exemption of
          Certain Royalty Interests from Oil Occupation Taxes and Regulation Pipeline Taxes on our Web page. Round all volumes up to the
          nearest whole number.
Item 15 - Enter the taxable volume (gross barrels - exempt barrels).
Item 16 - Enter the total value of the crude oil reported in Item 13. Enter dollars and cents.
Item 17 - Enter the value of oil not subject to tax because of a governmental exempt status, such as state royalty. See Rule 3.34 Exemption of
          Certain Royalty Interests from Oil Occupation Taxes and Regulation Pipeline Taxes on our Web page. Enter dollars and cents.
Item 18 - Enter any physical trucking charges incurred by the producer. Enter dollars and cents.
Item 19 - Enter the value on which tax should be paid. For EOR projects (exempt types 2, 4, and 5), incremental production leases (exempt type 6),
          and co-production projects (exempt type 8), enter one-half of (gross value minus exempt and trucking). For two-year inactive, three-year
          inactive, TERRA, and reactivated orphaned wells, (exempt types 3, 7, 9 and 12), enter quot;0.quot; For low-producing oil leases (exempt type 11),
          enter the taxable value based on the price of oil. See our web page to see the applicable tax credit. For enhanced efficiency equipment
          (exempt type 13), enter quot;0quot; unless the tax credit of 10% of cost of equipment, not to exceed $1,000.00, has been reached. For Enhanced
          Recovery Projects Using Anthropogenic Carbon Dioxide (exempt type 14), enter the taxable value based on the percentage of
          anthropogenic carbon dioxide used in the project for the report period. Enter dollars and cents.

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Texas Crude Oil Tax Forms -10-160 Crude Oil Tax - Purchaser Lease Detail Supplement

  • 1. 10-160 BBBB RESET FORM PRINT FORM (Rev.12-08/2) b. 36100 a. Page ______ of ______ SEE INSTRUCTIONS ON BACK. c. Taxpayer number d. Filing period Texas CRUDE OIL Tax -- PURCHASER Lease Detail Supplement -- f. e. Taxpayer name HP 1. Lease name (as recorded with the Railroad Commission) 1. Lease name (as recorded with the Railroad Commission) 2. County of production 2. County of production 3. Producer's name 3. Producer's name 4. County code 4. County code Check Check digit digit 5. Lease number 5. Lease number YES NO YES NO 1 2 1 2 6. Is Item 5 a drilling permit number? 6. Is Item 5 a drilling permit number? 7. Exempt type (If applicable) 7. Exempt type (If applicable) 8. API number (If applicable) 8. API number (If applicable) Baseline Incremental Baseline Incremental 9. Incremental exemption 9. Incremental exemption 1 2 1 2 (If applicable) (If applicable) 10. Producer's 10. Producer's taxpayer number taxpayer number YES NO YES NO 1 2 1 2 11. Are you liable for tax? 11. Are you liable for tax? If quot;NOquot; in Item 11, complete If quot;NOquot; in Item 11, complete only Items 12, 13 and 16 below. only Items 12, 13 and 16 below. 12. API gravity 12. API gravity 13. Gross barrels 13. Gross barrels (Enter whole barrels) (Enter whole barrels) 14. Governmental 14. Governmental royalty barrels royalty barrels (Enter whole barrels) (Enter whole barrels) 15. Taxable barrels 15. Taxable barrels (Enter whole barrels) (Enter whole barrels) $ $ 16. Gross value 16. Gross value (Dollars and cents) (Dollars and cents) 17. Governmental 17. Governmental $ $ royalty value royalty value (Dollars and cents) (Dollars and cents) $ $ 18. Trucking costs 18. Trucking costs (Dollars and cents) (Dollars and cents) $ $ 19. Net taxable value 19. Net taxable value (Dollars and cents) (Dollars and cents)
  • 2. Form 10-160 (Back)(Rev.12-08/2) INSTRUCTIONS FOR COMPLETING TEXAS CRUDE OIL TAX PURCHASER LEASE DETAIL SUPPLEMENT You have certain rights under Chapters 552 and 559, Government Code, to review, request and correct information we have on file about you. Contact us at the address or toll-free number listed on your report. Items 1, 5, & 6 - For the lease name shown in Item 1, enter the identification number assigned by the Texas Railroad Commission (RRC) in Item 5. Add a leading quot;0quot; (zero) to the 5-digit oil lease number assigned by the RRC. Enter the check digit in the box to the right. The Comptroller's office can give you this number, or you may leave it blank. If the lease number has not been assigned by the RRC, use the drilling permit number in Item 5. Mark Item 6 to denote if Item 5 is a drilling permit number. Items 2 & 4 - In Item 2, enter the county of production. Enter the 3-digit county code for the county of production in Item 4. A list of county codes is available in the Crude Oil Tax Guide and on the Comptroller's Web site at www.window.state.tx.us/taxinfo/taxforms/10-codes.html. Items 3 & 10 - In Item 3, enter the name of the producer from whom you purchased crude oil. In Item 10, enter the 11-digit taxpayer number, assigned by the Comptroller's office, for the producer name listed in Item 3. A taxpayer number search is available on the Comptroller's Web page. Item 7 - Enter the Comptroller approved numeric legislative exempt type, if applicable. 02 = Enhanced Oil Recovery Projects approved prior to January 1, 1994 03 = Two-Year Inactive Wells effective September 1, 1997 04 = Enhanced Oil Recovery Projects approved January 1, 1994 through August 31, 1997 05 = Enhanced Oil Recovery Projects approved after August 31, 1997 06 = Incremental Production Leases effective September 1, 1997 07 = Three-Year Inactive Wells effective September 1, 1993 (expired February 28, 2006) 08 = Co-Production Projects effective January 1, 1994 09 = Texas Experimental Research Recovery Activity (TERRA) Wells effective January 1, 1996 10 = Temporary Severance Tax Relief effective February 1, 1999 (expired July 31, 1999) 11 = Qualifying Low-Producing Leases effective September 1, 2005 12 = Reactivated Orphaned Wells effective January 1, 2006 13 = Enhanced Efficiency Equipment Wells effective September 1, 2005 14 = Enhanced Recovery Project Using Anthropogenic Carbon Dioxide effective September 1, 2007 Item 8 - Enter the last 8 digits of the American Petroleum Institute (API) number assigned to each well that qualifies for a well-level exemption. This must be entered or the exemption will be disallowed. This includes exempt types 3, 7, 12 and 13. Item 9 - For expanded EOR projects, mark the incremental exemption block to indicate that baseline production or incremental production is being reported. NOTE: If you are reporting incremental production, baseline production must also be reported separately. Complete this item for ALL lease types, even if you do not owe any tax. If you mark quot;YESquot; (responsible for tax remittance), complete all Item 11 - remaining items. If you mark quot;NOquot; (not responsible for tax remittance), complete Items 12, 13 and 16 only. Item 12 - Enter the API gravity for the lease. This should be a numeric figure to the tenth (xx.x). Item 13 - The first purchaser must report the gross volume of oil bought from an operator or producer. Round all volumes up to the nearest whole number. Item 14 - Enter the volume of oil not subject to tax because of a governmental exempt status, such as state royalty. See Rule 3.34 Exemption of Certain Royalty Interests from Oil Occupation Taxes and Regulation Pipeline Taxes on our Web page. Round all volumes up to the nearest whole number. Item 15 - Enter the taxable volume (gross barrels - exempt barrels). Item 16 - Enter the total value of the crude oil reported in Item 13. Enter dollars and cents. Item 17 - Enter the value of oil not subject to tax because of a governmental exempt status, such as state royalty. See Rule 3.34 Exemption of Certain Royalty Interests from Oil Occupation Taxes and Regulation Pipeline Taxes on our Web page. Enter dollars and cents. Item 18 - Enter any physical trucking charges incurred by the producer. Enter dollars and cents. Item 19 - Enter the value on which tax should be paid. For EOR projects (exempt types 2, 4, and 5), incremental production leases (exempt type 6), and co-production projects (exempt type 8), enter one-half of (gross value minus exempt and trucking). For two-year inactive, three-year inactive, TERRA, and reactivated orphaned wells, (exempt types 3, 7, 9 and 12), enter quot;0.quot; For low-producing oil leases (exempt type 11), enter the taxable value based on the price of oil. See our web page to see the applicable tax credit. For enhanced efficiency equipment (exempt type 13), enter quot;0quot; unless the tax credit of 10% of cost of equipment, not to exceed $1,000.00, has been reached. For Enhanced Recovery Projects Using Anthropogenic Carbon Dioxide (exempt type 14), enter the taxable value based on the percentage of anthropogenic carbon dioxide used in the project for the report period. Enter dollars and cents.