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K-64O                                                                    KANSAS

                                            INFORMATION RETURN FOR
(Rev. 1/07)
                            INCOME TAX CREDITS ON BUSINESS MACHINERY & EQUIPMENT
                                    and/or WORKING INTEREST OF AN OIL LEASE
                           For the taxable year beginning _________________ , 20____ , ending _________________ , 20____ .

 Operator                                                                                                                     Social Security Number



 Operator Address                                                                                                             Employer ID Number (EIN)



 City                                                                             State            Zip Code                   Phone Number

                                                                                                                               (            )
Operators must provide each working interest owner with the information necessary to complete a Schedule K-64. To do this, operators
have two options:
        1.	 Provide each working interest owner with a copy of the paid tax receipt(s) along with a breakdown of their share of the property
            tax paid this tax year on the working interest of an oil lease or on the qualified business machinery and equipment, OR
        2.	 Complete this information return, K-64O, and provide each working interest owner with a copy of the joint interest billing,
            detailing their share of the property tax paid this tax year on the working interest of an oil lease or on the qualified business
            machinery and equipment.

If option 2 is chosen, the operator must prepare a schedule of the following for each well and enclose it with this information return:
        •	 the amount of tax paid this tax year on the working interest of an oil lease or on the qualified business machinery and equipment;
        •	 the name and identification number (SSN or EIN) of each working interest owner; and
        •	 each working interest owner’s share of the qualifying taxes.

Enter the total property tax paid from all schedules below ...............................................................................        $ _________________


Enter the number of schedule pages enclosed ................................................................................................       __________________


Enter the number of paid tax receipts enclosed ...............................................................................................     __________________


              ENCLOSE COPIES OF PERSONAL PROPERTY TAX RECEIPT(S) SHOWING TIMELY PAYMENT OF TAXES CLAIMED BELOW.

                                                                                                                                                 Property Tax Paid
   Property
                                                                                                                                            Do not include any filing penalties,
                                                        Property Classification
   Tax Year                                                                                                                                          interest and fees

                    Working interest of an oil lease

                    Schedule 2 – Oil and Gas Machinery & Equipment

                    Schedule 5 – Commercial and Industrial Machinery & Equipment

                    Schedule 6 – Other Business Property (Check all that apply)
                    q Spare Parts              q Supplies              q Other (describe):

                    Working interest of an oil lease

                    Schedule 2 – Oil and Gas Machinery & Equipment

                    Schedule 5 – Commercial and Industrial Machinery & Equipment

                    Schedule 6 – Other Business Property (Check all that apply)
                    q Spare Parts      q Supplies       q Other (describe):
                                                                                                               TOTAL TAX PAID

 _________________________________________                                  ______________________
 Signature of Operator	                                                                    Date

                                                                             (     )
 _________________________________________                                  ______________________
 Signature of Preparer	                                                         Preparer’s Phone Number

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Kansas Oil & Gas Property Tax Credit Form

  • 1. K-64O KANSAS INFORMATION RETURN FOR (Rev. 1/07) INCOME TAX CREDITS ON BUSINESS MACHINERY & EQUIPMENT and/or WORKING INTEREST OF AN OIL LEASE For the taxable year beginning _________________ , 20____ , ending _________________ , 20____ . Operator Social Security Number Operator Address Employer ID Number (EIN) City State Zip Code Phone Number ( ) Operators must provide each working interest owner with the information necessary to complete a Schedule K-64. To do this, operators have two options: 1. Provide each working interest owner with a copy of the paid tax receipt(s) along with a breakdown of their share of the property tax paid this tax year on the working interest of an oil lease or on the qualified business machinery and equipment, OR 2. Complete this information return, K-64O, and provide each working interest owner with a copy of the joint interest billing, detailing their share of the property tax paid this tax year on the working interest of an oil lease or on the qualified business machinery and equipment. If option 2 is chosen, the operator must prepare a schedule of the following for each well and enclose it with this information return: • the amount of tax paid this tax year on the working interest of an oil lease or on the qualified business machinery and equipment; • the name and identification number (SSN or EIN) of each working interest owner; and • each working interest owner’s share of the qualifying taxes. Enter the total property tax paid from all schedules below ............................................................................... $ _________________ Enter the number of schedule pages enclosed ................................................................................................ __________________ Enter the number of paid tax receipts enclosed ............................................................................................... __________________ ENCLOSE COPIES OF PERSONAL PROPERTY TAX RECEIPT(S) SHOWING TIMELY PAYMENT OF TAXES CLAIMED BELOW. Property Tax Paid Property Do not include any filing penalties, Property Classification Tax Year interest and fees Working interest of an oil lease Schedule 2 – Oil and Gas Machinery & Equipment Schedule 5 – Commercial and Industrial Machinery & Equipment Schedule 6 – Other Business Property (Check all that apply) q Spare Parts q Supplies q Other (describe): Working interest of an oil lease Schedule 2 – Oil and Gas Machinery & Equipment Schedule 5 – Commercial and Industrial Machinery & Equipment Schedule 6 – Other Business Property (Check all that apply) q Spare Parts q Supplies q Other (describe): TOTAL TAX PAID _________________________________________ ______________________ Signature of Operator Date ( ) _________________________________________ ______________________ Signature of Preparer Preparer’s Phone Number