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Home My WebLink About911018.tiff IS15-OPT For PRESCRIBED BY THE PROPERTY TAX ADMINISTRATOR Sk^rCQf1;' FORM 920 1/66-6/90 PE. Al FOR ABATEMENT OR REFUND OF TAXES—c F. .SEC tAI�C' 1�1�1� /t,._ r Petitioners: Use this side only. ��i� �� 1 l s; Greeley r Colorado, June 19, lg ill _ City or Town C P•-�� Wel d CHEM,Ca To The Honorable Board of County Commissioners of 0. Gentlemen: The petition of Gerrity Oil & Gas Corporation (fgrmQrly Th.e...Rob.e-rt_ae.r-r.ity..Calpar0 whose mailing address is. c(o Logan & Firmine,, Inc. P.O. 64x 4274 Englewood Colorado 80155 City or Town State Zip Code SCHEDULE NUMBER DESCRIPTION OF PROPERTY AS LISTED ON TAX ROLL 0 0176587 Shannon 14-1 restfully requests that the taxes assessed against the above property for the years A. D. 199O , 19 , are erroneous, illegal, or due to error in valuation for the following reasons: (Completely describe the circumstances surrounding the incorrect value or tax.) Original Original Original Corrected Corrected Corrected Reported Reported Assessed Volume Value Assessed Volume Value Value Value 417 Bbls 5929 5190 143 Bbls 2500 2190 2671 MCF 4007 3510 845 MCF 1351 1180 870O 3370 The original 1990 Oil and Gas Real and Personal Property Declaration Schedule" was reported in error. It included sales from November and December 1988 which were previously reported on the 1989 Declaration Schedule. „ . 199O � , � ,,, Value Tax Value Tax Orig. 8700 $ 676.86 Abate. 5330 414.66 Bal. 3370 262.20 The taxes (have) (liiiilWiitA) been paid. Wherefore your petitioner prays that the taxes may be abated or refunded in the sum of $ 414.66 I declare, under penalty of perjury in the second degree that this petition, together with any accompanying exhibits or statements, has been examined by me and to the best of my knowledge, information and belief is true, correct and complete. Gerrity Oil & Gas Company Petitioner 74 / By — Agent Richard D. Logan Address P.O. Box 4274 Englewood, CO 80155 911O16 >;— c( iv:R, Ty., -4V1 RESOLUTION OF COUNTY COMMISSIONERS WHEREAS, The County Commissioners of Weld County, State of Colorado, at a duly and lawfully called regular meeting held on the 12th day of August , A.D. 19 91 , at which meeting there were present the following members. Chairman Gordon E. Lacy, and Commissioners George Kgnnedy, Cgns.tat?ce..L. Harbert, C.W. Kirby, and W.H. Webster notice of such meeting and an opportunity to be present having been given to the taxpayer and the Assessor of said County and said Assessor,,...refire.sen.t.ed..by...Dorathy..Allen,_and taxpayer representative, Richard Logan, not being present; and (name) (name) WHEREAS, The said County Commissioners have carefully considered the within applica- tion, and are fully advised in relation thereto, NOW BE IT RESOLVED, That the Board... concurs with the recommendation of (concurs or does not concur) the assessor and the petition be approved , and an abatement/refund be..a,l.lowed (approved or denied) (be allowed or not be allowed) on an assessed valuation of$ 8700.00 for $ 676.86 total tax for the year(s) 19.9.Q.._ Ch oa f County Commissioners. STATE OF COLORADO, County of Weld }ss. I, Donald D. Warden, Clerk to the Board, , adiatigKE ggak of the Board of County Commissioners in and for the County of Weld , State of Colorado, do hereby certify that the above and foregoing order is truly copied from the records of the proceedings of the Board of County Commissioners for said Weld County, now in my office. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said County, at Greeley,, Colorado., , this 12th day o A u t A. D. 19 91 County Clerk. By- .R-- Deputy. ACTION OF THE PROPERTY TAX ADMINISTRATOR Denver, Colorado, , 19 The action of the Board of County Commissioners, relative to the within petition, is hereby ❑ approved; ❑ approved in part $ ❑ denied for the following reason(s) • ATTEST: Secretary. L Property Tax Administrator. T v Y • s- r a) L cr 3 C s_ T o a) 4-) -- CD 'O rt +l qq y� y ' o l 5- 5 ,N o a) O O C • N v, y'� O 7 O w. L •� tt/Otn/�� vyOi QG. 'O ,$y p0 A .. r6 O O i Qi ¢ W -.- 'F� a 8e U O a O ro Y K d tj 4,,, o - W O y in c � � O gg . o o rZ o ateI v�'t v > - _C s • it. o E." w. s. o is +> ac b s- • Q .8 os.� a e . w Wat s. O o c E '~ a n ` a .2 .0 • o m0, a�) �a, +) F2 *0 .t., LL '0 la rd c ( -C re @ ,: y o . 'Ogi E-. o z° g a o co -o82 ' :.' '8 toppcol, ° O O BE• O v Y-, ) s---. i w. D a,Y.. ••.7: a, I i. bi tolG 4-4 y c a co v) o as as o rya :(m ro a) \ `.� ;a o �'4.1 & q r. O c. V] rx ®❑O y 'o rf 3 --...L) w a E 9 .,, i. lag?-.1400,4064063g61,3 CR ilS CFFICL• - State of Colorado 1990 915 At.. :471.... . . : OIL AND GAS U\ GAEELCYa Co atll{31 REAL AND PERSONAL PROPcIi7Y Assessment Date Due Date U` • MtlLO DECLARATION SCHEDULE ' County CONFIDENTIAL DATA January 1 April 15 MAIL TOCOUNTY.ASSESSOR YOU MUST FILE EVERY YEAR REGARDLESS IF ANY ADDITIONS OR DELETIONS WERE MADE. B.A.CODE T.A.CODE SCHEDULE NUMBER CHANGE OF NAME AND/OR ADDRESS 0013350 A, NAME AND ADDRESS,(INDICATE ANY CHANGES) • GERRIiInt Acacia Y C011PACIY IHE DO NOT USE — FOR ASSESSOR ONLY Shannon 14-1 tE IAC Code Description t Actual Value 4 LOGAh 6 rinn WELLer S % Asseasad Value P C Ca {2]6. . • 71 Primary Prod. $ B7&$ zNGLEYOOC CO BUM'S 71 Secondary Rod. 75 LOCATION OF PROPERTIES OR LEGAL DESCRIPTION 72 Improvements 29 'SE/4 NW/4 '1 5 67 • 7d Equip. rum 29 TOTALS $ $ RECEIVED APPROVED : LEASE NAME OR DESCRIPTION COMPLETED ABSTRACT CHGS. LATE FILING PENALTY APPLIED YES 0 NO0 o. Date Businen Started Type of Product or Service • lin County) Corp.❑ Part STATUS OF PROPERTY'(Please Check the Appropriate Box) Is this the ❑ Individual CI Other ❑ Name and Address of Previoush Partnership Previous Owners: ❑ NEW BUSINESS OR tint return? ❑ Yes El..I:: ❑ NEW OWNERIS1 (YOu MUST ATTACH a comliiete itemifed listing of all your property.) PLEASE INDICATE THE•LIFE OF THE OIL AND,GAS.RESERVE IN YEARS UNDER THE CURRENT PRODUCTION RATE YRS. C. PRODUCTION'REPORT FOR PREVIOUS.YEAR Cl. PRIMARY:P.RODUCTION - FOR ASSESSORS USE ONLY U. • A 8 C D E F G Field Name -.Well N' Sold or Flared, Ave.Price i Y NO I Total Tn Value or Allowed nssorled Vented or At Well Head Royalty Actual T Pr From Used on or Field Product y y Value PremisesLease Price (e x DI Exclusion (1-%exempt) (E x F) eBL 417 14.21/3abi 5,929 MCF . 2,671 1.500haDF 4,007 5,. ;.:,:.H:!;: . . . BBL /bbl • MCF /MCF BBL /bbl _ MCF /MCF "' - Totals Totals Totals der . -Tot6fi- I C2. SECONDARY,;TERTIARY OR RECYCLING RECOVERY PRODUCTION FOR ASSESSORS USE ONLY Method U A B C .__D-- E _ Of Field Name W°II N Sold pr Flared-- F G Av�'oe Allowed Recovery No. I Total Transported Vented or At Wall Head Value o/ Royalty Actual T Produced From Used on or Field Product Exclutlon Value Premises Lease &hip _, - (e x D) e _ 0.% xempt) (E x F) BBL /bbl . . . . . MCF /MCF BBL /bbl MCF /MCF BBL _ /bbl MCF —_ /MCF _ _. - :•:', 7;(* . Totals Totals Totals TO-fair— Tosels D. EXCLUDABLE ROYALTIES ------ Excludable royalty amounts are limited to the fractional interest owned by the Federal Government, the State of Colorado,counties,cities, towns,municipal corporations, tribal councils or other yovefnnlent organfrntions within Ilia State of Colorado. Well Lame Name Or Number Royalty% • No. Name Of Governmental Entity Exempt From . . . . taxation (SFr O-fI1Ffl SWF, 101 ry$ fir II inn I lllc copy - ---- _ Y`--1- WELL Me1b100 P ellCla!- r. 611AU8 16 FLOW nA - NO. LEASE NAM[ DEPTH OP MELD PO nM A'r10N 2coyenV E. ACTED t[aL or MCP/DAN) -. 7400 - -- _ .- Jenver(D-J) __..- ._ 0il.--- 1.14 _ -- . ._ _ .. . _ -...---- • ._Gas ...--- — --7.32 Water Minimal F. LISTING OF REAL PROPERTY IMPROVEMENTS (Attach a seem ere sheet if necessary) etallalnes,PI eeeeee end L Id Ins eeeeem ants Deaerl Pllnn and Loaa°ee Daly ill Imlalbtl Cote Additions Since 0,191nae InstallationInstallation O. LISTING OF PERSONAL PROPERTY Furnish a complete listing of all property.Additions meal deletions may bn listed if n complete listing has hems previously filed with the assessor. Item Description Merlin or • yeas Dale Acquired_ O.�wl EHbnnled No. Capacity Mr9. —New Oea bnbaed-Oett Eelbmla .. I—.-_� Phyrinal V gi LI1i II) List Personal Property acquired during previous year. (Attach se 10i ate sheet if necessar y.) Grid Condition In Years Flowing Gas Well with Tanks _ _ _ 4177 Minimum Assessed Velue 115n l21 rise Personal Property sold, traded.or perm mottle disuosed u during ur viow year. (Attach SOWN ate sheet if necessary.) 131 List ALL Mobile Equipment. Attach separate sheet if necessar . I NOTE: The cost d I description and year acquired data must be furnished above for those fully depreciated assets still in use. H. DEPRECIATION SCHEDULE (Furnish Information or Attach most current Corny of Federal Depreciation Schedule) a. ensue and guideline ewe b. Dab c. Cost or d. Depreciation a. Method o/ or tlosarlptien of property aseuired ether bath allowed nr anlowabh nonlpullpg 1• rah,or 9. fhb year Depra y aen for In prior years depreciation nee ear Cost of other fully depreciated assets still in use. I$ I $- 'rolal depreciation I. LEASED, LOANED,OR RENTED PROPERTY (Furniture, Signs, Etc.) (Declare Property Owned By Others Here.) Did you have in your possession on January 1st any leased, loaned,rented machinery,equipment, or furniture, fixtures, signs, vending machines,etc.( ❑ YES Cl NO If yes, list below showing description of this property and name and address of owners. Name and Address of Owner/Lessor Description Model/serial No. Year Current Cost or Year Installed Total Yearly Aanl Mfg, GSA List Price Please furnish details of purchase or maintenance options. (Attach a separate sheet if necessary) J. PURCHASER'S STATEMENT Use nemes and add eeeeee of purchasers of oil and gas products. Attach separate sheet r1 necessary. Name Address nuantltY K. DECLARATION THIS RETURN IS SUBJECT TO AUDIT. "1 declare,under penalty of perjury in the entailer deep ee,that this schedule,together with now accompanying exhibits or etatemnnts,has been examined by me and to the best of my knowledge,information,and holier,erne froth n lull nod complete till nl nil bumble personal runneriv°wiled by me or in my!Mile,' sloe, or under pay control, tomer, in this rmmiy.i9:olot ado on den netmenent rime', °I this Vann;thnl CVO'MIND ty has been reasonably described and its value fairly represented;and that no atleunpt h'' -- ��n ado to misl the ass r m to its age,quality,quantity or value " CRS 39.5-10712 SIGNATURE OF OWNER OR AGENT, _^'� _��`+'i>L_ �,/�,NAME OF OWNER The Robert Gerrity Company DATE % ' `-��PRINT NAME OF PERSON SIGNING Richard D. lQ.gaLyTax Representative PHONE NUMBER (303) 771-5511 PLEASE COMPLETE,SIGN AND RETURN TO IRE ASSESSOR ON On BEFORE APRIL 15 1090 TAX NOTICE REAL ESTATE MFRANCIS M.LOUSTALETU 7901 22569=A LEASEHOLD INT SL IW4 14 5 67 WELD COUNTY TREASURER ( SHANNON 14-1 ) GERRITY ROBERT W COMPANY THE PO. BOX 458 GREELEY,0080832.0458 PHONE: 3584000 SCHEDULE EXT 4453 0 0176587 T VALUATION VALUATION TOTAL LAN IMPS OR PER. VALUATION LEVY D 1ST HALF 338.43 I 2ND HALF 338.43 TOTAL 676.86 o4 8700 8700 77.800 PARCEL 095714000007 01 PIN 0 0176587 DIST 0400 GERRITY ROBERT W COMPANY THE TOTAL % LUGAN E FIRMINE INC AMOUNT COLLECTED P U BOX 4274 ENGLEWOOD CO 00155 PAID BY Office Copies IF YOU NEED OUR RECEIPT PLEASE CHECK HERE❑ SCHEDULE O O 176587 DETACH FOR YOUR RECORDS PARCEL NUMBER COUNTY OF WELD, STATE OF COLORADO TAX DISTRICT 0400 1990 TAX NOTICE 095714000007 01 r TAX AUTHORITY LEVY TAX DUE DATES i WELD COUNTY 22.209 193.22 General property taxes are due SCHOOL DIST RE4 45.820 398.63 January l of each year. NCW WATER 1.000 8.70 WINDSOR SEVER FIRE 1 . 721 14.97 FIRST HALF - Delinquent alter AIMS JUNIOR COL 5.918 51 .49 Iasi day of February WINDSOR LIBRARY 1 . 132 9.85 p p n SECOND HALF - Delinquent alter A APPROVFD last day of July n r�s FULL AMOUNT - Delinquent alter • FOR P1' i7{1�!! NT last day of April Date /7_9 3 ly IF LOAN COMPANY IS RESPONSIBLE FOR THIS TAX. RETAIN THIS BILL FOR YOUR FILES. /L`-- } Logan & Finnine, c. 77.800 676.86 aeali EVYEAIDI NNENB��NPROPERTY GENERAL 63.530 i Tax Payer Copies IMPORTANT SEE REVERSE SIDE i • c• c' r+-ly 0;I 4 G44 Lorrar.c'+t),l Sv„,,nal 6-f G.nSS 0; 1 an.l. ent1 Sales fio„s 4 IGCJIAC. Wy& .4/l3/11 L;voi 4-O Wm, Gcl+ ,-ty During 4hc. P cc'hd January `89'a.nvaly `85 • I1 II 0i'(„SAI+cS . _ I.. bac 3ale..s If I' i Gross Vo Iumc Gross' Waive Gross Volume Gross V41 lick 1 ---- _—::.::_.— _-_ --___--__Lekis)_.____ _ ._ -_:_ 6ernl3o.r-ti_-t :1-3 VIII-9-(C.om, njiti) , I I i I 1/88 12-12 7a S8 l . :S L tgi I'1 .2,6 a .`f, .4•II 0;4;52. . 2/AS II1illil4 ;3 1 .3 0;16 '113t1 ;4'1 , ',3144;7;8s' s/S& _. ....... . ' .. ;L_S! ;2'6�!!__ .L12;41; I : ..3 9'25112 CIS. 1.Oi + I 4/88 I 1 1!918.IA I ,311L1r SL , 1211 6121' i. ;3440103' slag ._. ..._ : . . I :.. 1;1,0 66 ;I 8 S;2SS._ . I2SI?0 '.. ( .' .;3 b 113 13' • : I � ; 6/8$ .... . ..,... I3l9y38 i 6 I i0 3.9._ _:_!2.01:1i,3 l ..'2.g.':0!?s'2' - —... 7rg8.. . - - . F.._. . I., 46 t_�2. 414 2 Vf ._j2 I�'p� - !i 9°I:071- t 1 li , • , , . __ S/$g .- -.. _ ; . !1.0:9. s •• rLIS!! . 12 !I3:417--- . . i2 'T3 1 I f 1 I ,l6 s'6 + ; , 6�t 7/SR ; 111 1.01 : ryslA j1 Al_ • �Z 211'7' � I9 stli.a 34' ' '' I 1o18fl 1 1 .- _ _- _--.-_-. -_-_...._j._._ ;...1_ .I_l2 8,.11._, _1—L 7.2 983, -.----__120 6.10 ____-_,7_010S.II. . . ! _11/28 __-_ 1111...-_..r.._., .-. :.. . ;9;6.01 .... . _1,2.0.O.SIL_.__1,_117S_1fl.`_ __2?.;1.�1 IS' 1 .. ... r2/21 12/88 -- __.. . _ I• _ 9 0.IIS _ _7. 5.44.. I_.�I_7.4Si— __. ._ _1244 f _It' 4.1I I �_ lt'1 43 2 3 3,3 ' 3 B 42 1< 441 i 1j 1 •I �1 7�l X43 ;2�G1G !lflt 4!q'F; X41 OI'�7/14 1" it; I I -.— - l -a I - j--- • I-` • •--• • . 11.0-A50,1 I-I -- ___..�._} . .I I. l 1 - I ; 1/88 . �I;S 1,43 .. :21,54 36.. _. I .;f I:I7._-.__. ..II 9;7%6 SI II I ' I 2/88 • • i I _ _ 1 + ' I.t jOl't.'11 . . . . :1 S.8:61,61 i ' , 1 , _1188 .I S All'; :2,6;4•I91ss . 15100 1 . I7•L 7;43 . +/88 i 4 401 � . '$;O Lit$ . ;13!9,6 I . .210 0'6 S2 5/89 ,1.9 6�3I I , ,3I2 !ISIQ119 : 'L 118:61 I.i:.13 1.4;1.93 i I 1 1 ' I . , 6/88 . ;1:8;6.'11 . :?18"118151.. 4 1921.1 ;. :2 9.9 i8;9`t 7/88 ..'114,8'1 I ,2ITC013 'I B'8 ?` • 1241981:2? g/88 115,51,r1 ;t• 12 614;90 1 , 24j ;2 I •0 3'c2 i I 1188 !1.3,82-89 I . :t 9,3 2;16 I jL 151 1 . ;2 0:3 41.'66 • io/8$ , 6 434 I . Id''I 1• 129 114 g 3} . '2;0 f 9-14 1I/88 : :1.9 4;22 ! '214-;2 1 i7S 1 14 2 1 2 2 1 1,19 12./82 7 g,40 Ili 43118 1!2 2 I .1;1 14:32 ,_ 121- i •1 5 1.90 ;13..1:13.1 1 :6 2 7 2:. 1'2.11 r I I'1 12.38„ � 26,i La 1135 r I 9:_2_'I `# , 2 9''1 2 0.11 I Shq n+io+l°N.-1 • /a8 19LOS 3•120:81 782 l4Q469 _ _ ._.._?Ia.__ _ 164.93 i 2.59 'I:f.5" 833_-_- ----._._I 9 9 0 '17_- 3/KR ------------------- -----.._..l_�- — ss a ,az `f a`2- 4/88 199.09 3 `- 3430 'I2_g ' I0292I. [ !1 5/88 1 `1 2,51 I 3 2 31 .f.54 9 0 1 . 1 2_1 2 42 1 I IE 6182. 1 8 00 ,I 2 8 5 2 00 '1 6 5 1 0 5 '1 43' I 1 7/88 103.37 �1 • ' 527 (,6 ; 8 '13 ' I I I06'). 1 I. - _---1111.. - i� -. 1._1_ . _ ._ I _ -- .=.--. _ • " ' 1.11113,] l U...• . • Ney,.:l.,I f.: 1 i App.oved iii i ►i,.SUIJ JI)Ill.::1:.11d1":1It1• 1:"•u1..•....•...1'.I: .. 1••t>I IN II!.A _.. .::-.__. ... _.a._.... ....... ..—. -..—.._......-..--.--.. ( II ll Ii I SA!QS G45j-gI�S 1'I I is (�(aSS Uo)Vm¢ ;j GroSS Value. E Gross Volumre. II Gross Value. ill I I! CBbis)_ CMcCs) • _._�_ .. ll -- - — -- — - - 7-- - - - ..._ ._. _. --.— I� 1 • r ! , �I I i I Sh4nn4/+�f'l-1 (�oAfa9VCd) ros84_) i I ..{} I I I • • II I . .I..I ---7 ,--1-- -• . ?I 2 alas I 1 -- a.l, ! .. .a!3;9 ...._; . _ . I o: .• 1_14 _ 1 0_ Ia • 1 ! - - __... ._. . — — 3 1 I3 < I ... I X0%8.. � I I 1 ST'. ... . n o.. . _.. -iI. . ._ _f_ . 0.17 L_ . . 1 I ,.8.' 5 _- — .._.._ --- I . y I 1 �! .' gig' I I a 4 Z4'I It _. _ f. 6 __ I�11l�MAI�1l�!��I�� I�_h/l�Y, , .....-....I---•-- _ --....__ 9 10 tO 11 v _■ ._.•.IIII ii II�I__1 1 11�1�1111.1�X111111■ u ■I. _ 1 1 ■1 1 _ _. . I i_. __� _ ,2 _--�.Gnr.Lec.�llalue.s fog 1458-1483 __ - ,: _� -•, k_r_ti arli ti l��'1-� - - . - — _ _■I __1 _.. 1 _ . I ,3 1: _ . I �t _ �a.l I � 1! 14 1-1)/1Q -- 1 1 3 k s - 1/ea 1511 )1- 16 - , ■I IIAAI. : 15 --._. _. .__. I ---i—I—-- - _■I.-.1 j- 1 _ I__ l.T.. . �._■I 18 _._ _1; ,7 _ I _ L. ■I. .. 1 - I18 19 1') I IS I Y _I t 3 9•!I iS 10 I . I:7 I.'F47 ... _ a,S. 1;0,8 to _ . I-12/08 .. ._._... . . ,1 $ 1 I I ' ! I 't0 i 1 I I ! �. . I i ,{ ` , .I i 22 I I II. -- . -- �_J. 1 1 I 23 - ' }I- -5hnnnon �'h-I ..H_.„ :_ .. ..__ ! � 1 , I 1 I _I I III ..16.. ... !LI4 aii iso J 1 I I..19 !•,0!S .._I._ .. . 11.13 S111.1163 2s 1-1L�Sfl t I ' i f/si9 pntY __ -- !, III . l.. 25 I 1 i 26 ' -. . . . . �_ •.�.i i I. I I I I I i • 1. I • ! • . 21 11 ! i ! I I • : II • 1 ,; i I 26 I; ! ...I ... I 1 II } . y •I I : I 1 I . • ! , . I } 21 •• • I i }� i , 1 1 w it ..1.- ! — _... .;� ' 1-. , �I I I I I I- •!: .11 I I .. 1, I ; ij IIi. + 1 • I 1 I t. I I • 11 I . . j . I !I I ti ,� I .. . ! j; I i • l II i .. ; p it !I 91.1.01.9 :1 i I. ' II j .........• ...• _ 1 OGCC FORM TO FOR OFFICE USE ONLY Rev,a/B7 : STATE OF COLORADO OIL AND GAS CONSERVATION COMMISSION �• 1 FE UC SEI DEPARTMENT OF NATURAL RESOURCES CERTIFICATION OF CLEARANCE AND/OR CHANGE OF OPERATOR •OGCC LEASE NO. LEASE NAME WELL NO. API NO 408'15/6 ,:{}g N/UoN ly-1 0.5 is 3 M9s/ FIELD 1p NAME I.NO. 'aa cc/T��++ p /-,�+ COUNTY / 7� LOCATIO'{'N/(X,(K./SE1C�y/T/Wp.RNGIle.C., ,IY -7-' /� Q /-yb EtiTOR MA€A6; /07. )n I E k l SE /%(VFW l' ! s NO. AREA CODE PHONE NUMBER!Y-/t /n / W tRATIA) FXP,corPATioN0R ADDRESS � _/NC, � r�54a (303 ) �3-3/00 OPER ) _ ` '1 `-y /1 /1wS,.T,ATE QZ,IP CODE�T /• �EYwUS0PE.f OARUtatit4 De .' �SUL TF .300 T-�• \-�L/N•� EFFECTIVE DATE .CHANGE / ris-,, 5 THE CyFr°R/Ty Pan P,9MY (:338'70 J TP -/7- S9 *Complete only If this well Is part of a previously producing lease. "Complete only ft change of operator. PRODUCING FORMATION(S) (A separate FORM 10 TYPE OF COMPLETION must be submitted for each producing formation of a ❑ NEW COMPLETION ❑ COMMINGLED COMPLETION Multiple Completion.) ❑ RECOMPLETION . ❑ MULTIPLE COMPLETION New Well Test Data on 24 hr. Basis:. Bbls.Oil Mcf Gas Bbis.War. OIL TRANSPORTER (Purchaser) GAS GATHERER (Purchaser) NAME OGCC NO. NAME OGCC NO. ADDRESS ADDRESS CITY STATE ZIP CODE CITY STATE ZIP CODE AREA CODE PHONE NUMBER DATE OF FIRST PRODUCTION AREA CODE PHONE NUMBER DATE OF FIRST SALES 1 1 1 ROYALTY OWNER METHOD OF WATER DISPOSAL ❑ STATE ❑ FEDERAL ❑ CENTRAL PIT ❑ COMMERCIAL PIT ❑ INDIAN - ❑ PATENTED ❑ ON-SITE PR ❑ INJECTED NUMBER OF ACRES IN LEASE ❑ N/A Remarks: The undersigned certifies that the rules and regulations of the Oil and Gas Conservation Commission of the State of Colorado have been complied with except as noted above and that the transporter(s)is(are)authorized to transport the oil and/or gas produced from the above described well and that this authorization will be valid until further notice to the transporter named herein or until cancelled by the Colorado Oil and Gas Conservation Commission. • OGCC Approved: 5'/IM CADY Name Prink //'/A C/� l/C Signature Signature nernti/&AA} r) -01,9 -e ? lute Date Title Date 01_101N W:44-ircialiginTLYs-s9&65E :SORtS 0Ff E_ State of Colorado 1989 9I5 lP_TH STPEFT OIL AND GAS GR Ll~Yt CO EiG6j.s REAL AND PERSONAL PROPERTY Assessment Date Due Date (AIet~n DECLARATION SCHEDULE January 1 April 15 _ County CONFIDENTIAL DATA MAIL TO COUNTY ASSESSOR YOU MUST FILE EVERY YEAR REGARDLESS IF ANY ADDITIONS OR DELETIONS WERE MADE. B.A. CODE T.&CODE SCHEDULE NUMBER CHANGE OF NAME AND/OR ADDRESS ci�o<< C/O Logan & Firmine, Inc. 51311 C 1335r __-_ P.O. Box 4274 __ A. NAME AND ADDRESS (INDICATE ANY CHANGES) • _ Englew00d, CO 80155 GERF ITV ROBERT Id COMPANY THE. DO NOT USE - FOR ASSESSOR ONLY Code Description Acres Actual Value % Assessed Value MOVRXPX4 14 — t Shannon 7110 Primary Prod. $ 87Y:$ r-- C/O C/O Logan & Firmine, Inc . 7120 Secondary Prod. 75 P.O. Box 4274 .--- Englewood, CO 80155 72 Improvements 29 LOCATION OF PROPERTIES (INDICATE ANY CHANGES OR ADDITIONS) + 74 kit'lli rv'1 & 29 SE4Ntt1 : .•-14- S:;b7. TOTALS $ _ _$ • RECEIVED APPROVED ' LEASE NAME OR LEGAL DESCRIPTION COMPLETED ABSTRACT CHGS. Shannon •14-1 LATE FILING PENALTY APPLIED YES ❑ NO❑ B. Date Business Started Type of ProducZor Service (In County).___— Corp.❑ Partnership❑ Individual ❑ Other ❑ Name and Address of Previous Owners: STATUS OF PROPERTY (Piease Check the Appropriate Box) ❑NEW BUSINESS on [NEW OWNER(S)(You MUST ATTACH a complete Itemized listing of all your property. 1. It this the first return? ❑ Yet ❑ No 1 C. INVENTORY OF WELLS Total No.Wells 1 Indicate Whether T Weil No. Type Depth Year Drilled Vou Are: Total No. Acres ®Operator of the Lease —- F.:1 Owner of the Leasehold List Fractional Intgr q(of Operator 1 UU % ❑Owner of the Land — PLEASE INDICATE THE LIFE OF THE OIL AND GAS RESERVE IN YEARS UNDER THE CURRENT PRODUCTION RATE YRS. D. PRODUCTION REPORT FOR PREVIOUS YEAR Furnish primary production in section D-1 and secondary production in section D-2 D1. PRIMARY PRODUCTION OR RECOVERY Total Transported from RoyyaltY-Ds v red Ra�IrtY Dslittared Total Taxable prlcsAv wri aH cad Produced Sold premises unsaiq H� atncy (P uo� y ly �� I I (A) (C) t xc(DI on} — xc it on (B+C�o(or E) or fQ1 r ee Well No. Oil (Bbl.) _1,772 1 ____1,772 $15.1550 /bbl Gas (MCF) 9,805 9,805 $1.4175/MCF well No. Oil (Bbl.) _ Totai or:c ua ua 40,756 $ /bbl P —$► $ /MCF Gas (MCFI_ Less Exam pt Rn a(L -0- Wen No. Oil (Bbl.) GV After Fx. Royalty f 40,756 $ /bbl Gas (MCFI . Total Asxgs*edValue It 35,660 $ /MCF D2.SECONDARY,TERTIARY OR RECYCLING METHODS OF PRODUCTION OR RECOVERY __ Welt No. Oil (Bbl.) ' $ /bbl . . Gas (MCF), . $ T /MCF Weil No. : Oil (Bbi.) _ _____ ,$ /bbl Gas (MCF) . . $_ /MCF ' Weil No. Oil (Bbl.) $ /bbl Gas (MCF) r• $ /MCF O3. METNOD OF.SECONDARY, TERTIARY:OR RECYCLING RECOVERY, (i.e. water injection, CO2 injection, etc.). 'wan No.' Wolf:No. wen No. • E. ASSESSMENT EXEMPTIONS REQUEST: (Attach separate sheet if necessary.) Exemptions are limited to the fractional interest owned by the Federal Government,the State of Colorado,counties,cities,towns,municipal corporations,tribal councils or other government organizations within the State of Colorado. Name et Government Fractional Lease No.& Legal Description organization Owning Interest Address Interest Owned Total Production: • . " I ExemPll.1. ., , 'Taxable: f/Harrel or MCF: RETURN THIS COPY (SP.P. other SICIP..) c.'..":' " "--)4 q a F. LISTING OF REAL PROPERTY List below or attach a separate sheet listing buildings, fixtures and leasehold improvements constructed or installed the previous year.This list shall include the description and location of the property, the date of installation, the original installed cost, and any additions since original installation. - Date of Additions Since Original • Buildings,Fixtures and Leasehold Improvements Description and Location installation Installed Cost installation 'G. LISTING OF PERSONAL PROPERTY SEE Qil-AO ED Furnish a complete listing of all property.Additions and deletions a�ybe iste i a complete listing has been previously filed with the assessor. Item Description Model or Year Date Acquired Original Estimated Capacity M1v• Installed Cost Estimate Remaining No. New I Used Physical Useful Lire Condition List Personal Property acquired during previous year. (Attach se Jarate sheet if necessary.) in Years • (2) ,.ist Personal Property sold, traded,or permanently disposed of during previous year. (Attach separate sheet if necessary,) (3) List ALL Mobile Equipment. Attach separate sheet if necessary. NOTE: The cost, description and year acquired data must be furnished above for those fully depreciated assets still in use. H. DEPRECIATION SCHEDULE (Furnish Information or Attach most current Copy of Federal Depreciation Schedule) a. Croup and guideline class b. Date c. Gast or d. Depreciation e. Method of f. Life or g. Depreciation for or description of property acquired other basis allowed prlo�years bls deprocomclatlon rate this year Cost of other fully depreciated assets still in use, $ Total depreciation I. LEASED, LOANED,OR RENTED PROPERTY (Furniture,Signs, Etc.) (Declare Property Owned By Others Here.) Did you have in your possession on January 1st any leased, loaned,rented machinery, equipment, or furniture, fixtures,signs,vending machines, etc.? ❑ YES ❑ NO I f yes, list'below showing description of this property and name and address of owners. YearSerial No C Description, . Model/ . urre null t Ca or Year installed Total Yearly Rent Name and Address of Owner/Lessor Mfg. GSA Llst Pricste .,, i �lr II/ - Please furnish details of purchase or maintenance options. J. PURCHASER'S STATEMENT List names and addresses of purchasers of oil and gas products. Attach separate sheet if necessary. Name Address Quantity K. DECLARATION THIS RETURN IS SUBJECT TO AUDIT. "i declare,under penalty of perjury in the second degree,that this schedule,together with any accompanying exhibits or statements,hes been examined by me and to the best of my knowledge,information,and belief,sets forth a full and complete list of all taxable personal property owned by me or in my posses- sion, or under my control, located in this count in Colorado on the a ssment date of this year;that such property has been reasonably described and its value fairly represented;and that no attempt a made to t lea assessor as to its age,quality,quantity or value. CRS 39-5.107(21 SIGNATURE OF OWNER OR AGENT ,�/ NAME OF OWNER The Rob rt Gerrity Compdny % l�v/ OAT f'ItiN-`VAMrOFPERSONSIGNING Richard D. Logan, Tax Representative PHONE NUMBER ._ _1t30 )/771-5511 "' ,,AsE comfit E t SIGH AND ITT •' r TO TIIE A ,I.SSOR ON on fll: nnE APRIL 15 `� rsCLERK TO THE BOARD F.O.BOX 758 i GREELEY,COLORADO 80532 (30313564000 EXT.4225 O COLORADO July 25, 1991 Gerrity Oil and Gas Corporation c/o Logan and Firmine, Inc. P.O. Box 4274 Englewood, CO 80155 Dear Sirs: This is to advise you that the Board of Weld County Commissioners will hear your petition for tax abatement or refund on the property described as: Shannon 14-1; Bernhardt 1-3; and Hansen 1-1. This meeting is scheduled for Monday, August 12, 1991, at 9:00 a.m. , at which time you may be heard. The Assessor is recommending that the Board approve your petition. The meeting will be held in the Chambers of the Board, Weld County Centennial Center, First Floor, 915 10th Street, Greeley, Colorado, at the above specified time. If you have any questions concerning this matter, please do not hesitate to contact this office. Si erely. Donald D. Warden, Clerk to the Board By: diaDepr cgliti and XC: Assessor County Attorney Hello