HomeMy WebLinkAbout911019.tiff II
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15-DPT FOr iESCRIBED BY THE PROPERTY TAX ADMINISTRATOR / d' lIT`( ACn
FORM 920 1/86-6/90 PE'. ...A FOR ABATEMENT OR REFUND OF TAXES-a F ....ECXEI. , , 9 ^
ti.i �J 11;�111 � ;'- In 7
Petitioners: Use this side only. 1 r-- y 'I �I
Greeley , Colorado, June 19, 19ii.J ` 5 ..,sd
City or Town C 3... r-x
To The Honorable Board of County Commissioners of Weld CFEELEYeapty
Gentlemen:
The petition of Gerrity Oil & Gas Corporation (formerly- The...Rube.rt G.e.r.rity...Calvert+)
whose mailing address is. c/o Logan & Firmine, Inc. P.O. Sqx 4274
Englewood Colorado 80155
City or Town State Zip Code
SCHEDULE NUMBER DESCRIPTION OF PROPERTY AS LISTED ON TAX ROLL
0 0160490 Hansen 1-1
respectfully requests that the taxes assessed against the above property for the years A. D.
1990 , 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
413 Bbl 5992 5250 154 Bbl 2693 2360
4534 MCF 6849 5990 1627 MCF 2613 2290
11240 4650
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.
1990 19
Value Tax Value Tax
Orig. 11240 $ 937. 18
Abate. 6590 549.48
Bal. 4650 387.70
The taxes (have) (1111W W) been paid. Wherefore your petitioner prays that the taxes may
be abated or refunded in the sum of $ 549...4.et
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
By. r� "".dc ..y,„__-
Agent
Richard D. Logan
Address P.O. Box 4274
Englewood, CO 80155
?Da°
\ ,
`i1
CC A ,k, IK, CAA, (yet. 911O19
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 cordon E, Lacy.,...and Copuaissioners George Kennedy,, Constance 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.,...represented..hy..Dpxothy...A11en,and taxpayer
(name)
.se.presentative.,...Richard.Logan,...no.tbeing present; and
(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 allowed
(approved or denied) (be allowed or not be allowed)
on an assessed valuation of$ 11,240 for $ 937. 18 total t x for the year(s) 19 90
Chai a o or ounty Commissioners.
STATE OF COLORADO,
ss.
County of Weld
I Donald D. Warden, Clerk to the Board, eldtf
of the Board of County Commissioners in and for the County of Wald ,
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....GregicY, Cokvladv, , this 12th day of... . Au us A. D. 19 91
� n County Clerk.
By (6L'( /{` / (^klEig-LJ
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:
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Secretary. :5 Property Tax Administrator.
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ru-ww _ftcNAliilt+4ci-48.04 OLIO UH e S Ur•4,4r<.L. State ul Culuiatiu - -IU .i1.! \..),k-
• 3+15 104..1r-lakigk;Y:: • OIL AND GAS
GREELPI1 ca.!�:.e;u6J.i • ' REAI. AND PERS[INAI. Pfit,l•EliTY Assessment Date Due Dale
L1 LD • UEL'I_Af1A1IUN SCHEDULE January 1 April 16
. County CONFIDEN I IAL.DA I A I
: MAIL TO COUNTY ASSESSOR YOU MUST FILE EVERY YEAR REGARDLESS IF ANY ADDITIONS OR
DELETIONS WERE MADE.
-
S,A.CODE ' T.A.CODE SCHEDULE NUMBER CHANGE OP NAME AND/OR ADDRESS
• •' _ 0013344
AW:4-Kit AND ADDRESS(INDICATE ANY CHANGES)
_ _ DU_NOT USE -FO_R ASSESSOR_ONLY
GEHRi:7Y ROliERI II{ CCriPFiftIY flit( Code Bop Aelual-Value y. --Assessed Value
_.. i.s
Hansen 1-1 3 LtIGAL t: YliFlIiAc: IAc ..._..__ .. ..._ --
11 I'lilnaly Prod. $ B1'%$
P Q :BOX 4234. ' 71 Secondary Plod. 75
..i N fi l:d Y 0 0 A CU d U 1 S 4 — --_•—•__.__. ____
_—. ... .._..._ .. . ... . ——-- - ----
- ----___.._-_-.._ .____.. ------..__._...__.__.—._._...._.__•— /2 Imptuventents 29
LOCATION OF PROPERTIES OR LEGAL.DESCRIPI ION —�--- -_.—.-------.. __-__ —
lA Equip, 1 uin A
- SE/4 SE/4 1. 4 67 ---.,mach lic.v .__. .. - - ----'— 7J- 29
•• _ __ ___I O I ALS r$ _ __ $ __
RECEIVED APPROVED
. LEASE NAME OR DESCRIPTION COMPLETED ABSTRACT CHGS.
•• LATE FIIJN—li PENALTY APPLIED _ YES NO
_ —_— --
B. Dete;Buslnefs Started Type of Product or Service_—__ __lin Cuunty)___—_—Culp.L.J Pintrterthip❑ Individual I_J Udu( LI
STATUS OF PROPERTY'(Please Check the Appropelate Box) Is this the Name and Address of Previous Owners:
li NEW,BUSINESS pfd.::: :
(Irst return? I:l Yes [II No
a NEW OWNERISI (YOu MUST ATTACH a corigilete bandied Ilstiny of all your properly.)
PLEASE INDICATE THE LIFE OF THE OIL ANOGAS RESERVE IN YEARS UNDER 'HIE CURRENT PRODUCTION RATE_, _ YRS.
C. PRODUCTION'REPORT FOR PREVIOUS YEAR
-
; C1. PRIMARY:f'f10DUCTION FOR ASSESSORS USE ONLY
+ u A_ a C•• p_ _ E _ _ F G
r':• i::::;.•. . :•' - Well N' rtSOitl or— —Flared,— Av9g.Price —V.lue of Allowed'— Actual
Field Name I
Total T►anrporlad vented or qt Well Ilaad product Ro arty Value
:. yy r.-A . :::::';:;:;: No:. Produced Front Used on or maid
Exeluslvn
_� T Premises Lease Price (—x —, I-%exempt (e x F)
BBL
•_... 413 14,52 5,992
• �,, 4.R _6...849 .....
MCF 34 1 5111MCF
:..
' : •• _BBL •--•--_.....-_• -____ -- .....•.-.__ ..-_-•./bbl . ______ ---• _ -
- MCF /MCF -
BBL - _
/bbt
-- - -
_
. r.. -_-- -- - - ---- - — -
�ti _ MCF /MCF
Totals Totals Totals fioiiii--- '- `-- iiifs(i--
C2. SECONDARY,:TERTIARY OR RECYCLING RECOVERY PRODUCTION FUR ASSESSORS USE ONLY
..
Me.Aod . Well 11 —A_ _ B C p .. _. __.�_E F —._Q--
of N — — Sofiior— _--Pfaieii,---' '-Avp.P"rfee- - `-_-- —Aliowla-------
Field Noma No, Total Transported Vented or At Weil Head -----
Value or goyally Actual
Recovery I Produced From Used On or Field Product Exclusion Value
T.._ -' ------ —Premises --Lease —... .—.PLIce.. ..._ —(B x g3) i1-%exampi).�(6 x F)T.
• BBL /bid
:•: - ——.— -- ----- _ -
MCF . . /MCF
BBL /bbl
MCF /MCF
.•.
BBL r /bbl ------------ ------- ----
:• - - MCF
L /MCF —..—.. -
;;:f1;� Totals Totals Totals Totals Totals
• i:1. :
D. EXCLUDABLE ROYALTIES
Excludable royalty amounts are limited to the fractional interest owned by the Federal Government, Ute State of Colorado,counties,cities,
towns,Municipal corporations, tribal councils or oilier iiaveiiiutrnt orirnniiations width, the State of Coloi ado.
Well.•• ' ' • - Roy:any%
No. Lease Name Or Number Name Of Governmental Entity Exempt From
lexatiun
(SI"I:rtl'tll,ll';Iltl f -- �y*_�.... ._.. ..
I t`Il @ I I I I` t:1 tl•'i
,..,. tl i., — t Ibis Sus;tiun I'M'il lie l.,tnt rinlen
_....._.. _. I I r . /V! i'ilrrhynS Ltcl1;J -
WELL WELL me.mou --- � __ .. •
rLow HA
NO. LEASE NAME DEPTH RECOVERY Or PHILO FORMA{ION knTRA1CT D ES A MEI-oEPACIEMCP//DAY)IE
--_.73.63---. Uenver(D-J) _. ._ 0il--- _ 1.13
— --� _
_____ -- -- ___ . . • Gas 12.42
_ ._..-- - ----
Water Minimal
F. LISTING OF REAL PROPERTY IMPROVEMFN iS (Attach n sewn ale sltent II rincessnly)
Buildings.Pictures and Leesehofd Imotoyemenit Desarintinn road L_ou:Anon flair nl fnslaned Coll Additions Since Original
Installation Installation
—
G. LISTING OF PERSUNAL PROPERTY
Furnish a complete listing of all propel ty,Additions and deletions may hi, listed it a cninplete listing has been ilrnvimisly filed with ilte assesstll.
item Description Model or y.,,,, __ —Dale Acquired EsOgisral Estimatnd
No. Capacity Mfg. Ilew Used +mtenad-oost Estlnule nenuhrht9
cr
_I,...--__ Phyfieal Useful(_Ile
.J11 List Personal Properly acquired during previous year. (Attach se relate sheet if necessal y,} Grid condition In Years
Flowing Gas Well with Tanks ___.__ __� 477 minimum
Assessed Value � 1150
f21 ist Personal Piciorty sold, tr�dad,or permanently dispose Ic j dui inti evjous ygar, (Attach separate sheet if necessary } '
(3) List ALL Mobile Equipment. Attach separaie ssg—eiliNecessary.
7-1
NOTE: The cost,description and year acquired data Dant he furnished above for those fully depreciated assets still in use.
`H. DEPRECIATION SCHEDULE (Furnish htfulntalinn or Attach most current Copy of Federal Depteciatlon Schedule)
a, Group and guideline clots h. Date c, Cost or d. Depreelallnn e. Method of t. Life or a. Oepreolallon far
or description of properly Required olner basis allowed nr allowable nontpuntrll rate this year
ti In prior years depreciation
r $
Cost of other fully depreciated assets still in use, S Total depreciation
I. LEASED, LOANED, OR RENTED PROPERTY (furniture, Signs, Etc.l (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 U NO If yes, (is' below showing description of this proper ty and name and address of owners.
Name and Address of Owner/Lessor Description Model/Serial No. Veer C IAmill Cost or Year Installed Total Yearly Rent
o
M19, OSA Ust Price
Please furnish details of purchase or maintenance options. (Attach o separate sheet if necessory)
J. PURCHASER'S STATEMENT
List names and addresses of purchasers of oil end fns',inducts.Attach teprume street it necessary.
Name Address Quantity
K. DECLARATION TI IIS f1ET URN IS SUBJECT TO AUDIT-. �^— �—
"I declare,under penalty of perjury in the secomi dean en,don this schedule,tropoihen with now accompanying alt Whits or statemnnlls,Iles been examined by
one and to the best of my knowledge,Iofnrinnriron,and ItrHel,sett Inter n lull and complete lisl of oils inunblo personal Ingmarty nomad by ma or in my pnsles-
lion, or under my control, locmied in lids courtly in i' ndo mt the ntsestnmr 1 dote of lids yenr:That such proper ly has been reasonably described and its
value(airty represented:and that no attempt hos be do in olsleml e.2 car ns in its nue,quality,nunnttly or value" CRS 3tl 5.11)7(2)
SIGNATURE OF OWNER OR AGENT �'�-,4e.. j �NAME OF OWNER The Robert Gerrity Company 7,,,,,o7--
/.7-40_ yr, DA IF.
PRINT NAME OF PERSON SIGNING_Richard U s._Loyan,_Tax._R presenta.t i ve PRONE Nl1MHEft (303) 771-5511
PLEASE COMPLETE,SIGN AND 11ElDUN TO 111E ASSESSOR ON on BEFORE APRIL 1s
1990 TAX NOTICE REAL t Sir1f L - V V
FRANCIS ""'
21351-A LEASEHOLD INT S. SE4 1 4 67 WELD COUNTY TREASURER
(HANSEN 1-1 ) GERRITY ROBERT W COMPANY THE P.U. BOX 458 GREELEY, CO 80832-0458
PHONE:358.4000 SCHEDULE
EXT 4453
O 0160490
r r VALUATION VALUATION TOTAL LEVY
LAND , IMPS OR PER. VALUATION 1ST HALF 468.59
1 2ND HALF 468.59
o
c� 11240 11240 83 .379 TOTAL 937. 18
5
PARCEL 105903000042 01 PIN D 0160490 DIST 0521
GERRITY ROBERT W COMPANY THE
TOTAL
3s LOGAN E FIRMINE INC AMOUNT
coLLEcrEo
P U BOX 4274
ENGLEWOOD CO 80155 mow
Office Copies IF YOU NEED OUR RECEIPT PLEASE CHECK HERE❑
SCHEDULE 0 0160490 DETACH FOR YOUR RECORDS PARCEL NUMBER
COUNTY OF WELD, STATE OF COLORADO
TAX DISTRICT 0521 1990 TAX NOTICE 105901000042 01
r TAX AUTHORITY LEVY TAX DUE DATES
WELD COUNTY 22.209 249.63 General property taxes are due
SCHOOL DIST RE5J 45.704 513.72 January t of each year.
NCW WATER 1 .000 11 .24
CCW WATER 16213 13.63 FIRST HALF - Delinquent after
!CGS WATER 1 .993 22.40 last day of February
MILLIKEN FIRE 3.842 43.18
AIMS JUNIOR COL 5.918 66.52 SECOND HALF - Delinquent alter
WELD LIBRARY 1 .500 16.86 last day of July
ti APPROVED "r FULL AMOUNT - Delinquent alter
FOR(� n �}. lest day of April
PAY,,T IF LOAN COMPANY IS RESPONSIBLE FOR THIS
Date V-z /� TAXI RETAIN THIS BILL FOR YOUR FILES.J. i ncran R Firmine, lfin
I
83.379 937.18 =µILL LEYYWOULONAVEHB."°PEFTY GENERAL 125.971
Tax Payer Copies IMPORTANT SEE REVERSE SIDE
Get /iii O, 11rGa5 (:orpora'in'l
Stinn4n0.il of (iroSS 0, I a ok Cnts Sm IGS F"-for,‘ 4 TGC/Inc.
IAA& c/+3/4i
G,vcn to Wm.Gerry f y bunny 41,c Pesifa Ja_nuar y X88-Sanuaf y CBS
r .
_. __
0; Gac Sa.Ims I R
Grass VOIumG Gross Valk GroSs e Volln0C Gross l/alu
,
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. gernharkt =1-3ttiI-4(Caw„nyle.l� I I . : I f I • i I �-
I188 J . I ' . , I2:Z;71S$ S 4,1;2O .2.6i Al � .4[1 .0:41S2
2/88 1 • I I;R!6l7't 1 ! , ..;3 1.;3!0 16.. t 3�I i4' 3 �I�F17ISS
3/84 I i ;6;8118 1.2.1.0,4.16,11_...... _j..;LZ' I91 _13. lils�12 !.
5 �-1 *78.8 I I I I k it 12 III. , I=I 121' a 0laaD3;i
' _Slag s _ t.. :_ I..I X 60 _, 1.3314
1 a _12ss. . . _ ; ..its silo'.._ ,_-. 13 L.111 93'
. 6/2S..._ I .f ,._x_..._341,313 .. _ 6 I. .3.9_ .._ 0 1,3 .._._, _. _IZ.13 10 7.S2' '
9 __.___..... _ __._._. '
I. I I 12_11I1.0
t I t t 1.,7.+4.46 Z. itl'f Vt._ ._.. 9.I 10_ IZ g!(,0 77
7/B8. __._
` , -,-- - I + 11_ iq
:-.—.8/84— - — --.. _.. - -- -._..T I. 110I't si. _�.+ 5.1 b 11_ _j_. 1.3! �_.. ..._._.� ill. 144 I.
t� j y/88 i ' 111 [�I _ I r,S� l 4 2 41? ' I9 141.6,34'
i i tt
}' , 1 4. 4..11 _ 1 4.2.9 a9� _ins e ____Lit 6 8...3'9_'
min _ --+-- - +- -- 1
—lag --- -------._.—.____ j^ ..... -}.,•__ �4.p..S5 '-�7 S�6_ .__. ,�--1=--r
rz __ _ 178 �21 L9..LS5 .. I
7 IS • I2 1 `I +
is ....._.___.. -._ I Q Lilt Y., .'
. ._._ _— --12/88----...--------____. ------1.._. , � ,e '
,a i i 2f 71 I 3L. 744 2333 ' ],'11!: 1141.2.
- � .11_89____.. _- ------•----------� 0- ,
15 • 'W,,43 14A 2� 4 04 a i *II ,'t,r19 ,a
to ' .. . .. .... .—._.__ _.1, _ I
�.. ..._.._..-.__ ..�.- ._ 4 .. __ ,
111 .. •. .
+' Han son I- I .I.— i I ----� __ -1_-C- i - --, __ I
_..._ _ �_
r. • ' 1...____..._..' 1..7I76 SI
,/88 � +. � .. r la'tr.13.. y'I.S 6 3b._ -.._�_{L t
,= I i _._ $;0.67
2/88 I ;-+ . III�-I 0i:sin ':.I 5. t
.. i ' , 1 I- 1 , i ISrO.r
.. I +
9/S2 . . 4-Li7'1 ' I .8;oi6j1g ; Al 319:0 ...__ ... _.i .;2006' S2
!
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s/88 _. . . .. I II:1.4"!*
. '13 "I'll" ... _`L 1.1816 -.
- . -- .1_42.1
-!3 1:4!I[73 :
' 6/Rg . . _ , . II.8;:171 . ; ;z _$ 2111_ �. It. 12.4 -- 9�a'9`}
7/88, ;1419i111 . ..J2- 7!t'SIa3 r ' i 141: .._ ..--..._1 .2 44;4:8 2') .
r •r i , , i i 1 f2 10!
8 •8 I I 3'r2
1.3;5,59 t.I61 I S iZ D 3 iB'L6 .•
9188 I -.'t..:
l0/8$ i 4:4-. 'F i 114:8;31 [' [21,0.1 .1 14t
i ,, • I . I
II/88 •
•1.9''-;27. i 1iY,17i .. 22.1 '7;!4
12/88 I i :1 2.10 .0.2. ii :1.19,1 .4`32 •
1/89 _ i JS .1.9A 1 , 27 '21C t!1,77
I, I l't 1 2.38: � 7,_LI I I.0 StI33- t 't9.9 `k - ' 2 9'7 2 0 '8'1_ .
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f l :
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. SSwoltio+ld 14-1.. I 4
1 982 t e4G`i
I/s8 1 q 2:os , . .sil•i:o 84 ,
1_/88 + ‘ 4.93 I 2ITI 'f LS S 2-9 — La 10 '77
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33SS 0 Ia 2 9 8`t •
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448 19 9.0`f 3,4 3 4 30 i Z8 ' r'02 g 21'
5188
I 92.51 • 3'224S`f 9O I ' + 282 42
(./8A 1 8 ~.0G' 1_.85 200 968 ' 1:0S7Ii.
I '
';188 iO3.S7I 1 152766 1 843 • I1 10.67•)
- --- - ---= -._--_ -- =1�
OGCC FORM 10 FOR OFFICE USE ONLY
I Rev.Win STATE OF COLORADO �'
-• I
OIL AND GAS CONSERVATION COMMISSION FE UC I
SE
! DEPARTMENT OF NATURAL RESOURCES
ti CERTIFICATION OF CLEARANCE AND/OR CHANGE OF OPERATOR •
•OGCC LEASE NO. LEASE NAME WELL NQ • API NO.
!0$/3 9 NAIv(3&v 1-/ os Ia3 /z9 7V
FIELD NAME•NO. COUNTY LOCATION rA K,SEC, .RNGJ
bierEnAbR�-, 907,50 wE kn .3E_y%SF. X e&C. . 1 T`/AI-,6,7t.�
OPEAME ,7 '/� OGCC OP NO. AREA CODE PHONE NUMBER
NNUMBER
t6 //A) I X/�PhGkA776 A) //V 1 .. yG` it' 46 (303/)1wS�TATE PS-3/ooZIP E
` `ME5W«L .p fbh imusikw pP .' r.7UITF• .300 TTY. \do L/N.S� EFFEC7WE DATE OF CHANGE )1
�,
77/F g£,PR/TS' 0..4infinivY (;338'70 ) I ,p /7- S9
*Complete only If this well Is part of a previously producing lease.
"Complete only If change of operator.
I PRODUCING FORMATION(S) (A separate FORM 10 TYPE OF COMPLETION
;'g must be submitted for each producing formation of a ❑ NEW COMPLETION ❑ COMMINGLED COMPLETION
Multiple Completions ❑ RECOMPLETION . ❑ MULTIPLE COMPLETION
New Well Test Data on 24 hr. Basis:.
Bbis.Oil Mcf Gas Bbls.Wtr.
OIL TRANSPORTER (Purchaser) GAS GATHERER (Purchaser)
j NAME OGCC NO. NAME OGCC NO.
,I ADDRESS ADDRESS
.kii
I CITY STATE ZIP CODE CITY STATE ZIP CODE
AREA CODE PHONE NUMBER DATE OF FIRST PRODUCTION AREA CODE PHONE NUMBER DATE OF FIRST SALES
I 1 1 1 I
.
; I
I I ROYALTY OWNER METHOD OF WATER DISPOSAL
i _ .
I� ❑ STATE ❑ FEDERAL ❑ CENTRAL PIT ❑ COMMERCIAL PIT
•
❑ INDIAN • ❑ PATENTED ❑ ON-SITE PR ❑ INJECTED
i i 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 transporters)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. •
0GCC Approved: o5f}l' i C/DY
N•Me Print) f
$pinkie, SWnalute
TitleTEC/M)Wiliti 02 -079 -S19
Dale nlle Dale
91.1019
ItVta0•dt!]1/Illra-s6114 ,'t; soti•s Cf t:F State of Colorado 19$9
915 3,01111 STREET OIL AND GAS
GPIFELE:Y9 cn on631 REAL AND PERSONAL PROPERTY Assessment Date Due Date
If4f: .1) 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.A.CODE ' SCHEDULE NUMBER CHANGE OF MIME AND/Ore ADDRFSS
C/O Logan & Firmine, Inc.
51311. 0521. 'tri 1. 3344 P.O. Box 4274 _
A. NAME AND ADDRESS(INDICATE ANY CHANGES) Englewood, CO 80155 _
— UU NU I USE — FUH ASSLSSUH UNLY
E.RRITY ftOf1F.RT IJ CrYM'► ANY 1114= — ---- "—r--------- --1--- —
• Code Desollptlon Acres Actual Value % Assessed Value
ANSEFi 1 .--i 7110 Primary Prod. $ —87%$
C/0 Logan & Fi rini ne, Ine. 7120 Secondary Prod.— 75
_ P.O. Box 4274 _ _ --_—_--
Englewood, CO 80155 _ --
72 improvements 29
LOCATION OF PROPERTIES(INDICATE ANY CHANGES OR ADDITIONS) -- - - -— --- -- '�-
74 Mail In ruy".a 29
9E:4SF4' 1 4 :b7: ' • • TOTALS $ $
•
• RECEIVED APPROVED
LEASE NAME OR LEGAL DESCRIPTION • COMPLETED ABSTRACT CHGS.
•
• . LATE FILING PENALTY APPLIED YES ❑ NO❑
b. Date Blrshissi Started • Type of Product or Service Iln Countyl_ Corp.❑ Partnership❑ individual ❑ Other ❑
• — Name and Address of Previous Owners:
STATUS OF PROPERTY(Please Check the Appropriate Box)
❑NEW BUSINESS OR ❑NEW OWNERISITYou MUST ATTACH a complete itemized listing of all your property.
1. Is this the first return? ❑ Yes ❑ No
C. INVENTORY OF WELLS _
Total No.Wells Indicate Whether Well No. Type Depth — Year Drilled
1 You Are: —
Total No.Acres ®Operator of the Lease
❑Owner of the Leasehold
List Fractional Interest of
Operator 100 % ❑Owner of the Lend
—
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 RoyaFty• Iv red rtoy It •i7eltvered Total(Taxable Nu.at Avers elead
Produced Sold premises Untold A Cash bnfy As�r�c uct OnIY Ff or Field P rice
(Al (B) (C) (ExSDIion) (Exoti}lon) (B+C•D(orE) (O)
Well No. Oil (Bbl.) 1 ,558 — wl — 1 1 ,558 $ 15.0243/bw
Gas (MCF) 17,647 rnTayees-Comp station. 17,647 $ 1 .4228/MCF
Well No. Oil (Bbl.) Total Gros Vallee $_ 48,523 $ /bbl
Less Exempt Royalty $ -O- $ /MCF
I Gas (MCFI GV After Ex.Royalty $ 48,523 $ /bbl
Well No. Oil (Bbl.) _ Total Ass(ssed Value $ 4?,460 $ /MCF
Gas (MCF)
02. SECONDARY,TERTIARY OR RECYCLING METHODS OF PRODUCTION OR RECOVERY
•- $ /bbi
well No. Oil (ebl.l — -- -- $ /MCF
Gas (MCF) — —— -- $ /bbl
Weil No. Oi1 (Bbl.) , - $ /MCF
Gas IMCF) $ /bbl
Well No. • • Oil (Bbl.) •— - $ /MCF
Gas (MCF)
Q3. METHOD_OF SECONDARY,TERTIARY OR RECYCLING RECOVERY, (i.e. water injection, CO2 injection,etc.).
'won No. • Wau No. Well No.
E. ASSESSMENT EXEMPTIONS REQUEST: (Attach separate sheet if necessary,L_
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 of Government Fractional
Lease No.&Legal Description Organization Owning Interest Address Interest Owned
Total Prod4ctlon: I Exempt: _'Taxable: I S/Barrel or MCF:
• ll 1'I IS iOPY
(see other side.) FIE W i �
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,
Buildings,Fixtures and Leasehold Improvements Description and Location Date of Installed Cost Additions Since Original
Installation Installation
G. LISTING OF PERSONAL PROPERTY 5
fra
ED
Furnish a complete listing of all property.Additions and deletib�� y'I a Itstor i complete listing has been previously filed with the assessor.
r _
Item I Description Model or Veer I Date Acquired Original Estimated'
No. 11 _ Capacity Mfg. New ' Used Installed Cost , phyll:Ig Remaining
11 I List Personal Property acquired during previous year. (Attach se Karate sheet if necessary.) Condition Useful Life
x-- __ — Y•) In Years
(2) List 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. r
_ r I
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. Group and guideline class b. Date c. cost or d• Depreciation a. Method of f. Life or g. Depreciation for
or description of property acquired other basis allowed or allowable computing rate
in prior years depreciation this year
Cost of other fully depreciated assets still in use, f$ Total depreciation $
1. 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,eta? ❑ YES — ❑ NO I f yes, list below showing description of this property and name and address of owners.
Name and Address of Owner/Lessor �V Description Model/serial No. Year Current Cost or Year Installed Total Yearly Rent
Mfg_ GSA List Price
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 1S 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 cooPptgty in Colorado on the assessment date of this year;that such property has been reasonably described and its
value fairly represented;and that no attem iar b made to slead .-assessor as to its age,quality,quantity or value." CRS 39.5-107( )
SIGNATURE OF OWNER OR AGENT 4"e��47 ��sr--
NAME OF OWNER The Robert Gerrity Company DATE �� �//�
PRINT NAME OF PERSON SIGNING_RIChard_D,._. LOgdfl_x_Ta?(_Representative ._ pLIONE NUMBER _f_1(131_771.7.55.1.1
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PI-EASE cOvii'Li r I-.SW11 AtIO III I liiiri ril MT a'.°'' ' ':nir nrt Oil BEFORE APrflt_15 -
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