The URL can be used to link to this page

Browse Search

Home My WebLink About970468.tiffFORM 920 (66-93) PETITION FOR ABATEMENT OR REFUND OF TAXES Must be tiled In duplicate and all questions must be answered. 6z -q7 - G c' - By Petitioners: Complete this side only. Englewood , Colorado, July 24 96 City a<rp.n 19 1b The Honorable Board of Commissioners of Weld County Gentlemen: The petition of Patina Oil & Gas Corporation (formerly Gerrity Oil & Gas Corp.) whose mailing address is: c/o Logan & Firmine, Inc. 333 W. Hampden Ave. , #740 Englewood Dry or Town SCHEDULE NUMBER Parcel # 121316000001 PIN # 0065292 Colorado 80110 Star np cod. DESCRHTION OF PROPERTY AS LISTED ON TAX ROLL Megan H 16-09, 16-10, 16-15, 16-16 respectfully requests that the taxes assessed against the above property for the years A.D. 19 94, 19_, are erroneous, illegal, or due to error in valuation for the following reasons: Describe specifically the circumstances surrounding the incorrect value or tax, including owner's estimate of value. (Attach additional sheets if necessary) Sales of other wells were reported with the Megan wells when original returns were filed. See Attached Orig. Abate. Bal. 19 94 Value 458,200 191,280 266,920 1hx $50,027.66 20,884.52 $29,143.14 $125,321.59 Oil Value 223,311.05 Gas Value $348,632.64 Total 43,579.08 Less Exempt Royalty 12.5% $305,053.56 Actual Value 87.50% Assessment Ratio $266,921.87 Assessed Value L =. T 19 Value Tax Therefore the petitioner requests that the taxes may be abated or refunded in the sum of $ 20,884.52 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. c/o Logan & Firmine, Inc. 333 W. Hampden Ave., #740 Patina Oil & Gas Corporation Q j/ /Address Englewood, CO 80110-2337 Af -L- IA4acx // 46 Daytime phone number 303-761-8260 Every petition for abatement or refund filed pursuant to section 39-10-114 shall be acte" to the provisions of this section by the board of county commissioners or the assessor, as api 500-37 six months of the date of filing such petition. 39-1-113(1.7), C.R.S. 970468 t 9J (le Sj i2 , over HOEO(ELS-D,m.r. c0 — MOW/ 48 Complete Either Section I or Section II RESOLUTION OF COUNTY COMMISSIONERS Section 1: In accordance with 39-1-113(1.5) C.R.S., the commissioners of County authorize the assessor to review petitions for abatement or refund and to settle by written mutual agreement any such petition for abatement or refund in an amount of one thousand dollars or less per tract, parcel, or lot of land or per schedule of personal property. County Commission Resolution # The assessor and petitioner mutually agree to an assessed value of $ for $ total tax for the year(s) 19_ and an abatement/refund of $ Petitioner's Signature Date Assessor's Signature Date If Section I is not complete and/or if petition is for more than $1,000, Section II must be completed. Section II: Assessors's recommendation: approved; O approved in part $ O denied for the following reason(s) Petitioner is correct in contention that Gerrity Oil and Gas Corp over reported the value of oil and gas. By: Del. Assesses WHEREAS, The County Commissioners of Wel d County, State of Colorado, at a duly and lawfully called regular meeting held on the 1 Orh day of February , A.D. 19 97 , at which meeting there were present the following members: Chair George E. Baxter and Commicgi nnera Dale K Hall Cnnctanre T Harber a ba a T Kirkmeyer and P H W h 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 Warren Lasel 1 and taxpayer Patina Oil & Gas Corporation ("a"°) (name) being present; and WHEREAS, The said County Commissioners have carefully considered the within application, and are fully advised in relation thereto, NOW BE IT RESOLVED, That the Board concurs with the recommendation of (concurs or doss not concur) the assessor and the petition be app rnved , and an abatement refund he el pure d (Warmed or denied) (be allowed or not b• allowed) on an assessed valuation of $ 191 .2R0 00 for $ 70 BR4 99 total tax for the year(s) 19_&..... Chaff Board of County Commissioners A STATE OF COLORADO, County of Weld I, nnnal el n Warden , County Q4Rk attdXgmancitx Clerk of the Board of County Commissioners in and for the County of we l d State of Colorado, do hereby certify that the above and foregoing order is truly copied from the records of the proc r' - r,-.T'ard of County Commissioners for said we 1 d County, n at IN , I have hereunto set my hand and affixed the seal of said County, day of Fehrttary1 , A.D 19 `T>/r`. ° is/� By l County Clerk to the Board ACTION OF THE PROPERTY TAX ADMINISTRATOR De 1 rk to the Board Denver, Colorado, "ft ei7 199 2. The _action of the Board of County Commissioners, relative to a within petition, is hereby O-approved;approved in part $ O denied for the following reason(s) Property -bah w.,Tilor JUN -12-96 WED 10:55 P. 04 WELD COUNTY ASSESSOR AUDIT 1993 OIL SALES DETAIL MEGAN H 16-9, 10 15 & 16 Bbls Mum aserStatements $'s 01/93 841,89 14,753.28 02/93 586.37 10, 837.36 03/93 622.17 11,645.59 03/93 (Recovery Tank) 30.16 541.97 04/93 830.44 15,453.07 05/93 558.64 10,181.66 06/93 577.02 9,958.39 07/93 779.96 12,435.29 08/93 611.43 9,866.71 09/93 416.09 6,487.55 10/93 534.21 8,686.50 10/93 (Recovery Tank) 20.05 311.71 11/93 407.77 6,048.58 11/93 (Recovery Tank) 17.91 252.56 12/93 623.28 7,861.37 Total Purchaser Statements 7,457.39 125,321.59 Declaration Statements Megan H 16-9 Megan H 16-10 Megan H 16-15 Megan H 16-16 Total Declaration Statements Under/(Over) Reported 4,003.14 4,702.62 861.21 3,308.49 66,317.95 83,265.18 14,439.04 56,661.07 12,875.46 220,683.24 5,418.07 95 361.65 uuN- c-ao wtv tutor P. 08 GERRITY OIL & GAS CORPORATION WELD COUNTY ASSESSOR AUDIT 1993 GAS SALES DETAIL MEGAN H 16-9, 10 15 & 16 urchaserStatements 01/93 02/93 03/93 04/93 05/93 06/93 07/93 08/93 09/93 10/93 11/93 12/93 Total Purchaser Statements Declaration Statements Megan H 18-9 Megan H 16-10 Megan H 16-15 Megan H 18-16 Total Declaration Statements 200,791.98 377,761.17• Under/(Over) Reported 83 154.98 (154450.12 Mcf. $ s 12,085 25,092.49 10,098 18,621.50 9,102 18,507.74 10,590 19,485.34 9,744 19,848.99 10,619 18,292.00 10,187 17,626.87 10,730 18,975.25 9,910 19,417.28 6,671 12,822.77 9,404 18,535.37 8,497 18,085.45 117,637 223,311.05 47,594.80' 76,869.44' 32,837.98 43,489.96 • 89,134.13' 145,145.66 61,601.01' 81,880.37 O a REAL ESTATE z a D 0065292 O 0 O t W O N r F z N r M 0 O W w 0 Z �. O 0 O a W Z.+J xu. • V • — W_ r 0 •-• n n 0 n n .. O 0 N� N N 5 C J I- c f N Z 0 N a O 0 CO 0 a N II1 O O z o 0 ✓ O z Q 0 a 0 O Q V 0 o z V • r In C 0 -' Z N O W C a 00J Its 0 O • 0 J• O O • a 'O 0 o •• t z x 0 .. nF QSW 0o N et .. M �f 2 a W J O 2 a Q glu V et W C 0 d' N W O m ... • 0 W Z N Y • a F W ., J W m e • 0 w z o Q. gm - hi J O n- z o W MB J =1 > 3 > 0a raO m _ V 0 O • 9 Q O 4. W r cc n F a H 8 W J c O alo O W 9 x 2 In W W D a¢ O 0 r Z U . a ii �. x s a W c P- �O O J T Z cg . ¢ 4 Z n Q K I W z r a 0 m o Z U r • a z o LL W 3ccg c�Q o. cO Q H a J Y 0r0 ¢ • C 8O LL .LL. ~ U u- < O 'i W r r n N 'O n 0 0 I- ¢o H N n a n 0 CO•- • • • • • • • • P P O•• H r. !0 p a n a a P r 0 0 N W Q O o• P H o 0 n 3 . a a LL 0 0 N m O r r r I- 2 O LEVY RATE REDUCTION a • O r in J Q CC Cc z W J� C w� O =/ *x ES ',1 50,027.66 O O r• 0 0 0 0 W J TAX AUTHORITY n Or-naI100 O o0r-0 r00 • • • • • • • • N N r Vol r 0 •• O N n 109.163 0 + J C W 0 ►. Y I. t C C ZI- H ..OCZ Z J 0 W W LL Z a C UJCCJ'f.o O Z Z J O 0 4t000W V V V< r W W Z N V V J C Z a Dattridglie -r J 6 a O • • • == • • • • _ 3 J IMPORTANT SEE REVERSE SIDE PAGE 1 or 2 5229 1a OPT•ASFonn D.S458 et 94 MAILlb WELD COUNTY ASSESSOR 1400 N. 17th Ave, Greeley, CO 80031 Phone: (303) 3533048 YOU MUST BA cooE 51311 TA. cooE State of Colorado OIL AND GAS REAL AND PERSONAL PROPERTY DECLARATION SCHEDULE CONFIDENTIALDATA (One Well per Schedule) FILE EVERY YEAR REGARDLESS IF ANY ADDITIONS OR DELETIONS WERE MADE G185 PARCEL NUMBER 8 SEO 121316000001 06 OIL PIN NSA 19 94 Assessment Date Due Date January 1 April 15 0065292 PERaPMNers 0018267-7C; A. NAME AND ADDRESS (INDICATE ANY CHANGES) GERRITY OIL i GAS CORPORATION % LOGAN i FIRMINE INC P 0 BOX 4274 CHANGE OF NAME AND/OR ADDRESS ENGLEW00D, CO 80155 B. STATUS OF PROPERTY PROPERTY LOCATION OR LEGAL DESCRIPTION: NAME AND ADDRESS OF PREVIOUS OWNER(S) 11445-F LEASEHOLD INT SE4 16 6 65 LEASE NAME OR DESCRIPTION: MEGAN AL LA ,{Q 1 t 16 FIELD NAME: LL E DNU B R: X API CMCC e: DATE WELL COMPLETED: b0es your Brat Return? YES NO 0512314915 _New Wes _NewOwner(s) C. PRODUCTION REPORT FOR THE PREVIOUS YEAR - Check valuation method used. R Actual Wellhead Price —Unrelated Parry Netback (Producer) —Comparable Price Used to Value PROCESSORS Leasehold —Comparable Price Used to Value PRODUCER'S Leasehold —Related Party Netb C1.PRIMARYPRODUCTION —ATTACH REPORT OF TIK OWNERS t 3'S UNIT TOTAL PRODUCED: (SHOULD TO COGCC FORM) M) FLARED. VENTED, OR USEDONTHE LE A. SOLD OR FROM LEASE SEAL VALUE RTECCENED FOR THE WELL SITE' BBL 4,003.14 MCF 47,594.60 66,317.95 89,134.13 8:1:840 °a41o.v" : 1.871re MCF. TOTALS 'Total Value may be compared to COGCC lame reported NNW Gas Volume reported at 14.73 PSI . Marty standard. contact COGCC X pressure is FOR ASSESSOR'S USE ONLY ALLOWED FOYALTY EXCLUSION ACTUAL VALUE C2SECONDARYPRODUCTION — sir r Hiss Rtr UK Uh ELK LIMNERS S ti e5 F011 ASSESSOR'S USE ONLY UNIT TOTAL PRODUCED: (SHOULD RECONCILE TO COGCC FORM) FLARED. VENTED. OR USED ON THE LEASE A. SOLD OR TRANSPORTED FROM LEASE B. TOTAL VALUE RECEIVED FOR THE WELL SITE' ALLOWED FOYALTY EXCLUSION ACTUAL VALUE BBL Boy Ba�gpNvHHeedd pbyy BMoC�F Box •S• dvlsd by Boa •A• : BBBBLL TOTALS 1 pier LICE. I .73 PSI • YMustry standard, contact COGCC 9 measure Is Afferent. 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 government organizations within the State of Colorado Name of Government Entity Royalty % Exempt From Taxation State Board of Land Commissioners 12.50% E. PURCHASER'S STATEMENT - Ust names and addresses of purchasers of oil and gas products. Attach separate sheet if necessary. 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, has keen 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 possession, or under my control, located in this county In Colorado on the assessment date of this year; that such props has been reasonably ribed and its value fairly represented: and that no attempt has been made to mislead the assessor as to Its age, quality, quantity or value.' 39.5407 �'7 303-771-5511 SIGNATURE OF OWNER OR AGENT GATE PHONE PRINT NAME OF PERSON SIGNING Richard U. Logan, Tax Rep. NAME OF OWNER err1 Y it & Gas Corporation PLEASE COMPLETE, SIGN, AND RETURN TO THE ASSESSOR ON OR BEFORE APRIL 15 (INSTRUCTIONS ON OTHER SIDE) RETURN THIS COPY rMUC L QI G 15 DAT • AS Poem DS -658 81 94 MAIL To WELD COUNTY ASSESSOR 1400 N. 17th Aye, Greeley. CO 80831 Phew: (30:1) 3534845 YOU MUST B.A. CODE 51311 TA CODE State of Colorado OIL AND GAS REAL AND PERSONAL PROPERTY DECLARATION SCHEDULE CONFlDENTIAL DATA (One Well per Schedule) FILE EVERY YEAR REGARDLESS IF ANY ADDITIONS OR DELETIONS WERE MADE 0185 PARCEL NUMBER B EEO 121316000001 0 6 OIL PIN MR 19 94 Assessment Date January 1 Due Date April 15 0065292 pops pet NBR 0018267-731 A. NAME AND ADDRESS (INDICATE ANY CHANGES) GERRITY OIL S GAS CORPORATION % LOGAN C FIRMINE INC CHANGE OF NAME AND/OR ADDRESS P 0 BOX 4274 ENGLEY00D, CO 80155 B. STATUS OF PROPERTY PROPERTY LOCATION OR LEGAL DESCRIPTION: NAME AND ADDRESS OF PREVIOUS OWNER(S) 11445-F LEASEHOLD INT 5E4 16 6 65 IELD NAME OR DESCRIPTION: WELL IIAIIL�AN Ilai ,G q FIELD NAME MEG DN BEA � 1$ t 16 is this year fine Return? —YES _NO APSE COGCC t DATE WEL'COMPLETED: 0512314915 —Newwa —New Owlet) C. EQUIPMENT INVENTORY LISTING C1. WELL CHARACTERISTICS - AflI Affil 2lFnk kn ammo' DENVER—JULESRURG /D —J) Depth 7300 C2. METHOD OF PRODUCTION - Check where applicable. AteMIRWORMMKOMTYlYi%il X SECONDARY WELL TYPE: _SUPPLY _DISPOSAL— CO2 INJECTION _WATER INJECTION TANKS INSTALLED• I ON SITE _ COMMON TANK BATTERY METHOD OF UFO —FLOWING _PUMPING PLUNGER UFT MOTOR TYPE•_ GAS — ELECTRIC —ESPwesle enmreaw Pam) C3. INSTALLED EQUIPMENT • macaw the number of each on location. OVERALL EQUIPMENT CONDITION(CHECK ONE): _VERY GOOD XAVERAGE _ MINIMUM COUNT OF: TANKS _I TANKS IN COMMON TANK BATTERY _*PRODUCTION UNIT(S) ISEPARATOR(S) _*HEATER TREATER(S) _IDEHYDRATOR(S) Years CLASS(diadc arwg _OIL _iGAS — COAL SEAM GAS Based on yew of mwuaaers, check the average age dinWled weals equipment. Has any Vistaed wet site epytme undergone • marwmarN overhaul the by three years?— NO_ YES Ifyea.oleos. deeabedelsc* HIM.deltypeofovMtwul,andIMaddlllaWvwsofomd. ve5haddedto the mania Mach state sheet 9MWsaiv DESCRIPTION OF EQUIPMENT DESCRIPTION OF MAJOR OVERHAUL YEARS ADDED C4. AMOUNTS OF'PRODUCTION OL 41009 BBL GAS 4784 MCF WATER BBL DAYS CAPABLE OF PRODUCTIONS STRIPPER WELL? _Yea_,._ No C5. ADDmONAL INSTALLED EQUIPMENT - Mara* the number of each on Iecaden. (Attach Saone' antra listing I needed) EQUIPMENT DESCRIPTION gams bee mini Reds Uwe/ UN& Caned. pMenb, USN won Radar or Sow Pwwt Goo a wee Imam SOot Lad US Dente Pueae Aecyde Pumps, and Gel Sonar Lyle Cempeev ISMS') GUMMY COMMON —MIN — AVG _VOD JAN — AVG _VGO —MN — AVG _VGD 6. STORED EQUIPMENT -(AUaa add8lonal amazed Ilem,p I EQUIPMENT DESCRIPTION CONDITION MAKE MODEL SUE OR FOOTAGE YEAR MFG. JAN —AVG VOD —MIN — AVG JJGD JAN _AVG VGD D. LEASED, LOANED, OR RENTED PROPERTY(Declare propenyowned byahem or attach separate shee.) NAME AND ADDRESS OF OWNER/LESSOR DESCRIPTION MODEL/SERIAL NO. TERM (From -To) ANNUAL RENT DECLARATION THIS RETURN IS SUBJECT TO AUDIT -I declare under penalty of perlury In the second degree, that this schedule, together with any accompanying exhibits or statements, has 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 possession, or under my control, located in this county in Colorado on the assessment date of this year: that such property ern reasonab desc d and Its value fairly represented; and that no attempt has been made to mislead the aseeasor as to its age, quality, quantity or value.' 393.107(2) SXArt DATE PHONE NAME OF OWNER SIGNATURE OF OWNER OR AGENT PRINT NAME OF PERSON SIGNING PLEASECOMPLETE, SIGN, AND RETURN TO THE ASSESSOR ON OR BEFORE APRIL 15 (INSTRUCTIONS ON OTHER SIDE) RETURN THIS COPY 5239 PAGE 1 of 2 II OPT -AS Ferri DS -8,68 et 94 State of Colorado OIL AND GAS MAIL TO WELD COUNTY ASSESSOR REAL AND PERSONAL PROPERTY 1400 Ave. Greeley.CO8831 DECLARATION SCHEDULE Phomx G33)163-3645 CONFIDENTIAL DATA (One Well per Schedule) YOU MUST FILE EVERY YEAR REGARDLESS IF ANY ADDITIONS OR DELETIONS WERE MADE BA CODE 51311 TA CODE 0185 PARCEL NUMBER BSEO 121316000001 06 OIL PIN NOR 0065292 PERS PIN NBR C018267-704 19 94 Assessment Date Due Date January 1 April 15 A. NAME AND ADDRESS (INDICATE ANY CHANGES) GERRITY OIL C GAS CORPORATION • LOGAN G FIRMINE INC P 0 BOX 4274 ENGLEWOOD5 CO 80155 CHANGE OF NAME AND OR ADDRESS B. STATUS OF PROPERTY PROPERTY LOCATION OR LEGAL DESCRIPTION 11445-F LEASEHOLD INT SE4 16 6 65 LEASE NAME OR DESCRIPTION: MEGAN M 16-09 10 15 C 16 FIELD NAME: WELL NAME MID NUMBEF6_ 1' nn I APIS COGCC t. DATE'WELLCOMPLETED: 0512315052 NAME AND ADDRESS OF PREVIOUS OWNER(S) b this your BY rat Return? ES X NO _New Wes _New Owners) C. PRODUCTION REPORT FOR THE PREVIOUS YEAR - Check valuation method used. R - Actual Wellhead Price —Unrelated Party Netbadc (Producer) —Comparable Price Used to Value PROCESSORS Leasehold — Comparable Price Used to Value PRODUCER'S Leasehold —Related Party Netb c1.maw PRODUCTION —ATTACH REPORT OF TIK OWNERS C %53 UNIT TOTAL PRODUCED: (SHOULD TO FLARED, VENTED, OR USED ON THE LEASE A. SOLD OR TRANSPORTED FROM LEASE B. TOTAL VALUE RECEIVED FOR THE WELL SITE ea 4,702.62 MCF 17 71 /6,Sb9.44 83,265 18 140,147 66 KgB'" bat Z: SHIM, , TOTALS FOR ASSESSOR'S USE ONLY ALLOWED FOYALTY EXCLUSION ACTUALVA LUE Total Veke may be compared to COGCC Lam 8 reported totals. Gas Volume reported at 14.73 PSI • Industry standard, contact COGCC if pressure Y different. CI SECONDARY PRODUCTION —ATTACH REPORT OF TIK OWNERS 6 %I5 FORAssnsoR8 USE ONLY UNIT - TOTAL PRODUCED: (SHOULD RECONCILE TO CM''C FORM) FLARED, VENTED, OR USED ON THE LEASE A. SOLD OR TRANSPORTED FROM LEASE B. TOTAL VALUE RECEIVED FOR THE WELL SITE* ALLOWED FOYALTY EXCLUSION ACTUAL VALUE BBL BBocxx gg pl,.Ided soy BMoCxP Bar'B' DINO 3 4 SOA A': S BBL TOTALS I WA Toad Value nay be compared to COGCC form 8 reported totals. Gas Volume reported at 14.73 PSI • Industry standard contact COGCC ff pressure ls different 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 government organizations within the State of Colorado. Name of Government Entity Royaay tatExieomptn State Board of Land Commissioners 12.50% E. PURCHASER'S STATEMENT - List names and addresses of purchasers of oil and gas products. Attach separate sheet if necessary. 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, has 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 p ion, or under my control, located In this county In Colorado on the assessment date of this year: that such property has been reasonably des$rlbed and its value fairly represented; and that no attempt has been made to mislead the assessor as to Its age, quality, quantity or value.' 39-5.107(2)C _/s 41 SIGNATURE OF OWNER OR AGENT PRINT NAME OF PERSON SIGNING Richard D. Logan. Tax Rep. DATE J PHONE303-771-5511 NAME OF OWNER errrity Oil & Gas Corporation PLEASE COMPLETE, SIGN, AND RETURN TO THE ASSESSOR ON OR BEFORE APRIL 15 (INSTRUCTIONS ON OTHER SIDE) RETURN THIS COPY PH L O11 a. I SOPT- AS Form DSd53 El 94 MAL To WELD COUNTY ASSESSOR 1� )A3ve B45 CO 806.31 YOU MUST SA CODE 51 3 11 TA CODE State of Colorado OIL AND GAS REAL AND PERSONAL PROPERTY DECLARATION. SCHEDULE CONROENTIAL DATA (One Well per Schedule) FILE EVERY YEAR REGARDLESS IF ANY ADDITIONS OR DELETIONS WERE MADE 0065292 PERSPIRINBR 0018267-734 0185 PARCEL NUMBER& SEG 121316000001 06 OILPINNER 19 94 Assessment Date January 1 Due Date April 15 A. NAME AND ADDRESS (INDICATE ANY CHANGES) GERRITY OIL 6 GAS CORPORATION % LOGAN 6 FIRNINE INC P 0 BOX 4274 ENGLEWOOD, CO 80155 CHANGE OF NAME AND/OR ADDRESS B. STATUS OF PROPERTY PROPERTY LOCATION OR LEGAL DESCRIPTION: 11445-F LEASEHOLD INT SE4 16 6 65 NAMENAME: OR DESCRIPTION: MEGA 1 16-0 9 10 15 6 16 LEASEFIELD HELD NAME: AND NUMBER: TAG /d WM COGCC♦. DA WELL COMPLETED: 0512315052 NAME AND ADDRESS OF PREVIOUS OWNER(S) BM is tNs your ResY in? ES —NO —New WMt —Nary Owner(*) C. EQUIPMENT INVENTORY LISTING Cl. WELL CHARACTERISTICS-Arstiestxklt rittnx DAW NAME fFNUER—JIII ESB11R6 1D -4I wpm 7368 C2. METHOD OF PRODUCTION - Check where applicable. AllitI OI MUXKOMNIXXInt X SECONDARY WELL TYPE: _SUPPLY _DISPOSAL _ CO2 INJECTION _WATER INJECTION TANKS VISTALIIDX. ON SITE _ COMMON TANK BATTERY METHOD OP UPT, ..LFLOWING _PUMPING _ PLUNGER UPr MOTOR TYPES GAS _ ELECTRIC _ESP twat moms PIMP) C3. INSTALLED EQUIPMENT • Indicate the matter of each on kraecn. OVERALL EQUIPMENT CONDmON(CNECK ONE): _VERY GOOD XAVERAGE _ MINIMUM COUNT OF: .A_1 TANKS _e TANKS IN COMMON TANK BATTERY _1PR000CTION UNR(S) eSEPARATOR(S) _ IHEATEA TREATER(S) ADEHYDRATOR(S) Based on year of manufacture, check the evenge ape of installed wN4ib equipment. Years CLASS(check are)OIL _XGAS _ COAL SEAM GAS Has any instilled well site K we. Posse defRWe the iciuwtt the twn of oesrhau and themadddonai years of productive ANthe Set three rivet_�addeddto 0» soubnn Attach w seate sheet 4 necessary. octagons • major overheul DESCRIPTION OF EQUIPMENT DESCRIPTION OF MAJOR OVERHAUL YEARS ADDED C4AMOUNTS OF PRODUCTION _ OIL 697Oa BBL GA8 7L. 869 MCF WATER BEL DAYS CAPABLE OF PRODUCTION -3 STRIPPER WELL? _Yes.L No C5. ADDITIONAL INSTALLED EQUIPMENT - rmcaw tM number of each on localon. (Attach addidonN Itemized nadnp If needs. EQUIPMENT DESCRIPTION pawn Ism Ind same times CC�aWP�bn� a Pwrr. Gas arrest lkxr, bar Moms e. "ci QUANTITY COMMON Ma PL Panda PUMP% End Cann= WSJ le) JAN _ AVG _Verb —MIN — AVG _VGD JAN — AVG —VGD CO. STORED EQUIPMENT -(Attach wallonw ItetMzed Ieing If needed) EQUIPMENT DESCRIPTION CONDITION MAKE MODEL SIZE OR FOOTAGE YEAR MFG. JAN _AVG VGD JAN _AVG S --MN — AVG —VIM D. LEASED, LOANED, OR RENTED PROPERTY(Declare property owned byothers orattach sepuameheet.) NAME AND ADDRESS OF OWNER/LESSOR DESCRIPTION MODEL/SERIAL NO. TERM (From -To) ANNUAL RENT 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, has been examined by me and to the beet of my knowledge, information, and belief, sets forth a lull and complete list of all taxable personal property owned by me or in my p Ion, or under my control, located in this county In Colorado on the Ent date of this year: that such property ha}n reasonabI pescrQJlE and It, value fairly represented: and thy nq,attempt has been made to mlaleed the assessor as to its age, quality, quantity or value.' 30-S-107(2 SIGNATURE OF OWNER OR AGENT PRINT NAME OF PERSON SIGNING NAME OF OWNER PLEASE COMPLETE, SIGN, AND RETURN TO THE ASSESSOR ON OR BEFORE APRIL 15 (INSTRUCTIONS ON OTHER SIDE) RETURN THIS COPY DATE PHONE ero3Lit 1 Or L e:11 13 OPT -AS Fe4m 05-658 81 94 MAIL To WELD COUNTY ASSESSOR 1400 N. 17th Ave, Greeley, CO 80631 Phone: (3O3)333 -384S YOU MUST State of Colorado OIL AND GAS REAL AND PERSONAL PROPERTY DECLARATION SCHEDULE CONFIDENTIAL DATA (One Well per Schedule) FILE EVERY YEAR REGARDLESS IF ANY ADDITIONS OR DELETIONS WERE MADE 19 94 Assessment Date Due Date January 1 April 15 BA CODE 51311 TACODE 0185 PARCEL NUMBER& SEO 121316000001 06 OIL PIN NBA 0065292 PERS PINNBR 0018267-70 A. NAME AND ADDRESS (INDICATE ANY CHANGES) GERRITY OIL 6 GAS CORPORATION % LOGAN 6 FIRMINE INC P 0 BOX 4274 CHANGE OF NAME AND/OR ADDRESS ENGLEWOOD, CO 80155 B. STATUS OF PROPERTY PROPERTY LOCATION OR LEGAL DESCRIPTION:' NAME AND ADDRESS OF PREVIOUS OWNER(S) 11445-F LEASEHOLD INT SE4 16 6 65 6 16 LEASENAME oRoEscRlProta MEGAN H 16-09 10 15 (,7j� FIELD NAME:APM WELLNAME AND NUMBER:. ItDITEVI COMPLETED: Is this your lest Return? YES -$NO 0512315059 _New Well _New Owner(s) C. PRODUCTION REPORT FOR THE PREVIOUS YEAR - Check valuation method used. R - Actual Wellhead Price —Unrelated Party Netback (Producer) — Comparable Price Used to Value PRODUCERS Leasehold C1.PRIMARYPRODUCTION —ATTACH REPORT OF TIK OWNERS S — Comparable Price Used to Value PROCESSORS Leasehold — Related Party Ne %• S UNIT eat TOTAL PRODUCED: (SHOULD TO COGCC IIE O)S FORM) FLARED, VENTED. OR USED ON THE LEASE A SOLD OR TRANSPORTIED FROM LEA 861.21 MCP 16.77 32,837.98 B. TOTAL VALUE RECEIVED FOR THE WELL SITE' 14,439.04 61,601.01 ir.F "SNaa°°a°syiz.2.: 1.88J A�. TOTALS Tate) Value may be compered to COGCC tam S reported totals. Gas Yakima reported at 14.73 PSI - industry atenmrd, contact rnrrC E prawn is FOR ASSESSOR'S USE ONLY ALLOWED FOYALTY ' EXCLUSION ACTUAL VALUE cmsEcoNDARYPRaouccrtoN -ATTACH REPORT OF TIK OWNERS 5 %•S FORAS8E88oR'S DOE ONLY UNIT TOTAL PRODUCED: (SHOULD RECONCILE TO r'n+r'C FORMA FLARED, VENTED. OR USED ON THE LEASE A. SOLD OR TRANSPORTED FROM LEASE B. TOTAL VALUE RECEIVED FOR THE WELL SITE' ALLOWED FOYALTY EXCLUSION ACTUAL VALUE BBL BByy gg pqlyv�1ds�dpy BBMCCF Bat'B' DlNdee by Bar A': BBBeLL TOTALS H: .. Taal Value may be compered to COGCC tam 8 reported toes. Gas Volume reported at 14.73 PSI - kldtsby standard. combat Mach 8 pressure is recent 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 govemment organizations within the State of Colorado. Named Government Envy Royalty %TaxetloExem From npt State Board of Land Commissioners 12.50% E. PURCHASER'S STATEMENT - List names and addresses of purchasers of oil and gas products. Attach separate sheet if necessary. 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, has 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 p low or under my control. located In this county in Colorado on the asaasrnent date of this year; that such property has been reasonabl described and its value fairly represented: and that no attempt has been made to mislead the aaesasor as to Its age, quality. quantity or value.' 39.5.107 property: as OF OWNER OR AGENT DATE //� PHONE 303-771-5511 PRINT NAME OF PERSON SIGNING Richard D. Logan. Tax Rep. NAME OF OWNER Gerrity Oil & Gas Cnrpnratinn PLEASE COMPLETE, SIGN, AND RETURN TO THE ASSESSOR ON OR BEFORE APRIL 15 (INSTRUCTIONS ON OTHER SIDE) RETURN THIS COPY PALat L Of L JLJ2 1S CPT • AS Form DS -656 61 94 MAL To WELD COUNTY ASSESSOR 1400 N. 1701 Ave, Greeley, CO 80631 Plan: (303) 3633315 YOU MUST BA CODE 51311 T.A. CODE State of Colorado OIL AND GAS REAL AND PERSONAL PROPERTY DECLARATION SCHEDULE CONFl DATA (One Well per Schedule) FILE EVERY YEAR REGARDLESS IF ANY ADDITIONS OR DELETIONS WERE MADE 0065292 PERSPIN NBA 001826770 0185 PARCEL NUMBER &SEQ 121316000001 06 OILPINNOR 19 94 Assessment Date January 1 Due Date April 15 A. NAME AND ADDRESS (INDICATE ANY CHANGES) GERRITY OIL t GAS CORPORATION % LOGAN t FIRMINE INC P 0 BOX 4274 ENGLEW00D, CO 80155 CHANGE OF NAME AND/OR ADDRESS B. STATUS OF PROPERTY PROPERTY LOCATION OR LEGAL DESCRIPTION: 11445-F LEASEHOLD INT SE4 16 6 65 LEASE NAME OR DESCRIPTION: MEGAN H 16-09 10 15 4 FIELD NAME WELL NAME AND NUMBER: /6 _/ APIs COGCC III DATE WELLC 0512315059 16 D: NAME ANDADDRESS OF PREVIOUS OWNERS) Is this yaw St Return?_YES —NO —New Wee —New Owner(s) C. EQUIPMENT INVENTORY LISTING Cl. WELL CHARACTERISTICS-AllaMOM'ft1tilillenrgfXx Bps NAME DENUCR—JIIL.ESBtIRG fD—Jt DEPTH 7379 CLASS(gwekone):_OIL _LGAS _ COAL SEAM GAS C2. METHOD OF PRODUCTION - Check where applicable. AlfONFNIXX X fl QM *ZX% Z X SECONDARY WELL TYPE _SUPPLY _DISPOSAL_ CO2 INJECTION _WATER INJECTION TANKS INSTALLED:_X ON SITE _ COMMON TANK BATTERY METHOD OF UPC X FLOWING _PUMPING _ PLUNGER LIFT MOTOR TYPE:_ GAS — ELECTRIC _ESP wawa werausta R..el CS. INSTALLED EQUIPMENT-IndiateYrdusterofead,onloran. OVERALL EO%MCNT CO$4DmON(CHECX ONE) _VERY GOOD xAVERAGE _ MINIMUM COUNT OF: 1 • TANKS s TANKS IN COMMON TANK BATTERY _SPRODl1CTION UNIT(S) ISEPARATOR(S) —CHEATER TREATER(S) _ODEHVDRATOR(S) Beats on yew. of manufactory. chick the average ape of Instated owlish* equipment. Yw. Has wry Yrieeed wM tlLe eq,mgrw[ undnlon gora a meevrhNN in the lest three ywa7_ NO,....... YES dem ..-araKrpM nN added to IM ewbnwnt Attach poeMe flat t semen DESCRIPTION OF MAJOR OVERHAUL DESCRIPTION OF EQUIPMENT YEARS ADDED C4. AMOUNTS OF PRODUCTON OIL 861 BBL OAS '»t&T MCF WATER BBL DAYS CAPABLE OF PRODUCTION r STRIPPER WELL? _Yes _it No C5. ADDITIONAL INSTALLED EQUIPMENT -Indicate the number of seal on leeeuon. (Attach eddNenal Itemised Ming if needed) EQUIPMENT DESCRIPTION Saida.Sp. as me Rrde1Narmy Ult. Caeca Pmrden UNE at R.ueerorIS Para. Gee tar Rn min were, Led Uwe, CMtel P'n% R.qe. Pumps. w Gee bar ter C.,.a.eew ISM HP) QUANTITY CONDITION . —MIN — AVG _VOO JAN — AVG _V00 JAN — AVG _VOD C8. STORED EQUIPMENT -(Amch additional itemized Mang if needed) EQUIPMENT DESCRIPTION CONDITION MAKE MODEL SIZE OR FOOTAGE YEAR MFG. • —MIN _AVG VGD —MIN — AVG VGD JAN — AVG VGD D. LEASED, LOANED, OR RENTED PROPERTY (Declare progeny owned byothers orattach agent* swot) NAME AND ADDRESS OF OWNER/LESSOR DESCRIPTION MOOEUSERIAL NO. TERM (From -To) ANNUAL RENT 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, has been examined by me and to the but of my knowledge, Intormatlon, and belief, sets forth a lull and complete list of all taxable personal plpparty owned by me or In my posseeeion, or under my control. located in this county In ed and its value fairly represented: and that no attempt has been made to mislead the Colorado on the assessment date of this year; that such property h n reasonably de assessor as to Its age, quality, quantity or value.' 3a -S•107(2 C 41 SIGNATURE OF OWNER OR AGENT • DATE PHONE PRINT NAME OF PERSON SIGNING NAME OF OWNER PLEASE COMPLETE, SIGN, AND RETURN TO THE ASSESSOR ON OR BEFORE APRIL 15 (INSTRUCTIONS ON OTHER SIDE) RETURN THIS COPY NHUC I Or SG S1 15 DPT. AS Fawn DS -658 81 94 MAIL To WELD COUNTY ASSESSOR 1400 N. 17Th Ave. Greeley. CO 80631 Phone: (303)383-3645 State of Colorado OIL AND GAS REAL AND PERSONAL PROPERTY DECLARATION SCHEDULE CONFIDENTIAL DATA (One Well per Schedule) YOU MUST FILE EVERY YEAR REGARDLESS IF ANY ADDITIONS OR DELETIONS WERE MADE BA COOE 51311 TA CODE 19 94 Assessment Date January 1 Due Date April 15 0185 PARCEL NUMBER & SEO 121316000001 06 OIL PIN NBA 0065292 PERSPIN NBA 0019267-703 A. NAME AND ADDRESS (INDICATE ANY CHANGES) GERRITY OIL S GAS CORPORATION GRANDE OF NAME AND/OR ADDRESS Is LOGAN 6 FIRMINE INC P 0 BOX 4274 ENGLEWOOD, CO 80155 B. STATUS OF PROPERTY PROPERTY LOCATION OR LEGAL DESCRIPTION: NAME AND ADDRESS OF PREVIOUS OWNER(S) 11445-F LEASEHOLD INT SE4 16 6 65 LEASE NAME OR DESCRIPTION: MEGAN H 16...09 10 15 C 16 FIELDNAME: WELL NAME AND NUMBER' 6-16 • Is this your first Return? _YES XNO API* COGCC a: DATE WELL COMPLETED: 0512315060 _New Well _New Owner(s) C. PRODUCTION REPORT FOR THE PREVIOUS YEAR - Check valuation method used. _I -Actual Wellhead Price —Unrelated Party Netback (Producer) _Comparable Price Used to Value PROCESSOR'S Leasehold — Comparable Price Used to Value PRODUCER'S Leasehold —Related Party Netb CI. PRIMAR.PROCUCTION —ATTACH REPORT OF TIK OWNERS C 111 5 UNIT TOTAL PRODUCED: (SHOULD RECONCILE TO FLARED. VENTED. OR USED ON THE LEASE A SOLD LEASED B. TOTAL VALUE RECEIVED FOR THE WELL SITE' BBL 3,308.49 56,661.07 81,880.37 MCF 43,489.96 lb TOTALS FOR ASSESSOR'S USE ONLY ALLOWED FOYALTY EXCLUSION ACTUAL VALUE 'Total Value may be compared to Farr tam 8 reported totals. Gee Volume reported M 14.73 PSI - kiduety standard. contact COOCC 8 pressure M different cl. SECONDARY PRODUCTION -ATTACH REPORT OF TIK OWNERS C IF eS FOR ASSESSORS USE ONLY UNIT TOTAL PRODUCED: (SHOULD RECONCILE TO frvlr'C FORMI FLARED, VENTED, OR USED ON THE LEASE A. SOLD OR TRANSPORTED FROM LEASE B. TOTAL VALUE RECEIVED FOR THE WELL SITE' ALLOWED FOYALTY EXCLUSION ACTUAL VAI UE BBL BBooryr gg ppNNladeepp ppyy BBMOoCF Bca'B'OV by Box A . gqrrBeBBLt TOTALS IpeM .. 'Total Value may be compared to COGCC tam 8 reported totals. Gas Volume reported at 14.73 PSI -Industry etendaN, contact COGCC 8 pressure Is daerelt 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 government organizations within the State of Colorado. Name of Government Entity Royally %Exempt ram Taxation State Board of Land Commissioners 12.50% E. PURCHASER'S STATEMENT - List names and addresses of purchasers of oil and gas products. Attach separate sheet it necessary. DECLARATION THIS RETURN IS SUBJECT TO AUDIT 'I declare under penally of perjury in the second degree, that this schedule, together with any accompanying exhibits or statements, has been examined by me end to the best of my knowledge. Information, and belief, sets forth a lull end complete Ilst of all taxable personal property owned by me or in my possession, or under my control, located in this county In Colorado on the assessment date of this year; that such property,{ as been reasonably described and Its value fairly represented: and that no attempt has been made to mislead the assessor as to Its age, quality• quantity or value.' 3.5.107( di .36--.- r// 303-771-5511 SIGNATURE OF OWNER OR AGENT DATE PHONE PRINTNAMEOFPERSONSIGNING Richard D. Logan. Tax Reo. NAMEOFOWNER errrityOil & Gas Corporation PLEASE COMPLETE, SIGN, AND RETURN TO THE ASSESSOR ON OR BEFORE APRIL 15 (INSTRUCTIONS ON OTHER SIDE) RETURN THIS COPY t'M(ac 2 (Jr L S2.3a 15 OPT -AS Foe DS -858 81 94 MAIL lb WELD COUNTY ASSESSOR 1400 N. 140 Ave, Greeley, CO 80831 Phonic (303) 3533845 YOU MUST BA CODE 51311 TA CODE State of Colorado OIL AND GAS REAL AND PERSONAL PROPERTY DECLARATION SCHEDULE CONFIDENTIAL DATA (One Well per Schedule) FILE EVERY YEAR REGARDLESS IF ANY ADDITIONS OR 0185 PARCELNUMSER$SED 121316000001 06 OIL PIN NBA 19 94 Assessment Date January 1 Due Date April 15 DELETIONS WERE MADE 0065292 PERSPIN NBR OO18267-7G A. NAME AND ADDRESS (INDICATE AM/CHANGES) GERRITY OIL t GAS CORPORATION CHANGE OF NAME AND/OR ADDRESS % LOGAN L FIRMINE INC P 0 BOX 4274 ENGLENOOD, CO 80155 B. STATUS OF PROPERTY PROPERTY LOCATION OR LEGAL DESCRIPTION: NAME AND ADDRESS OF PREVIOUS OWNER(S) 11445-F LEASEHOLD INT SE4 16 6 65 LEASE NAME OR DESCRIPTION: AND MEGist q �6—N09 10 15 G 16 HELD NAME: MBER: ! APM COGCC II: DATE WELL4COJ 6 TED: I this your first Return? _YES _NO 0512315060 —New Wes —New Owner(s) C. EQUIPMENT INVENTORY LISTING Ct.WELL CHARACTERISTICS -Aieithat9Pl iallt rytrit1t7t'9(x BASUINAME DENVER-JULES BURG ID—JI perm 7580 C2. METHOD OF PRODUCTION - Check where applicable. Ap MIFOIOQXfXIIKOtana tat X SECONDARY WELL TYPE: _SUPPLY _DISPOSAL _ CO2 INJECTION _WATER INJECTION TANKS INSTALLED' X ON SITE — COMMON TANK BATTERY METHOD OF LIn A -FLOWING _PUMPING _ PLUNGER UFT MOTOR TYPES GAS _ ELECTRIC _ESP poem .be,,.m. peek C3. INSTALLED EQUIPMENT- Inflate i e number of midi on location OVERALL EQUIPMENT CONDITION(CHECK ONE): _VERY GOOD AAVERAGE _ MINIMUM COUNT OF: _Le TANKS _I TANKS IN COMMON TANK BATTERY _IPROOUCTION UNIT(S) 1SEPARATOR(S) _ *HEATER TREATER(S) aDEHYDRATOR(S) Based on yes: of manufacture. check Me average age of installed welal % equipment. Yews CLASS(check one) OIL .GAS _ COAL SEAM GAS Ha any installed wee alto undergone s majoroverhaul In ms three last yeast_ NO_ YES If me. dew deviate the= the tvos of overhaul. and the edla5Ons vests of MOOypve Ns added to to ea bermMath . separate Meeta necessary DESCRIPTION OF MAJOR OVERHAUL DESCRIPTION OF EQUIPMENT YEARS ADDED C4. AMOUNTS OF, PRODUCTION on. 3 304 BBL GAS 421Y741 MCP WATER eBL DAYS CAPABLE OF PRODUCTION '� 65' STRIPPER WELL? _Ya_ICNo C5. ADDITIONAL INSTALLED EQUIPMENT -months number of each on location. (Attach additional Itemized wags a needed) EQUIPMENT DESCRIPTION ("teem begs and mall Rile Telmaey Met Cake P,arsm Mw am Roars a Sole Paet Or Mar Rua, Inane Seen, tad UNM C anal Purim RehYY Romps, and Or etas* U.. Compeee line NP) oUANnnY CONOITON JAN — AVG _VOD JAN — AVG _VGG —MN _AVG .VOD IPMENT -(Attach ad Monti itemized iaif EQUIPMENT DESCRIPTION CONDITION MAKE MODEL SIZE OR FOOTAGE YEAR MFG. • JAN .AVG VGD _MIN — AVG VGD JOIN _AVG _V00 D. LEASED, LOANED, OR RENTED PROPERTY (DedarepdwMowned byomen OrMach Ihrocraleanea.) NAME AND ADDRESS OF OWNER/LESSOR DESCRIPTION MODEUSERIAL NO. TERM (From -To) ANNUAL RENT DECLARATION THIS RETURN IS SUBJECT TO AUDIT declare under penalty of perjury in the second degree, that this schedule, together with any accompanying exhibits or statements, has been examined by me and to the best of my knowledge, information. and belief, sets forth a lull and complete Ilst of al taxable personal props owned by me or in my possession, or under my control, located In this county In Colorado on the assessment date of this year; that such property he , reesonsbly de ribe cad its value Iairly represented: and tha nofttempt has been made to mislead the aeseseor as to Its age, quality. quantity or value.' 39-5.107(2)C /./9v SIGNATURE OF OWNER OR AGENT DATE PHONE PRINT NAME OF PERSON SIGNING NAME OF OWNER PLEASE COMPLETE, SIGN, AND RETURN TO THE ASSESSOR ON OR BEFORE APRIL 15 (INSTRUCTIONS ON OTHER SIDE) RETURN THIS COPY Hello