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Reporting Instructions Form For Oil And Gas Taxes - North Dakota Office Of State Tax Commissioner Page 27

This waiver may be terminated by the Commissioner at any time by providing written notice to Producer that a

report must be filed for the production month following the month in which the notice of termination is issued. Producer

may terminate this waiver only by providing the Commissioner with written notice that a report will be filed in the next

succeeding month. When a waiver is terminated by either the Commissioner or Producer, failure thereafter to file a

timely report may subject Producer to penalties under N.D.C.C.

§§ 57-51-06 and 57-51-10.

The Commissioner’s waiver of Producer’s requirement to file a report does not constitute a waiver of

the

Commissioner’s authority to audit Producer’s records and to assess Producer for additional gross production and oil

extraction taxes.

Each signatory represents that they have full authority to execute this agreement on behalf of the party

designated.

Agreed to this

day of

, 2000.

NORTH DAKOTA STATE TAX COMMISSIONER

By:

Oil & Gas Tax Supervisor

Agreed to this

day of

, 2000.

Producer’s Name

By:

Title

Page 25

Reporting Instructions Form For Oil And Gas Taxes - North Dakota Office Of State Tax Commissioner Page 27