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Reporting Instructions Form For Oil And Gas Taxes - North Dakota Office Of State Tax Commissioner Page 29

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

return 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 return may subject Producer to penalties under N.D.C.C. §§ 57-51-06 and 57-51-10.

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

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

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 27

Reporting Instructions Form For Oil And Gas Taxes - North Dakota Office Of State Tax Commissioner Page 29