Form Mt-07np - New Pool Initial Oil Or Gas Exemption Request Page 4

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OPERATOR & PURCHASER INSTRUCTIONS
OPERATOR
To apply for a New Pool initial exemption, please complete the fields on page 1 of this form. After the Kansas
Department of Revenue approves the initial exemption, a certified copy will be sent back to you and to the
purchaser you have indicated. The certified copy will be your Certificate of Exemption.
If additional copies of this form are needed, they can only be found on the Kansas Department of Revenue’s
web site at: Due to limited state funding KDOR will not be printing
supplies of this form.
Please note that all operators and purchasers are required to notify the Mineral Tax Service Division of
any changes by submitting Form MT-8, Operator and Purchase Change Request. This form can be
submitted by email: ks.op.pur.chngrqst@kdor.ks.gov, fax: 785-296-4993 or by mail to the address on the
front of this form.
Average Daily Oil Production for Initial Production Occurring On or After 7/1/12
The Production History Table on page 4 of this form is
required
to be completed in order to determine
the Average Daily Production and submitted with page 1.
If the Production History Table is not
completed the Exemption Request form will be sent back to the Operator.
Average daily oil production is equal to total gross production divided by number of producing well days.
Producing well days, for a single oil well, is equal to the number of days that the well was in
production.
If the BOPD is greater than 50, do not send in the form because the exemption will be denied.
PURCHASER
If certified, this application informs you that the indicated lease/well is exempt for the period shown. If you
st
are not the 1
purchaser of the lease, please return the form to the Kansas Department of Revenue.
The exemption is non-transferable between operators.
Should this lease change operators, this
exemption will no longer be valid. A new exemption number for the new operator will be issued for the
remaining effective months.
If you have misplaced your copy of this application or any previous ones,
you may request Form DO-41 to obtain a copy. The form is located on the
Departments web site at: or by
phone at 785-296-4937.
2

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