Form 330 - Tax Credit Summary And Certificate Request For Oil And Gas Production Tax Credits Page 5

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Alaska
330
Oil and Gas Production Tax Credits
under AS 43.55.023
Schedule B-2: Agreement to Provide DNR Data Required under
AS 43.55.023(a)(2)(A) & (l)(2)(A)
Federal EIN
Date of Claim
Tax Period
Taxpayer Name
Mailing Address
City
State
Zip Code
Contact Person for Exploration Data
Email Address
Phone Number
Fax Number
Completion Date (expected)
Geophysical, Geological or Well Exploration Project Name or Description
Have geological, geophysical, or well data associated with this exploration project already been collected?
Yes
No
If no data has been submitted to the Department of Natural Resources, then a credit may not be claimed under AS 43.55.023(a)(2) or (I)(2).
Is this exploration project ultimately expected to involve collection of any further geological, geophysical, or well data?
Yes
No
Explorer/taxpayer hereby agrees with all requirements under AS 43.55.023(a)(2)(A) & (l)(2)(A) as
listed under AS 43.55.025(f)(2):
(A) to notify the Department of Natural Resources, within 30 days after completion
acreage in the same vicinity, or unless the well is on private land and the
of seismic or geophysical data processing, completion of well drilling, or filing of a
owner, including the lessor but not the lessee, of the oil and gas resources
claim for credit, whichever is the latest, for which exploration costs are claimed,
has not given permission to release the well data
of the date of completion and submit a report to that department describing the
processing sequence and providing a list of data sets available;
(ii) in the case of seismic or other geophysical data, other than seismic
data acquired by seismic exploration subject to (k) of this section, for
(B) to provide to the Department of Natural Resources, within 30 days after the
10 years following the completion date, at which time the Department
date of a request, unless a longer period is provided by the Department of Natu-
of Natural Resources will release the information after 30 days' public
ral Resources, specific data sets, ancillary data, and reports identified in (A) of
notice, except as to seismic or other geophysical data acquired from
this paragraph; in this subparagraph,
private land, unless the owner, including a lessor but not a lessee, of
the oil and gas resources in the private land gives permission to release
(i) a seismic or geophysical data set includes the data for an entire seismic
the seismic or other geophysical data associated with the private land;
survey, irrespective of whether the survey area covers nonstate land in
addition to state land or land in a unit in addition to land outside a unit;
(iii) in the case of seismic data obtained by seismic exploration subject to (k)
of this section, only until the expiration of 30 days' public notice issued on
(ii) well data include all analyses conducted on physical material, and well
or after the date the production tax credit certificate is issued under (5) of
logs collected from the well, results, and copies of data collected and
this subsection;
data analyses for the well, including well logs; sample analyses; testing
geophysical and velocity data including seismic profiles and check shot
See current statute for complete citation.
surveys; testing data and analyses; age data; geochemical analyses; and
tangible material;
NOTE: The information required above should be
sent to:
(C) that, notwithstanding any provision of AS 38, information provided under this
paragraph will be held confidential by the Department of Natural Resources,
State of Alaska
(i) in the case of well data, until the expiration of the 24-month period of
Department of Natural Resources, Division of Oil and Gas
confidentiality described in AS 31.05.035(c), at which time the Department
ATTN: Resource Evaluation Section
of Natural Resources will release the information after 30 days' public
notice unless, in the discretion of the commissioner of natural resources,
550 W 7TH AVE STE 1100
it is necessary to protect information relating to the valuation of unleased
ANCHORAGE AK 99501
I declare under the penalty of perjury that I am authorized to act on behalf of the filer. This is in addition to any information
required by or submitted to the Alaska Oil and Gas Conservation Commission.
Signature
Printed Name and Title
Date
330
0405-330 Rev 03/19/13 - page 5

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