AYMENT OF PROCEEDS SALES VOLUME RECONCILIATION PAYOR CONTACT FORM This form may be submitted only by a payee legally entitled to payment from proceeds derived from the sale of oil, gas, or associated products from a well in Colorado. The payee is to complete this form (one form per well) and submit it to the payor issuing the payment . Operator addresses may be found at the COGCC website cogcc.state.co.us at DATABASE under the category NAME, ADDRESS AND FINANCIAL ASSURANCE. This form must be.
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How to fill out the Cogcc Forms online
Filling out the Cogcc Forms online can streamline the process of submitting required information for payment of proceeds in the oil and gas industry. This guide will provide you with clear, step-by-step instructions to help you complete the necessary sections confidently.
Follow the steps to complete your Cogcc Forms accurately.
- Click ‘Get Form’ button to access the form and open it in the online editor.
- Begin by filling out the payee information section. Include the full name of the payee, their phone number, address, fax number, state, city, zip code, email address, and payee number. Ensure all information is accurate and up-to-date.
- In the mineral information section, provide the well name, the quarter/quarter designation, county, section, township, range, and the API number associated with the well.
- Complete the request for payment of proceeds information by marking the appropriate entries. Specify the necessary information such as the total quantity of product sold, price per unit, total severance taxes, and the payee's interest expressed as a decimal.
- If applicable, fill out the additional information requested section. It allows for a written explanation of any deductions or adjustments pertaining to meter calibration and production reporting.
- Proceed to the payment of proceeds - payor response section. Here, note the name of the payor and the date of response. Document any issues regarding missing information as provided by the payor.
- In the sales volume reconciliation section, provide the mineral information again, and request information regarding reported sold and produced volumes for both gas and oil.
- Finally, certify the form by entering the payor's representative's name and the date. Review all entries to ensure accuracy.
- Once all sections are completed, save your changes, then download, print, or share the form as needed.
We encourage you to complete your Cogcc Forms online for a more efficient filing experience.
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