Get Pa Form 5500 Pm Og0010

This guide provides comprehensive instructions for completing the Pa Form 5500 Pm Og0010, an application for the transfer of well permits or registrations in Pennsylvania. Follow these steps to ensure that you fill out the form correctly and efficiently.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to access the form and open it in the provided interface.
2. In the 'Transfer From' section, enter the name of the former operator and their address details along with any required identification numbers, such as Client ID and Bond Agreement number.
3. In the 'Transfer To' section, input the name and contact information of the new operator, including their OGO number, address, city, state, telephone, and fax numbers.
4. In the 'Wells to be Transferred' section, list each well by filling out the Permit/Registry Number, County, Municipality, Farm Name, Well Number, and Project/Service Number for each well being transferred. Ensure to number the pages and total them at the bottom left corner.
5. Obtain the necessary signatures in the 'Signatures and Certification' section. Both the transferor and transferee, or their authorized agents, must sign and date the form. Make sure to print or type their names and titles underneath their signatures.
6. Review the completed form for accuracy, making sure all corrections are initialed and dated where necessary. Confirm that the signatures are properly executed as per the requirements outlined in the instructions.
7. Once everything is checked and confirmed, save the completed document. You can download, print, or share the form as needed.

Complete your application online today for a seamless transfer process.