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OTC 904-3-P                       State of Oklahoma                                                 Tax Year
       Revised 11-2023
                                  Petroleum Related Asset Listing                                   2024
                                  Return to County Assessor - Filing Date: January 1 - March 15

Taxpayers filing OTC Form 901-P in  _________________________________  County must complete this schedule listing like or similar 
items grouped by description, year of acquisition and total orignial cost. This schedule is to be filed with completed OTC Form 901-P.
NAME, ADDRESS AND PERSONAL PROPERTY ACCOUNT NUMBER

Name of Business:  _______________________________________   Email Address:  ____________________________

Address:  __________________________________________________________________________________________

Personal Property Account Number:   ____________________________   Phone Number:  ________________________

                                  REPORT ONLY TANGIBLE ASSETS
LEASEHOLD IMPROVEMENTS
Item                                  Location/Situs                              Year Acquired
Number                Description
                                  1/4 SEC                              TWP RG     New          Used Total Original Cost

                                                                                               TOTAL
FURNITURE AND FIXTURES
Item                                  Location/Situs                              Year Acquired
Number                Description                                                                   Total Original Cost
                                  1/4 SEC                              TWP RG     New          Used

                                                                                               TOTAL
COMPUTERS AND ELECTRONIC EQUIPMENT
Item                                  Location/Situs                              Year Acquired
Number                Description                                                                   Total Original Cost
                                  1/4 SEC                              TWP RG     New          Used

                                                                                               TOTAL
TOOLS, MACHINERY AND/OR EQUIPMENT
Item                                  Location/Situs                              Year Acquired
Number                Description                                                                   Total Original Cost
                                  1/4 SEC                              TWP RG     New          Used

                                                                                               TOTAL

Form 904-3-P                                                                                                             Page 2 of 2
                                                               REPORT ONLY TANGIBLE ASSETS
PROCESSING PLANTS
Item                                                                Location/Situs         Capacity         Year Acquired
Number       Description                                                                                                 Total Original Cost
                                                               1/4             SEC TWP RG  Max.       Daily New Used

                                                                                                                TOTAL

PIPELINES
Item         Description                                                               Location/Situs       Year Acquired
Number Size                                 Type                Length in Feet     1/4 SEC TWP        RG    New Used     Total Original Cost

                                                                                                                TOTAL

METERS
Item         Description                                                               Location/Situs       Year Acquired
                                                               Size Quan.
Number Brand                                        Type                           1/4 SEC TWP        RG    New Used     Total Original Cost

                                                                                                                TOTAL

BOOSTER/COMPRESSOR STATION EQUIPMENT
Item         Description                                            Size               Location/Situs       Year Acquired
Number       Brand                                        Type      in H.P.        1/4 SEC TWP        RG    New Used     Total Original Cost

                                                                                                                TOTAL

VALVE STATION EQUIPMENT
Item                                                                                   Location/Situs       Year Acquired
Number       Description                                       Size Quan.                                                Total Original Cost
                                                                                   1/4 SEC TWP        RG    New Used

                                                                                                                TOTAL

INVENTORIES: PETROLEUM PRODUCTS, PIPES, VALVES, SPARE PARTS, ETC.
Item                                                                                   Location/Situs       Year Acquired
Number       Description                                                                                                 Total Original Cost
                                                                                   1/4 SEC TWP        RG    New Used

                                                                                                                TOTAL