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EF-566-K-R09-0515-41000819-3
BOE-566-K (P3) REV. 09 (05-15)
INSTRUCTIONS FOR COMPLETING THE OIL AND GAS
OPERATING EXPENSE DATA REPORT
Line numbers listed in these instructions refer to identical line numbers printed on the form.
LINE 1. DATE, NAME, MAILING ADDRESS AND PHONE NUMBER
a. At top of form: fill in the year of the lien date for which this expense report is made.
b. NAME OF OPERATOR (PERSON OR CORPORATION)
If the name is preprinted, check the spelling and correct any error. In the case of an individual, enter the last
name first, then the first name and middle initial. Partnerships must enter at least two names, showing the last
name, first name, and middle initial for each partner. Corporation names should be complete so they will not be
confused with fictitious or DBA (Doing Business As) names.
c. DBA OR FICTITIOUS NAME
Enter the DBA name under which you are operating in this county below the name of the sole owner, partnership,
or corporation.
d. MAILING ADDRESS
Enter the mailing address of the legal entity shown in line 1b above. This may be either a street address or a post
office box number. It may differ from the actual location of the property. Include the city, state, and ZIP code.
e. PHONE NUMBER
Enter the phone number where we may contact you or your authorized representative for information regarding
the subject property.
LINE 2. DESCRIPTION OF THE PROPERTY
Report each property or parcel on a separate report form. Fill in field name, lease name and pool. Conform to Division
of Oil and Gas classification in regard to name of field, pool, and zone. Check whether recovery is primary or other
type. If other, describe method [for example, water-flood, steam injection (cyclic or flood), fire flood, etc.].
LINE 3. PARCEL NUMBER
Fill in the parcel number and tax rate area number, if known.
LINE 4. Producing wells reported are those wells which actually contribute to normal lease production on a profitable
basis.
LINE 6. Production is to be for the same period as used for the reporting of the expense data on this form.
LINES 7 Report direct field operating expenses only. Do not report capitalized items or royalty payments
thru 15. on these lines.
LINE 16. Report costs related to enhanced recovery only on this line. Use line 12 for all utility costs not
associated with enhanced recovery operations.
LINES 17 Report direct field operating expenses only. Do not report capitalized items or royalty payments on these lines.
thru 19.
LINES 20 Report the well number, well type (for example, producing, pumping, injection steam, observation, water source),
and 21. date completed, depth and total cost (tangible and intangible) for each well. Report the summation of the costs for
each line. Report on these lines all work that required a Division of Oil and Gas permit.
LINE 22. Report the well number, well type (for example, producing, pumping, injection steam, observation, water source),
date abandoned, well depth, total cost, and salvage value for each well abandoned. For the Total Abandonment
Cost (Net) entry, report the total cost less any salvage from the wells.
LINE 23. Report amounts capitalized for surface investment (for example, steam generators, buildings, product handling
equipment, and vapor recovery systems).
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