1. FORM 1139 – APPLICATION FOR ENHANCED RECOVERY PROJECT/GROSS PRODUCTION TAX EXEMPTION

2. This presentation will assist you in the completion of the Form 1139. The application for enhance recovery project/gross production tax exemption. Date of Last Revision: 2009 Rule Requirement: 10-21-75 Explanation of Form: Operators shall file one copy of Form 1139 with the required attachments with the Technical Services Department of the Conservation Division. [Reference 165:10-21-75 through 165:10-21- 80] Question concerning this Form: For more information contact Technical Review at (405) 522-4451.

3. FORM 1139 – APPLICATION FOR ENHANCED RECOVERY PROJECT/GROSS PRODUCTION TAX EXEMPTION APPLICANT’S NAME

4. FORM 1139 – APPLICATION FOR ENHANCED RECOVERY PROJECT/GROSS PRODUCTION TAX EXEMPTION OTC/OCC OPERATOR NUMBER

5. FORM 1139 – APPLICATION FOR ENHANCED RECOVERY PROJECT/GROSS PRODUCTION TAX EXEMPTION APPLICANT’S MAILING ADDRESS, PHONE NUMBER, CITY, STATE, ZIP CODE AND FAX NUMBER

6. FORM 1139 – APPLICATION FOR ENHANCED RECOVERY PROJECT/GROSS PRODUCTION TAX EXEMPTION ENHANCE RECOVERY PROJECT

7. FORM 1139 – APPLICATION FOR ENHANCED RECOVERY PROJECT/GROSS PRODUCTION TAX EXEMPTION OTC PRODUCTION UNIT NUMBER

8. FORM 1139 – APPLICATION FOR ENHANCED RECOVERY PROJECT/GROSS PRODUCTION TAX EXEMPTION LEGAL LOCATION (INCLUDE) – - QUARTER SECTION CALLS - SECTION - TOWNSHIP - RANGE

9. FORM 1139 – APPLICATION FOR ENHANCED RECOVERY PROJECT/GROSS PRODUCTION TAX EXEMPTION COUNTY WHERE PROJECT IS LOCATED. (PROJECT SHOULD ALREADY BE OPERATING)

10. FORM 1139 – APPLICATION FOR ENHANCED RECOVERY PROJECT/GROSS PRODUCTION TAX EXEMPTION PROJECT OCC ORDER NUMBER AND DATE THE PROJECT STARTED

11. FORM 1139 – APPLICATION FOR ENHANCED RECOVERY PROJECT/GROSS PRODUCTION TAX EXEMPTION TYPE OF ENHANCE RECOVERY PROJECT - SECONDARY RECOVERY - TERTIARY RECOVERY

12. FORM 1139 – APPLICATION FOR ENHANCED RECOVERY PROJECT/GROSS PRODUCTION TAX EXEMPTION PROJECT BEGINNING DATE (INJECTION DATE)

13. FORM 1139 – APPLICATION FOR ENHANCED RECOVERY PROJECT/GROSS PRODUCTION TAX EXEMPTION PRIMARY INJECTANT

14. FORM 1139 – APPLICATION FOR ENHANCED RECOVERY PROJECT/GROSS PRODUCTION TAX EXEMPTION BASE PRODUCTION AMOUNT

15. FORM 1139 – APPLICATION FOR ENHANCED RECOVERY PROJECT/GROSS PRODUCTION TAX EXEMPTION DECLINE RATE

16. FORM 1139 – APPLICATION FOR ENHANCED RECOVERY PROJECT/GROSS PRODUCTION TAX EXEMPTION APPLICANT’S SIGNATURE BLOCK

17. FORM 1139 – APPLICATION FOR ENHANCED RECOVERY PROJECT/GROSS PRODUCTION TAX EXEMPTION INSTRUCTIONS - INCLUDE A PLAT OF THE ENHANCED RECOVERY PROJECT - A PRODUCTION HISTORY - CALCULATION OF THE BASE PRODUCTION AMOUNT - ITEMIZED LIST OF CAPITAL COSTS

18. FORM 1139 – APPLICATION FOR ENHANCED RECOVERY PROJECT/GROSS PRODUCTION TAX EXEMPTION OCC USE ONLY – DO NOT WRITE BELOW THIS LINE