| DEPLETION CALCULATOR FOR OIL & GAS ROYALTY TRUSTS | 
			| Enter your data separately for each tax lot (purchase date): | 
		
		| 1. Account or Owner Name (optional) |  | 
                
		| 2. Name of Oil or Gas Royalty Trust (optional) |  | 
		
		| 3. Date of purchase (tax lot) (mm/dd/yyyy) |  | 
                
		| 4. Date or tax year of royalty distribution payment (mm/dd/yyyy) |  | 
                
		| 5. Number of shares or units | (no commas) | 
		
		| 6. Original total purchase cost of this tax lot including commissions & fees | $ (no commas) | 
        
		| 7. Cumulative prior depletion deductions for this tax lot | $ (no commas) | 
		
		
		| 8. Gross amount of royalty income from this trust before expenses | $ (no commas) | 
		
		
		| 9. Net amount of royalty income from this trust after all expenses except depletion | $ (no commas) | 
                
		| 10. Depletion deductions disallowed in prior years and carried over to this year | $ (no commas) | 
		
		| 11. Cost depletion for this year from information provided by trust sponsor | $ (no commas) | 
                
		| 12. Taxable income for this tax year from all sources before depletion, net operating loss carrybacks, capital loss carrybacks, or domestic production activities deductions | $ (no commas) | 
	 	
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