HomeMy WebLinkAbout20131893.tiff4'
NADcA Form Division Order (Adople
Great Western DIVISION ORDER
OIL I SAS COMPANY
To: Great Western Operating Company, LLC
1700 Broadway, Suite 650
Denver, CO 80290
Property Number: 200-203
Property Name: Campbell JF 17-6D
Property Description: T2N, R65W, 6th PM
Section 17: W/2NE/4, E/2NW/4
County and State: Weld County, Colorado
Owner Name: Weld County
Attn: Barb Connolly
1150 O Street
PO Box 758
Date: May 20, 2013
Effective Date: First Production
Operator: Great Western Oil and Gas
Production: X Oil, X Gas, _ Other
Owner Number: WEL0001
Type of Interest: RI
Decimal Interest: 0.06250000
The undersigned certifies the ownership of their decimal interest in production or proceeds as described above
payable by Great Western Oil and Gas Company, LLC (Payor).
Payor shall be notified, in writing, of any change in ownership, decimal interest, or payment address. All such
changes shall be effective the first day of the month following receipt of such notice.
Payor is authorized to withhold payment pending resolution of a title dispute or adverse claim regarding the
interest in production claimed herein by the undersigned. The undersigned agrees to indemnify and reimburse
Payor any amount attributable to an interest to which the undersigned is not entitled.
Payor may accrue proceeds until the total amount equals $100.00, or pay annually whichever occurs first, or as
required by applicable state statue.
This Division Order does not amend any lease or operating agreement between the undersigned and the
lessee or operator or any other contracts for the purchase of oil or gas.
In addition to the terms and conditions of this Division Order, the undersigned and Payor may have certain
statutory rights under the laws of the state in which the property is located.
Special Clauses:
Payor may deduct, in accordance with appld61 statutes, ad valorem and severance taxes levied against
this interest and pay the same on our behalf,
Owner(s) Signature(s):
Date Signed:
Owner(s) Tax ID Number(s):
JUL 2 2 2013
84-6000-813
Owner(s) Daytime Telephone(s): 970-336-7204
Owner(s) FAX Telephone(s): 970-336-7233
Owner(s) Cell Telephone(s):
Owner(s) Email(s):
wgarcia@weldgov.com
Federal Law requires you to furnish your Social Security or Taxpayer Identification Number.
Failure to comply will result in 28 % tax withholding and will not be refundable by Payor.
FOR OFFICE USE ONLY:
INTEREST/FUNDS RELEASED FOR PAYMENT BY DATE:
2013-1893
Great Western
1700 Broadway
Suite 650
Denver, CO 80290
OIL & GAS COMPANY
Phone: 303.398.0540
Facsimile: 866.742.1784
Email: OwnerRealtions@gwogco.com
www.gwogco.com
May 23, 2013
TO: Interest Owners
Re: Division Order for: Campbell Wells
Dear Interest Owner:
RECEIVED
MAY 2 6 2013
WELD COUNTY
COMMISSIONERS
Enclosed please find two original copies of each Division Order for the above referenced well. Please
sign the documents where indicated and complete the pertinent information before returning one copy
of each Division Order in the envelope provided; the second copy is for your records. If you have
previously provided us with a signed W-9, please disregard the enclosed W-9 form,
Upon receipt of your executed Division Orders, Great Western will place said interest in line for
payment, effective from first production for the Campbell Wells. Royalty checks are cut and mailed
around the middle of each month.
If you have any questions or concerns regarding the enclosed documents, please do not hesitate to
contact me.
Best Regards,
GREAT WESTERN OPERATING COMPANY
Kristie Satzberg
Division Order Assistant
Enclosures
Barb Connolly,
Below please find the calculations for Weld County's interest in the two
attached division orders. Please call me if you have any questions.
Kristie Satzberg
Campbell JF 17-13D
Weld County
(100% MI x 12.50% LOR x (40acres / 160 acres))
(100.000000% x 12.500000% x (40.0000/160.0000)) = 0.03125000
Campbell JF 17-6D
Weld County
(100% MI x 12.50% LOR x (80 acres / 160acres))
100.000000% x 12.500000% x (80.0000/160.0000)) = 0.06250000
COUNTY ATTORNEY STAFF APPROVAL
This is to affirm the attached Division Order and authorization to receive payment for an
oil and gas well has been reviewed by the County Attorney's staff as to form and legal
description.
Well Name(s): CAMPBELL JF 17-6D File Location(s): LE0063-1
BY: DATE: 77111-1:3
:3
Stephanie Arries
Assistant County Attorney
Tammy Waters
From: Sarah Frohnapfel [sfrohnapfel@gwogco.com]
Sent: Tuesday, June 18, 2013 1:42 PM
To: Tammy Waters
Cc: Kristie Satzberg
Subject: RE: Campbell Wells - Division Orders
Attachments: T2N-R65W Sec 17 W2NE & E2NW D&DOTO Campbell JF 17-6D (8-24-12).PDF; T2N-R65W
Sec 17 SWNE, SENW, NESW, NWSE D&DOTO Campbell JF 17-13D (8-24-12).PDF;
Campbell JF 17-6D - Well Location Plat.pdf; Campbell JF 17-13D - Well Location Plat.pdf
Follow Up Flag: Follow up
Flag Status: Flagged
Tammy,
I've attached the Title Opinions for the two Campbell wells. Here is also a breakdown of your RI.
Campbell 17-13D
.125 (Royalty Interest)x 40.00 (Total acres in Tract 2, SE/4NW/4) / 160.00 (Total acres in Spacing Unit) = .03125 RI
Spacing Unit: SW/4NE/4, NW/4SE/4, NE4SW/4, SE/4NW/4 of Sec. 17 -2N -65W
Campbell 17-6D
.125 (Royalty Interest) x 80.00 (Total acres in Tract 2, E/2NW/4) / 160.00 (Total acres in Spacing Unit) = .0625 RI
Spacing Unit: E/2NW/4, W/2NE/4 of Sec. 17 -2N -65W
Please sign and return the Division Orders to Kristie Satzberg. Let me know if you have any additional questions.
Sarah Frohnapfel
Sarah E. Frohnapfel
Landman II.
Great Western Operating Company, LLC
1700 Broadway, Suite 650
Denver, CO 80290
Phone: 303.398.0383 Fax: 866.448.9271
Great Western
OR a au CCM!A..
From: Tammy Waters [mailto:twaters@co.weld.co.us]
Sent: Tuesday, June 18, 2013 11:48 AM
To: Sarah Frohnapfel
Subject: RE: Campbell Wells - Division Orders
Thank you, no worries I understand how crazy things can get.
Tammy Waters
Deputy Clerk to the Board
1150 O Street/P.O. Box 758/Greeley, CO 80632
1
BEATTY & WOZNIAK, P.C.
Great Western Oil and Gas Company, LLC
Campbell JF 17-6D Well
January 31, 2013
Page 5 of 30
Cora E. Smitherman, Trustee of the CES ORRI 0.000000% 0.01367188 A
Trust
(1.367188% ORRI x 100.00% MI x 100% WI)
Jacob L. Porter
(0.683594% ORRI x 100.00% MI x 100% WI)
Diamond Energy Inc.
(0.683594% ORRI x 100.00% MI x 100% WI)
Fred W. Sarchet
(12.50% LOR x 33.333333% MI)
William D. Sarchet
(12.50% LOR x 16.666667% MI)
Carol J. Sarchet
(12.50%LORx 16.666667%MI)
Dawn Yvonne Devermey Kimball
(12.50%LOR x 11.111111%MI)
Richard John Devenney
(12.50%LOR x 11.111111%MI)
Dianne Bernice Tillman
(12.50%LORx 11.111111%MI)
SURFACE:
Owner
Melbon Ranch Inc.
ORRI 0.000000% 0.00683594 A
ORRI 0.000000% 0.00683594 A
LOR 0.000000% 0.04166667 A
LOR 0.000000% 0.02083333 A
LOR 0.000000% 0.02083333 A
LOR 0.000000% 0.01388889 A
LOR 0.000000% 0.01388889 A
LOR 0.000000% 0.01388889 A
TOTAL: 100.000000% 1.00000000
OWNERSHIP INTERESTS IN TRACT 2
(T2N, R65W, Sec. 17: E/2NW/4)
Interest
100.00%
MINERAL INTERESTS & LEASE ROYALTY: (OIL, GAS & ASSOCIATED HYDROCARBONS ONLY)
Owner
Weld County
Mineral Lease
Interest Royalty
100.00% 12.50%
Lease
BEATTY & WOZNIAK, P.C.
Great Western Oil and Gas Company, LLC
Campbell JF 17-6D Well
January 31, 2013
Page 6 of 30
OVERRIDING ROYALTY INTERESTS: None
LEASEHOLD WORKING INTERESTS:
Owner
Kerr-McGee Oil & Gas Onshore LP
(100.00% WI x 100.00% MI x 87.50% NRI)
Lease Lease
Working Mineral Lease
Interest Interest NRI Lease
100.00% 100.00% 87.50% B
COMBINED OIL & GAS LEASEHOLD OWNERSHIP INTERSTS FOR TRACT 2
Owner
Kerr-McGee Oil & Gas Onshore LP
(100.00% WI x 100.00% MI x 87.50%NRI)
Weld County
(12.50% LOR x 100.00% MI)
SURFACE:
Owner
Grace I. Campbell
Type of
Interest WI NRI Lease
WI/NRI 100.000000% 0.87500000 B
LOR 0.000000% 0.12500000 B
TOTAL: 100.000000% 1.00000000
OWNERSHIP INTERESTS IN TRACT 3
(T2N, R6SW, Sec. 17: SW/4NE/4)
Interest
100.00%
MINERAL INTERESTS & LEASE ROYALTY: (OIL, GAS & ASSOCIATED HYDROCARBONS ONLY)
Mineral Lease
Owner Interest Royalty
Grace I. Campbell 50.00% 12.50% C
Gary Sandlin 50.00% 15.00% D
Lease
BEATTY & WOZNIAK, P.C.
Great Western Oil and Gas Company, LLC
Campbell JF 17-6D Well
January 31, 2013
OIL AND GAS LEASE B:
Dated:
Recorded:
Lessor:
Lessee:
Lands Covered:
Primary Term:
Royalty:
Delay Rental:
Shut-in Clause:
Pooling/Unitization Clause:
Entireties Clause:
Pugh Clause:
Special Provisions:
(100% Mineral Interest in Tract 2)
August 5, 1974
October 1, 1974 at Reception No. 1645865
Weld County, a political subdivision of the State of
Colorado, by the Board of County Commissioners
Amoco Production Company
Township 2 North, Range 65 West, 6th P.M.
Section 17: NW/4
Section 18: That part of the SE/4SE/4 described as:
Beginning at the SE corner, thence North 50
rods, thence West 36 rods; thence South 50
rods; thence East 36 rods to the point of
beginning
Section 34: That certain 200 foot strip across the SE/4,
comprising 10.16 acres, as recorded in Deed
Book 1254, Page 419
Containing 181.56 acres, more or less
Weld County, Colorado
Two (2) years from April 29, 1975, and as long thereafter...
12.50%
$181.56 per year
$100.00 per well per year
Yes, "Lessee... is hereby given the right and power to pool or
combine the land covered by this lease, or any portion
thereof, as to oil and gas, or either of them, with any other
land, lease or leases... such pooling to be in to a well unit or
units not exceeding forty (40) acres, plus an acreage tolerance
of ten percent (10%) of forty (40) acres for oil, and not
exceeding six hundred and forty (640) acres, plus an acreage
tolerance of ten percent (10%) of six hundred and forty (640)
acres, for gas, except that larger units may be created to
conform to any spacing or well unit pattern that may be
prescribed by governmental authorities having jurisdiction."
No
No
The warranty clause is stricken
"Upon the termination of this lease in whole or in part by
election or by failure to make payments as aforesaid, lessee
or his assigns shall within 30 days release by written
instrument the land or portion thereof which said lease
terminates, and said notice shall also be sent to the lessor
giving the book and page of said lease. It is expressly
Exhibit A — Page 19
BEATTY & WOZNIAK, P.C.
Great Western Oil and Gas Company, LLC
Campbell JF 17-6D Well
January 31, 2013
Extension:
understood that this lease is subject to and controlled by any
law of the State of Colorado now in effect restricting or
limiting the powers of Counties or boards of County
Commissioners and provision herein in conflict therewith
shall be inoperative and void"
Affidavits of Lease Extension were placed of record for the
subject Lease at Reception Nos. 1917306 and 3341772.
ASSIGNMENTS OF WORKING INTEREST:
Assignment No. 1
Instrument Title: Assignment and Bill of Sale
Instrument Date: January 23, 1998
Recording Data: December 1, 1997 at Reception No. 2596246
Assignor: Amoco Production Company
Assignee: HS Resources, Inc.
Lands Covered: Township 2 North, Range 65 West, 6th P.M.
Section 17: NW/4
And other lands,
Weld County, Colorado
Interest Assigned: All of Assignor's right, title and interest in the subject Lease
Interest Reserved: None
Comments: This Assignment is made in accordance with and is subject to the
terms and conditions of that certain Purchase and Sale Agreement
dated November 25, 1997 by and between Assignor and Assignee
CORPORATE MERGERS & NAME CHANGES:
1. By Certificate of Name Change and Certificate of Amendment of Restated Certificate of
Incorporation dated August 28, 2001, recorded September 4, 2001 at Rec. No. 2880658, HS Resources,
Inc. changed its name to Kerr-McGee Rocky Mountain Corporation.
2. By Certificate of Conversion from a Corporation to a Limited Liability Company dated effective
January 1, 2006, recorded April 29, 2008 at Reception No. 3550603, Kerr-McGee Rocky Mountain
Corporation changed its name and converted into Kerr-McGee Rocky Mountain LLC.
3. By Certificate of Merger dated effective June 22, 2006, recorded April 29, 2008 at Reception No.
3550604, Kerr-McGee Rocky Mountain LLC merged with and into Kerr-McGee Oil & Gas Onshore LP.
ASSIGNMENTS OF OVERRIDING ROYALTY INTEREST: None
Exhibit A — Page 20
BEATTY & WOZNIAK, P.C.
TOTAL
UNIT
LOR FOR
OWNER
Mineral Interest x Lease Royalty x (Tract Acres / Unit Acres)
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15.000000%
Lease
Mineral
Interest
33.333333%
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LANDOWNER ROYALTY
("LOR")
Fred W. Sarchet
(33.333333% MI x 12.50% LOR x (40
acres / 160 acres))
William D. Sarchet
(16.666667% MI x 12.50% LOR x (40
acres / 160 acres))
Carol J. Sarchet
(16.666667% MI x 12.50% LOR x (40
acres / 160 acres))
Dawn Yvonne Devenney Kimball
(11.111111%MI x 12.50%LOR x(40
acres/ 160 acres))
Richard John Devenney
(11.111111%MIx 12.50%LORx(40
acres / 160 acres))
Dianne Bernice Tillman
(11.111111% MIx 12.50% LORx(40
acres / 160 acres))
Weld County
(100% MI x 12.50% LOR x (80 acres/
160 acres))
Grace I. Campbell
(50% MI x 12.50% LOR x (40 acres / 160
acres))
Gary Sandlin
(50% MI x 12.50% LOR x (40 acres / 160
acres))
01 e 01 0
ti O
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tal ALL Interests:
Exhibit C — Page 8
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