HomeMy WebLinkAbout20132388.tiffNADOA Model Form Division Order (Adopted 9/951
,, noble
energy
Return To:
Property Name
Operator:
County / Parish and State :
Property Description :
Product:
NOBLE ENERGY, INC
1625 BROADWAY STE 2200
DENVER CO 80202 US
BETHYL GW29-12 LY
NOBLE ENERGY, INC
WELD, CO
Refer to next page for property description attachment
ALL
DIVISION ORDER
Desk Code: JCN
Date : AUG 08 2013
Effective Date: JUN 2013
RECEIVED
OS -1>3- 3il7 AUG 1 2 2013
WELD COUNTY
COMMISSIONERS
131817
OWNER NAME
PROPERTY #
OWNER #
INTEREST
WELD COUNTY CO
% BOARD OF COUNTY COMMISSIONER
1150O ST
P O BOX 758
GREELEY CO 80632 US
435827618
124102 - 8
0.20000000 RI
The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by Noble Energy, Inc. (Noble).
Noble 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.
Noble is authorized to withhold payment pending resolution of a title dispute or adverse claim asserted regarding the interest in production claimed herein by the
undersigned. The undersigned agrees to indemnify and reimburse Noble any amount attributable to an interest to which the undersigned is not entitled.
Noble may accrue proceeds until the total amount equals $25.00, or clear ALL payable proceeds in January of each year, whichever occurs first, or as required by
applicable state statute.
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 Noble may have certain statutory rights under the laws of the state in which the
property is located.
Special Clauses:
Owner(s) Signature(s): William F. Garcia, Chair
Owner(s) Tax I.D. Number(s):
TIN(s) or SSN(s)
Owner Daytime Telephone/Fax #:
Address Correction :
84-6000-813 C+ R
-3QSO
970 7204
Attest:
Clerk
By:
eputy C er
e
Board
rs 1861
ttY
Federal Law requires you to furnish your Social Security or Taxpayer Identification Number. Failure to comply will result in tax withholding in accordance with
federal law, which will not be refundable by Payor.
uatil3
da._
2013-2388
LE oo3Z
NOBLE ENERGY, INC. Property Description Attachment
Property Name
Operator
County / Parish and State
Property Description
: BETHYL GW29-12 LY
: NOBLE ENERGY, INC
: WELD, CO
T8N R63W SEC 29: NWSW, CONTAINING 40.03 ACRES MORE OR LESS
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): BETHYL GW29-12 LY File Location(s): LE0032
BETHYL GW29-13 LY
B k444 DATE:h&-713
Stephanie Arries
Assistant County Attorney
DOI Descdption:BETHYL GW29-12 LV I DOI ID:131817 Product:- State:COI County:WELD
TWP/ SUR/ AREA
RNG/ ABS/
BLK
SEC/
BLK/
ACR
OO/
SEC/
OTHER
Party Name
Party Id
Pty Site
Number
Party
Effective
Date
Interest
Type
Pay
Status
NRI (%)
Payout
Status
Sophisti
cated
Party?
Exhibit
Text
008N
063W
029
NWSW
NOBLE
ENERGY, INC
1
4
01 -Jun -2013
WI
R
80.000000%
NPO
-
T8N
R63W
SEC
008N
063W
029
NWSW
WELD
COUNTY CO
124102
8
01 -Jun -2013
RI
P
20.000000%
NPO
-
T8N
R63W
SEC
NOBLE ENERGY INC.
1625 Broadway, Suite 2200
Denver, Colorado 80202
August 8, 2013
Interest Owner
Re: Property Name : BETHYL GW29-12 LY
Operator : Noble Energy, Inc.
County / State : Weld, CO
Noble Energy Inc. has successfully completed the above referenced property. First sales occurred June 1, 2013.
According to our records, the interest shown on the attached division order represents your total share of production.
Noble will tender payment to you based upon the stated interest UNLESS you notify Noble, in writing that said interest
is incorrect or that you are not the owner of said interest.
As the owner of the above interest, you shall have the sole liability to notify Noble, in writing, of any address changes
and/or changes in ownership. Until such written notification is received by Noble, payments will continue as
previously described.
Please be advised that Noble does not require a signed Division Order as a prerequisite for payment. This Payment
Letter is intended to replace the traditional division order form and should be retained for your records.
If there are any questions concerning this matter, please contact the undersigned.
Jill Nelson
Land Department
303-228-4461
Desk Code: NRF
-4
September 11, 2012
Mr. Eric Koble
Noble Energy, Inc.
1625 Broadway, Suite 2200
Denver, Colorado 80202
Re: Drilling and Division Order Title Opinion
Bethyl GW29-11 and Bethyl GW29-12 Wells1
T8N, R63W, Section 29: N/2SW/4
Weld County, Colorado
DRILLING AND DIVISION ORDER TITLE OPINION
covering
Township 8 North, Range 63 West, 6th P.M.
Section 29: N/2SW/4
Weld County, Colorado
Containing 80.002 acres, +
Referred to herein as the "captioned lands"
DUFFORD
BROWN
AT OR N PV.4 Ar f A�.V
The captioned lands are comprised of the following ownership tracts:
Tract 1: The NE/4SW/4 of Section 29. Tract 1 contains 39.97 acres, ±.
Tract 2: The NW/4SW/4 of Section 29. Tract 2 contains 40.03 acres, +.
See Comment/Requirement No. 4.
2 See Comment/Requirement No. 19.
1700 Broadway / Suite 2100 / Denver, CO 80290-2101 / Phone 303.861.8013 / Fax 303.832.3804 / www.duffordbrown.com
V. CONSOLIDATED OIL & GAS LEASEHOLD OWNERSHIP
OWNERSHIP I
Township 8 North, Range 63 West, 6th P.M.
Section 29: NE/4SW/4, containing 39.97 acres ±
Limited to production from the Lyons formation
Further limited to production from the Bethyl GW29-11 Well
Name
"Board of County
Commissioners of Weld
County, Colorado
WI NRI
Lease Tract
20.000000% (LOR) Subject Lease 1
Total 100.000000% 100.000000%
OWNERSHIP I - OWNERSHIP OF OIL AND GAS AND THE PROCEEDS FROM THE
SALE OF OIL AND GAS, PRODUCED FROM THE NE/4SW/4 OF SECTION 29,
TOWNSHIP 8 NORTH, RANGE 63 WEST, 6TH P.M., LIMITED TO THE LYONS
FORMATION AND FURTHER LIMITED TO THE BETHYL GW29-11 WELL, AS OF
THE EFFECTIVE DATE OF THIS OPINION.
Landowner Royalty ("LOR")
1. Board of County Commissioners of Weld County, Colorado
20.0% LOR [Subject Lease] x 100.0% MI
[Tract 1] x (39.97/39.97 acres) = 0.20000000 LOR
None.
2.
Overriding Royalty Interest ("ORI")
Working Interest ("WI")/Net Revenue Interest ("NRI")
6
ORIGINAL DOCUMENT OF DUFFORD & BROWN, P.C.
OWNERSHIP II
Township 8 North, Range 63 West, 6th P.M.
Section 29: NW/4SW/4, containing 40.03 acres ±
Limited to production from the Lyons formation
Further limited to production from the Bethyl GW29-12 Well
Name
6Board of County
Commissioners of Weld
County, Colorado
WI NRI
Lease Tract
20.000000% (LOR) Subject Lease 2
Total 100.000000% 100.000000%
OWNERSHIP II - OWNERSHIP OF OIL AND GAS AND THE PROCEEDS FROM THE
SALE OF OIL AND GAS, PRODUCED FROM THE NW/4SW/4 OF SECTION 29,
TOWNSHIP 8 NORTH, RANGE 63 WEST, 6TH P.M., LIMITED TO THE LYONS
FORMATION AND FURTHER LIMITED TO THE BETHYL GW29-12 WELL, AS OF
THE EFFECTIVE DATE OF THIS OPINION.
Landowner Royalty ("LOR")
1. Board of County Commissioners of Weld County, Colorado
20.0% LOR [Subject Lease] x 100.0% MI
[Tract 2] x (40.03/40.03 acres) = 0.20000000 LOR
None.
2.
Overriding Royalty Interest ("ORI")
Working Interest ("WI")/Net Revenue Interest ("NRI")
5 See Comment/Requirement Nos. 7, 8, 10, 11, and 12.
6 See Comment/Requirement Nos. 7, 8, 10, 11, and 12.
7
ORIGINAL DOCUMENT OF DUFFORD & BROWN, P.C.
Noble Energy, Inc.
Weld County Mineral Interest Plat
Bethyl GW29-12
Kw ,' 14
2
Bethyl GW29-12
6N63W
Legend
❑ Well Spacing Unit
T8N-R63W-Sec. 29: NW/4SW/4
Weld Co. Leasehold Interest
(Within Spacing Unit) T8N-R63W-Sec. 29: W/2
Hello