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Home My WebLink About20122651.tiff 0211437277 KERR-MCGEE OIL&GAS ONSHORE LP PO BOX 1330 Owner Number: 374715 HOUSTON,TX 77251-1330 Check Date: 06/25/12 Check Number: 0211437277 Check Amount: $1,757.12 WELD COUNTY Acting on behalf of itself and/or its affiliates. COMMISSIONERS ADJUSTMENT CODE PRODUCT CODE C COMPRESSION 100 OIL 1812 JUN 29 A 0 25 D DEHYDRATION 300,40F CONDENSATE G_. GATHERING 200-206_. GAS F FUEL 400... LIQUID PRODUCTS IIuI•II•I•III.•IIII••I•Ilu•IIu•II u•IIIu•Iu III•IIIn II uI M SERVICE FEE 40O SULPHUR /+/� P_. PROCESSING 209... HELIUM 00764 CU 001 003 17412 - 0211437271 NNNNN111111///yyy y€1 - I V E D S SEVERANCE TAX•R.. TREATING 40C.409_ GASOLINE_ PLANT CONDENSATE WELD COUNTY COLORADO 1` V T TRANSPORTATION V_. AD VALOREM TAX INTEREST TYPE C/O BOARD OF COUNTY COMMIS I STATE WITHHOLDING WI WORKING INTEREST 915 10TH STREET X OTHER DEDUCTS PP PRODUCTION PAYMENT Z SETTLEMENT OR. OVERRIDING ROYALTY GREELEY CO 80631 GAIN/LOSS RI ROYALTY INTEREST CR SURFACE OWNER 'MAY INCLUDE OTHER MI_. MINERAL INTEREST UNLEASED - TAXES RU NON PARTICIPATING ROYALTY BL BLANCHARD FOR APC'S SSN POLICY CALL 800-359-1692 OR EMAIL 0WNER.RELATI0NSOANADARK0.C0M ACCESS YOUR CHECKSTUB ONLINE RETAIN THIS STATEMENT ANY QUESTIONS PLEASE CALL WITH OUR SECURE WEBSITE AT FOR TAX PURPOSES OUR OWNER RELATIONS HOTLINE AT 11118://wwvv.oildex.com DUPLICATES CANNOT BE FURNISHED 800-359-1692 PROD PROD INT PROPERTY PROPERTY PROPERTY PROPERTY OWNER OWNER OWNER AQI OWNEF DATE GOOD TYPE QUANTITY PRICE BTU GROSS ADJUSTMENTS/ NET RES LUE ADJUSTMENTS CODE NET VALUE TAXES VALUE INTEREST VALUE /TAXES VALUE 04/12 300 RI 142.59 102.732 14,648.68 0.00 13,893.46 0.00084296 12.35 0.00 S 1' (755.22) (0.64) T --•-E TY: 1.2 3:3,1.1,3 HER-G-ANT :3•THE-S U-31A 0•UNTY' WEU STATE: C• 04/12 300 CR 1.69 102.733 173.62 0.00 161.40 0.00043291 0.08 0.00 S (3.05) 0.00 G (8.95) 0.00 T (0.22) 0.00 X -•PE-TY: 112 3 441.111 HS---USSELL I5-25' •JSN• GUNTY: WEL• STATE: C• 04/12 100 RI 4.24 102.733 435.59 0.00 413.13 0.00040355 0.18 000 S 1 (22.46) (0.01) T 04/12 100 RI 174.92 102.732 17,970.04 0.00 17,04159 0.00367303 66.00 0.00 S 6: (926.45) (3 40) T 12/11 204 RI 0.00 1.200 000 0.00 0.00 1.00000000 0.00 38.58 S 31 • ERTV: •12412711113 •GG 1-13A C•UNTV: WEL• STATE: C• 04/12 300 RI 3069 102.732 3,152.87 0.00 2,93089 000003320 0.10 0.00 S 1 (55.38) 0.00 G 4.20/ a-a(o5 0211437277 HOW TO READ YOUR CHECK DETAIL 15. Owner Number: To help you understand the essential information which accompanies your check,we are 16. Check Dale: providing a sample check stub with definitions/explanations of the various columns and lines on it. 16. Check Number: 17. Check Amount: ' ADJUSTMENT CODE PRODUCT CODE Property quantity may be rounded to the nearest whole number for purposes of display on this check stub. When C. COMPRESSION 100 .. OIL the properly quantity is less than 10 mcf,such rounding may materially affect the price shown on this check for D. DEHYDRATION soo,40F CONDENSATE display purposes only,but does not affect the precision of the underlying calculation of value. In such situations, F GATHERING 400-206.. GAs moreprecise information about property F . FUEL 400 LIQUID PRODUCTS p pe ry quantities and prices can be obtained by caning the number provided on M SERVICE FEE this check stub. . P. PROCESSING 209 SULPHUR R.. TREATING 209._ HELIUM S.. SEVERANCE TAX• 40C_. PLANT CONDENSATE T TRANSPORTATION 409._ GASOLINE V . AD VALOREM TAX INTEREST TYPE I STATE WITHHOLDING WI.. WORKING INTEREST X.. OTHER DEDUCTS PP. PRODUCTION PAYMENT Z SETTLEMENT GAIN/LOSS RR. ACCESS YOUR CHECKSTUB ONLINE RETAIN THIS STATEMENT ANY QUESTIONS PLEASE CALL .. ..OVERRIDING ROYALTY WITH OUR SECURE WEBSITE ATRI . ROYALTY INTEREST FOR TAXNOT BE OUR OWNER0E359IONS HOTLINE AT •MAY INCLUDE OTHER TAXES MI SURFACE OWNER141p-!AYww.oilde¢corn DUPLICATES CANNOT BE FURNISHED BW-359-1692 MI MINERAL INTEREST UNLEASED RU. NON PARTICIPATING ROYALTY BL BI.ANCHARD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 PROD PROD INT PROPERTY PROPERTY PROPERTY PROPERTY OWNER OWNER OWNER ADJ OWNE DATE CODE TYPE QUANTITY PRICE BTU GROSS ADJUSTMENTS! NET DECIMAL GROSS ADJUSTMENTS CODE NET VALUE TAXES VALUE INTEREST VALUE !TAXES VALUI /B.PROPERTY: 0010000000001 SMITH#1 COUNTY: RUSK STATE:TEXAS 02/04 203 WI 10,000.00 5.000 1.333 50,000.00 (100.00) 49,900.00 0.01000000 500.00 (1.00) S 499 02/04 204 WI 1,000.00 5.000 1.333 5,000.00 5000 FF��4,950.00 0.01000000 50.00 (.50) S 49 PROPERTY: 0010001210002 DAVIS 4 iJ STATE:LOUISIANA 03/04 100 RI 1,000.00 27.000.000 ( 6,800.00 0.01000000 270.00 (2.00) S 268 03/04 400 RI 2,000.00 25.000 50,000.00 (500.000) 48,500.00 0.01000000 500.00 (5.00) S 485 (1,000.000) (10.00) T TOTALS 1,320.00 1,301 1. PRODUCTION DATE- Month and year that product was sold. 11.OWNER GROSS VALUE-Your share of property gross value. 2. PRODUCT CODE- Code used to identify product sold. See PRODUCT CODE legend 12.OWNER ADJUSTMENTS/TAXES -Your share of property taxes and/or adjustments. in upper right-hand corner of settlement statement. 13.ADJUSTMENT CODE-Code used to identify type of adjustment made.See 3. INTEREST TYPE - Type of interest owned. See INTEREST TYPE legend in upper ADJUSTMENT CODE legend in upper right-hand corner of settlement statement. right-hand corner of settlement statement. 14.OWNER NET VALUE -Your share of properly net value. 4. PROPERTY QUANTITY - Total volume of product sold from property shown in barrels 15.OWNER NUMBER'Your owner number. This number is uniquely assigned to you am (oil,condensate),MCF(gas,helium),gallons(liquid products),or tons(sulphur). should be included on all correspondence with Anadarko. 5. PRICE- Price per unit_ 16.CHECK DATE 8 CHECK NUMBER 6. BTU(BRITISH THERMAL UNIT)-Heating value of gas. 17.CHECK AMOUNT-The total amount payable to you for this check. 7. PROPERTY GROSS VALUE-Total value of product sold from property. 18.PROPERTY -Property number,property name,and county and state where property i 8. PROPERTY ADJUSTMENTS/TAXES-Total amount of taxes and/or adjustments for located. property. 9. PROPERTY NET VALUE-Total value of property after deduction of taxes and/or adjustments. 10.OWNER DECIMAL INTEREST-Percentage of product sold attributable to your ownership interest (as shown on Division Order). If others are marketing their product separately,decimal shown may be inflated. 0211437277 KERR-MCGEE OIL&GAS ONSHORE LP Page: 2 Owner Number: 374715 Check Date: 06/25/12 Check Number: 0211437277 Check Amount: $1,757.12 WELD COUNTY COLORADO C/O BOARD OF COUNTY COMMIS BEB PROD PROD INT I DATE CODE TYPE O ANTRTVNET 1 PRICE BTU TY PROPERTY GR VALO E ABTA%ES NTSI PROPERTY P VALUE TV IN INTEREST GALU ROS ,ADJRA%EENTS CODE OWNER OWNER I OWNER ADJ O Ni l VAL (162.55) (0.01) T (4.05) 0.00 X -• E'TV: II 2 41 I 'ITTENH•USE 11-1 A C•UNTY: WEU STATE'. C• 04/12 300 RI 0.38 102.736 39.04 0.00 36.29 0.00052908 0.02 0.00 S (0.69) 0.00 G (2.01) 0.00 T (0.05) 0.00 X '• E'TY'. •12 4214nn3 •AC•N• 16-13 C•UNTY. WEU STATE: C• 04/12 300 CR 1.88 102.734 193.14 0.00 179.54 0.00004806 0.01 0.00 S (3.39) 0.00 G (9.96) 0.00 T (0.25) 0.00 X '• E'TY'. u2 4423IASI R•••IGUEZ 4-35 0•UNTY: WEU ST•TE: C• 04/12 100 RI 117.62 102.732 12,083.44 0.00 11,460.47 0.00255469 30.87 0.00 S (622.97) (1.59) T 04/12 204 RI 2,309.87 1.874 1.128 4,329.29 0.00 4,329.29 0.00255469 11.06 0.00 S 04/12 400 RI 7,742.23 0.525 4,067.03 0.00 4,067.03 0.00255469 10.39 0.00 S 04/12 100 RI 150.96 102.732 15,508.56 0.00 14,709.01 0.00084296 13.07 0.00 S (799.55) (0.67) T •-•-E'TY: of 2 4 • 11113 L•VELAN• :-3 GUNTV: WEL• STATE: C• . 04/12 100 RI 97.51 102.733 10,017.49 0.00 9,501.03 0.00704551 70.58 0.00 S (516.46) (3.64) T ' 04/12 203 RI 1,488.49 2 165 1 315 3.27251 000 3,222.51 0.00704551 22.60 0.00 S 04/12 300 RI 471.35 102.732 48,423.15 0.00 45,013.84 0.00704551 341.17 0.00 S (85057) (5.99) G (2,496.48) (17.59) T (62.26) (0.44) X 04/12 203 RI 3,835.86 2.161 1.315 8,289.57 0.00 8,289.57 0.00704551 58.28 0.00 S •-rE'TY'. I12 4:231•••3 UVELAN•2-3 O•UNTY. WEU STATE: C• 04/12 300 RI 175.63 102.732 18,042.98 0.00 17,112.77 0.00625569 112.87 0.00 S (930.21) (5.82) T '• E'TY: n2 4:231II.4 L•VELAN•2-3 C•UNTY: WEL• STATE: C• 04/12 203 RI 986.59 2.171 1.315 2,141.70 0.00 2,141.70 0.00625569 13.34 0.00 S ••rE'TY' ••29514:III15 HUNTRESS :-25 UUNTY: WEU STATE: C• 04/12 300 RI 52.42 102.732 5,385.26 0.00 5,107.62 0.00142047 7.65 0.00 S (277.64) (0.39) T 04/12 300 RI 52.42 102.732 5,385.26 0.00 5,107.62 0.00019375 1.04 0.00 S (277.64) (0.05) T 04/12 300 RI 2.55 102.733 261.97 0.00 248.46 0.00042244 0.11 0.00 S (13.51) (0.01) T 04/12 300 RI 18.74 102.732 1,925.21 0.00 1,825.95 0.00084296 1.62 0.00 S (99.26) (0.08) T '• E'TY' 112557 1 CAMP 13-1 A UUNTY'. WEL• STATE: C• 04/12 300 RI 54.43 102.732 5,591.75 000 5,303.46 0.00241800 13.52 0.00 S (288.29) (0.70) T .__. . .. .,, • , • • _ • 00764 CKN D01 003 17412 - 021143897 NNNNNNNNNNNN 0211437277 Page: 3 ROD PROD INT PROPERTY PROPERTY PROPERTY PROPERTY OWNER OWNER OWNER ADJ OWNER ATE CODE TYPE QUANTITY PRICE BTU GROSS ADJUSTMENTS/ NET DECIMAL GROSS ADJUSTMENTS CODE NET VALUE TAXES VALUE INTEREST VALUE /TAXES VALUE 4/12 300 RI 41.07 102.732 4,219.24 0.00 4001.72 0.00202 41800 10.20 0.00 S 9.6 (217.52) (0.53) T '"••E"TY'. II 25 :1 WI MI6 F"ANKU "R 41-21 CIN C•UNTY: WEL• STATE' C• 4/12 204 CR 189.45 2.323 1.138 440.07 0.00 333.06 0.00009178 0.04 0.00 $ 0.0 (34.52) 0.00 F (20.27) 0.00 P (52.22) 0.00 7 4/12 400 CR 714.60 0.911 651.28 0.00 375.85 0.00009178 0.06 0.00 S 0.0 (227.95) (0.02) P (47.48) 0.00 R "•"E"TY: ill,25 :1(ns: F"ANK U•"- 41-21 C/N C•UNTY: WEL• STATE'. C• 4/12 204 CR 71.71 2.323 1.138 166.58 0.00 126.07 0.00009178 0.02 0.00 S 0.0 (13.07) 0.00 F (7.67) 0.00 P (19.77) 0.00 T 4/12 400 CR 270.48 0.911 246.51 0.00 142.26 0.00009178 0.02 0.00 S 0.0 (86.28) (0.01) P (17.97) 0.00 R "•'E'TY: ''25 :SO W F•ANK U•-' •UNTY: WEL• STATE: C• 4/12 204 CR 107.27 2.292 1.123 245.85 0.00 186.14 0.00009178 0.02 0.00 S 0.0 (19.21) 0.00 F (11.33) 0.00 P (29.17) 0.00 T 4/12 400 CR 368.01 0.929 341.85 0.00 216.48 0.00009178 0.03 0.00 S 0.0 (119.65) (0.01) P (5.72) 0.00 R "••E"TY'. ''2 5 :4IIu4 F•ANK U•-" 42-21251)5 C•UNTY: WEL• STATE' C• 4/12 204 CR 205.61 2.292 1.123 471.23 0.00 356.77 0.00009178 0.04 0.00 S 0.0 (36.82) 0.00 F (21.72) 0.00 P (55.92) (0.01) T 14/12 400 CR 705.35 0.929 655.21 0.00 414.94 0.00009178 0.06 0.00 S 0.0 (229.32) (0.02) P (10.95) 0.00 R i 4/12 300 RI 32.14 102.733 3301.84 0.00 3,131.61 0.00241800 7.98 0.00 S 7.5 (170.23) (0.41) T 14/12 300 RI 52.44 102.732 5,387.31 . 0.00 5,109.56 0.00241800 13.03 0.00 S 12.3 (277.75) (0.67) T i 4/12 300 RI 40.49 102.733 4,159.66 0.00 3866.79 0.00052908 2.20 0.00 S 2.0 (73.07) (0.04) G (214.45) (0.11) T (5.35) 0.00 X 4/12 300 RI 37.49 102.733 3,851.46 0.00 3,652.90 0.00040355 1.55 0.00 S 1.4 (198.56) (0.08) T "• E`7V: 0 A29721 A A'•S S•WE-S EA"L• Gut '. C•UNTV' WEL• _. . STAT0. C• 4/12 300 RI 1.49 102.731 153.07 0.00 145.18 0.00040355 0.06 0.00 S 0.0 (7.89) 0.00 T 4/12 300 CR 4.96 102.733 509.56 0.00 473.68 0.00043291 0.22 0.00 S 0.2 (8.95) 0.00 G (26.27) (0.01) 7 (0.66) 0.00 X "• E"TY: ''2 995''''S U RR 5, AN AM EI C•UNTY: WEL• ST•TE'. C• 4/12 300 CR 116.99 102.732 12018.72 0.00 11,172.53 0.00009719 1.17 0.00 S 1.0 (211.11) (0.02) G (619.63) (0.06) 7 (15.45) 0.00 X "• E'TY: n27I 2''n5 WESTER LAN• : C•TTLEC• 1 C•UNTY'. WEL• STATE: C• 4/12 300 RI 6.20 102.732 636.94 0.00 592.10 0.00003320 0.02 0.00 5 0.0: (11.19) 0.00 G (32.84) 0.00 T (0.81) 0.00 X "••PTV: I.2 72:2I.lI1 WASSI C•UNTY: WEL• STATE C• 4/12 100 RI 3.35 102.734 344.16 0.00 326.42 0.00798440 2.75 0.00 S 2.6' (17.74) (0.14) T R 4/12 204 RI 37.45 1.873 1.131 70.14 0.00 70.14 0.00798440 0.56 0.00 S 05( 4/12 400 RI 131.13 0.535 70.14 0.00 70.14 0.00798440 0.56 0.00 S 0.5( "••E"TV'. n2 72:4ie.( WASS2 C•UNTV: WE • ST•TE'. C• 4/12 100 RI 13.44 102.732 1,380.73 0.00 1309.55 0.00367190 5.07 0.00 S 4.8' (71.18) (0.26) T UUI6V UFA UUL UUJ L+V12 - u211NJ12!-/ NNNNNNNNNNNN 0211437277 KERR-MCGEE OIL&GAS ONSHORE LP Page: 4 Owner Number: 374715 Check Date: 06/25/12 Check Number: 0211437277 Check Amount: $1,757.12 WELD COUNTY COLORADO C/O BOARD OF COUNTY COMMIS PRODP PROD N PROPERTY PROPERTY - -- PROD INT I PROPERTY PROPERTY PROPERTY PROPE OWNER OWNER OWNER ADJ OWNEI DATE CODE TYPE QUANTITY PRICE BTU GROSS ADJUSTMENTS) NET DECIMAL GROSS ADJUSTMENTS CODE NET VALUE TAXES VALUE INTEREST VALUE )TAXES VALUE 04/12 204 RI 403.33 1.877 1.131 757.10 0.00 757.10 0.00367190 2.78 0.00 S . 04/12 400 RI 1,411.80 0.534 754.38 0.00 754.38 0.00367190 2.77 0.00 S . 04/12 100 RI 49.61 102.732 5.096.58 0.00 4,833.82 0.00255470 13.02 0.00 S 1: (262.76) (0-67) T P'•'E TY: 112 731 11112 HA-•-F•UGHT 1-35 C•UNTY: WELF STTE: C• 04/12 204 RI 329.98 1.874 1.128 618.47 0.00 618.47 0.00255470 1.58 0.00 S 04/12 400 RI 1,106.20 0.524 579.32 0.00 579.32 0.00255470 1.48 0.00 S 04/12 100 RI 72.71 102.732 7,469.71 0.00 7,08461 0.00819750 61.23 0.00 S 51 (385.10) (316) T 04/12 204 RI 1,183.78 1.888 1.136 2,23484 0.00 2,234.84 0.00819746 18.32 0.00 S 11 04/12 400 RI 4,389.90 0.559 2,455.64 0.00 2,455.64 0.00819746 20.13 0.00 S 21 04/12 100 RI 40.40 102.732 4,150.41 0.00 3,936.43 0.00367190 15.24 0.00 S 1. (213.98) (0.79) T PROPERTY: 0029732000002 WASS 6 COUNTY: WELD STATE: CO 04/12 204 RI 2,460.58 1.874 1.131 4,610.69 0.00 4,610.69 0.00367190 16.93 0.00 5 1, 04/12 400 RI 8,614.61 0.535 4,607.97 000 4,607.97 0.00367190 16.92 0.00 S 1, 04/12 100 RI 9.49 102.733 974.94 0.00 924.68 0.00798440 7.78 0.00 S (50.26) (0.40) T PROPERTY: 0029732200002 WASS 3% COUNTY: WELD STATE: CO 04/12 204 RI 1,020.62 1.874 1.131 1.912.48 0.00 1,912.48 0.00798440 15.27 000 S 1: 04/12 400 Ri 3,573.22 0.535 1,911.23 0.00 1,911.23 0.00798440 15.26 0.00 S 1, R. ERTY'. 1131751'11111 :AR •N FEFE AL 23-i:N:-CF O•UNTY: WELF STATE: C• 02/11 300 RI 254.54 86.359 21,981.93 0.00 20,889.63 0.00101526 22.32 0.00 S 2 0.00 (0.21) I (1,092.30) (1.11) T 03/11 300 RI 328.78 98.134 32,264.52 0.00 30,937.12 0.00101526 32.76 0.00 S 3 0.00 (0.31) I (1,327.40) (1.35) T 04/11 300 RI 235.39 107.061 25,201.25 0.00 23,905.20 0.00101526 25.59 0.00 S 2. 0.00 (0.24) I (1,296.05) (1.32) T 05/11 300 RI 141.86 99.036 14,049.22 0.00 13,368.31 0.00101526 14.26 0.00 5 1: 0.00 (0.14) I (680.91) (0.69) T 06/11 300 RI 160.30 93.741 15,026.71 0.00 14,209.48 0.00101526 15.26 0.00 S 1. 0.00 (0.14) I (817.23) (0.83) T 07/11 300 RI 186.90 94.597 17,680.13 0.00 16,756.66 0.00101526 17.95 0.00 S 1, 0.00 (0.17) I (923.47) (0.94) T 08/11 300 RI 163.65 83.750 13,705.76 0.00 12,941.35 0.00101526 13.91 0.00 S 1 0.00 (0.13) I (764.41) (0.78) T 09/11 300 RI 68.37 83.175 5,686.64 0.00 5,406.75 0.00101526 5.77 0.00 S 0.00 (0.05) I (279.89) .0.28) T a- tL9bj 0211437277 Page: 5 PROD PROD INT PROPERTY PROPERTY PROPERTY PROPERTY OWNER OWNER OWNER ADJ OWNER DATE CODE TYPE QUANTITY PRICE BTU GROSS ADJUSTMENTS/ NET DECIMAL GROSS ADJUSTMENTS CODE NET VALUE TAXES VALUE INTEREST VALUE /TAXES I VALUE 10/11 300 RI 163.37 84.608 13,822.45 0.00 13,058.55 0.00101526 14.03 0.00 S 13 0.00 (0.13) I (763.90) (0.78) T 11/11 300 RI 197.22 95.431 18,820.93 0.00 17,947.45 0.00101526 19.11 0.00 S 18 0.00 (0.18) I (873.48) (0.89) T 12/11 300 RI 354.25 97.086 34,392.71 0.00 32,880.54 0.00101526 34.92 0.00 S 33 0.00 (0.33) I (1,512.17) (1.54) T 01/12 300 RI 327.50 98.825 32,365.31 0.00 30,612.83 0.00101526 32.86 0.00 S 30 0.00 (0.31) I (1,752.48) (1.78) T 02/12 300 RI 315.48 100.802 31,801.14 0.00 30426.76 0.00101526 32.29 0.00 S 30 0.00 (0.31) I (1,374.38) (1.40) T 02/11 204 RI 3,939.88 5.453 1.289 21,482.18 0.00 19,531.94 0.00101526 21.81 0.00 5 19 0.00 (0.20) I (1,950.24) (1.98) X 03/11 204 RI 3,67194 4.810 1.289 17,670 35 0.00 15.856_01 0.00101526 17 94 0.00 S 15. 0.00 (0.16) I (1,812.34) (1.84) X 04/11 204 RI 2,580.62 5.424 1.322 13,996.41 0.00 12,686.40 0.00101526 14.21 0.00 S 12 0.00 (0.13) I (1,310.01) (1.33) X 05/11 204 RI 1,782.79 5.420 1.322 9,662.55 0.00 8,756.38 0.00101526 9.81 0.00 5 8 0.00 (0.09) I (906.17) (0.92) X 06/11 204 RI 3,132.20 5.450 1.322 17,069.52 0.00 15,483.72 0.00101526 17.33 0.00 S 15. 0.00 (0.16) I (1,585.80) (1.61) X 07/11 204 RI 3,092.80 5.070 1.238 15,680.71 0.00 14,213.11 0.00101526 15.92 0.00 S 14. 0.00 (0.14) I (1,467.60) (1.49) X 08/11 204 RI 2,974.61 5.225 1.238 15,542.82 0.00 14,134.31 0.00101526 15.78 0.00 5 14. 0.00 (0.14) I (1,408.51) (1.43) X 09/11 204 RI 925.87 4.723 1.238 4,373.26 0.00 3,939.87 0.00101526 4.44 0.00 S 3. 0.00 (0.04) I (433.39) (0.44) X 10/11 204 RI 2,383.63 4.653 1.259 11,090.76 0.00 9,938.35 0.00101526 11.26 0.00 S 9. 0.00 (0.10) I (1,152.41) (1.17) X 11/11 204 RI 2,166.93 4.455 1.259 9,652.70 0.00 8,608.63 0.00101526 9.80 0.00 S 8. 0.00 (0.09) I (1,044.07) (1.06) X 12/11 204 RI 2,314.68 4.362 1.259 10,095.94 0.00 8,982.92 0.00101526 10.25 0.00 S 9. 0.00 (0.09) I (1,113.02) (1.13) X 01/12 204 RI 2,137.38 3.917 1.259 8,372.24 0.00 7,347.87 0.00101526 8.50 0.00 S 7. 0.00 (0.07) I (1,024.37) (1.04) X 02/12 204 RI 1,861.59 3.323 1.259 6,185.61 0.00 5,289.29 0.00101526 6.28 0.00 S 5. 0.00 (0.05) I (896.32) (0.91) X 03/12 204 RI 1,930.54 3.148 1.259 6,077.26 0.00 5,151.39 0.00101526 6.17 0.00 S 5. 0.00 (0.05) I (925.87) (0.94) X ..31751:....7 =ARR•N FE•ER•L 23-1; Na-C. C•UNTY: WEL. . : SPTE: C• 03/12 300 RI 230.54 105.167 24,245.22 0.00 23,198.79 0.00101526 24.62 0.00 S 23. 0.00 (0.24) I (1,046.43) (1.06) T 04/12 300 RI 51.00 102.736 5,239.55 0.00 4,969.42 0.00101526 5.32 0.00 S 5. 0.00 (0.05) I (270.13) (0.27) T .1317771...13 •AC•N• 1 -13 Na-C• GUNTY' WEL• /t, STATE'. C• 04/12 300 CR 186.37 102.732 19,146.33 0.00 17,798.30 0.00004806 0.92 0.00 S 0. (336.31) (0.02) G (987.10) (0.05) T (24.62) 0.00 X "•'E'TY'. 1131:455.n13 •ENVE' 3 -1: N:-C. C•UNTY' WEL• STATE: C• 04/12 300 RI 53.79 102.732 5,526.00 0.00 5,241.10 0.00012500 0.69 0.00 S 0. (284.90) (0.04) T 0211437277 KERR-MCGEE OIL&GAS ONSHORE LP Page: 6 Owner Number: 374715 Check Date: 06/25/12 Check Number: 0211437277 Check Amount: $1,757.12 WELD COUNTY COLORADO C/O BOARD OF COUNTY COMMIS EEE CM PROD PROD INT PROPERTY PROPERTY PROPERTY PROPERTY OWNER OWNER OWNER ADJ OWI DATE CODE TYPE QUANTITY PRICE BTU GROSS ADJUSTMENTS! NET DECIMAL GROSS ADJUSTMENTS CODE NI VALUE TAXES VALUE INTEREST VALUE !TAXES VAL 04/12 300 RI 68.46 102.733 7,033.10 0.00 6,670.50 0.00012500 0.88 0.00 S (362.60) (0.05) T -• E-TV'. 6.31:7.2.06.3 HS--G-•NT :-•THE•516-31A No-C CWNTV: WEU ST•TE: C• 04/12 300 CR 167.42 102.732 17,199.54 0.00 15,988.58 0.00020613 3.55 0.00 S (302.12) (0.06) G (886.73) (0.18) T (22.11) 0.00 X ^••E-TV: ••3173506. •1 •ENVE- 23-1: N=-C• UUNTY'. WEL•: . STATE: C• 04/12 300 RI 147.65 102.732 15,168.51 0.00 14,386.49 0.00003906 0.59 0.00 S (782.02) (0.03) T R••E-TV: 0631:73.06 061 •ENVE- 23-1:JSN• C•UNTY'. WEL• STATE: C• 04/12 300 RI 63.28 102.732 6,500.93 0.00 6,165.77 0.00003906 0.25 0.00 S (335.16) (0.01) T •••E-TY: 0631 22:606.3 T••LLC• 1 -5 UUNTV: WEU ST•TE'. C• 04/12 300 CR 217.39 102.732 22,333.11 0.00 20,760.71 0.00007813 1.74 0.00 S (392.29) (0.03) G (1,151.39) (0.09) T (28.72) 0.00 X •••E-TV' •631 27 1 SEKICH 31-19 UUNTY: WEU STATE: C. • 04/12 300 RI 46.07 102.732 4,732.90 0.00 4,399.68 0.00070767 3.35 0.00 S (83.14) (0.06) G (244.00) (0.17) T (6.08) 0.00 X •-••ERTV-. /131 31506.1 HUNT•ESS 1-25 JSN• • • • U UNTV'. WEL•. STATE: C 04/12 300 RI 1.64 102.731 168.48 0.00 159.79 0.00040355 0.07 0.00 S (8.69) 0.00 7 04/12 300 CR 65.26 102.732 6,704.35 0.00 6,232.31 0.00015625 1.05 0.00 S (117.77) (0.02) G (345.65) (0.05) T (8.62) 0.00 X •-••ERTV'. 6.3195:i 06n1 CENTE%1 -25 JSN• C•UNTV'. WEU STATE'. C. 04/12 300 RI 9.20 102.732 945.14 0.00 896.41 0.00040355 0.38 0.00 S (48.73) (0.02) T -• E-TV: 0631 :24606.3 F-ANK 11-5 J SANG •UUNTY'. WEU STATE: C• 04/12 300 CR 97.10 102.733 9,975.37 0.00 9,273.05 0.00003926 0.39 0.00 S (175.22) (0.01) G (514.28) (0.02) T (12.82) 0.00 X •-••ERTY' •632!31 1 HUNT-E551-25 N:-U C•UNTY: WEU ST•TE'. C• 04/12 300 RI 21.77 102.733 2,236.50 0.00 2,121.20 0.00161422 3.61 0.00 S (115.30) (0.19) T •R••E-TY: •6326:: 06061 CENTER 24-25 Nc-C• •UUNTY: WEU STATE: C• 04/12 300 RI 140.03 102.732 14,385.69 0.00 13,644.03 0.00009688 1.39 0.00 S (741 66) (0.07) T P-• ERTY'. •6326:9 1 CENTER 46-25 N:-C6 •C•UNTV: WEL• STATE: C• 04/12 300 RI 152.34 102.498 15,614.59 0.00 14,567.27 0.00161675 25.17 0.00 S (1,047.32) (1.74) T •-••ERTY'. 66326 1: 1 CENTE%4•-25 JSN• UUNTY: WEU ST•TE: C• 04/12 300 RI 4.69 102.733 481.82 000 456.98 0.00161675 0.78 0.00 S (24.84) (0.04) T -S m,r _ --1i 1111169 LIA UUL UUJ 1141[ - N[LLgj1211 NNNNNNNNNNNN • 021 1437277 Page: 7 ROD PROD INT PROPERTY PROPERTY PROPERTY PROPERTY OWNER OWNER OWNER ADJ OWNE ATE CODE TYPE QUANTITY PRICE BTU GROSS ADJUSTMENTS! NET DECIMAL GROSS ADJUSTMENTS CODE NE1 VALUE TAXES VALUE INTEREST VALUE i !TAXES ! VALU :4/12 300 RI 0.87 102.735 89.38 0.00 84.77 0.00040355 0.04 0.00 S (4.61) 000 T i 4/12 300 RI 115.71 102.732 11,887.22 0.00 11,050.29 0.00390625 46.43 0.00 S e (208.80) (0.82) G (612.85) (2.39) T (15.28) (0.06) X I 4/12 204 RI 2,038.78 1887 1.136 3,847.68 0.00 3,847.68 0.00390625 15.03 000 S 1 4/12 400 RI 7,533.31 0.535 4,029.44 0.00 4,029.44 0.00390625 15.74 0.00 S 1 4/12 300 RI 105.43 102.732 10,831.13 0.00 10,272.73 000003763 0.41 0.00 S (558.40) (0.02) T '• E'TY: 1A327 12nn1 FEH'N 25-32 N:-C• C•UNTY: WEL• STATE: C• 4/12 300 RI 435.87 102.732 44,778.19 0.00 42,469.63 0.00185938 83.26 0.00 S i (2,308 56) (4.29) T '• E'TV: AA32'247 lIAl 'U'AL 3•-31N=-C• C•UNTY: WEL• STATE: C• 4/12 300 RI 142.04 102.733 14,592.19 0.00 13,839.88 0.00592772 86.50 0.00 S f (752.31) (4.46) T 3/12 100 CR 5.89 98.844 582.19 0.00 582.19 0.00553780 3.22 (0.21) S 3/12 200 CR 53.00 6.489 343.92 0.00 343.92 0.00553780 1.90 (0.14) S TOTALS 1,819.09 1,7E 2012-2651 DEPARTMENT OF FINANCE AND ADMINISTRATION 1861 - 2011 PHONE (970) 356-4000, Ext. 4218 FAX: (970) 352-0242 P. O. BOX 758 .i- GREELEY, COLORADO 80632 WELD._.-EOUNTY March 20, 2012 KERR MCGEE OIL & GAS ONSHORE LP 1201 LAKE ROBBINS DR THE WOODLANDS TX 77380 RE: Withholding Taxes Enclosed please find IRS Form 6458 for Weld County. Weld County, as a county government, is tax exempt from ad valorem, severance, and windfall profit taxes. You are withholding taxes on the attached leases. Please correct your records so taxes are not withheld in the future. Also, please refund the taxes withheld and send to Clerk to the Board, Weld County Government, Attn: Tonya Disney, P. O. Box 758, Greeley, Colorado, 80632. Very truly yours, Tonya Disney Deputy Clerk to the Board Weld County Enclosures: 6458 Forms Aram \LK 'v1e Gee, c3-31 - I Z &t�nu kk LcT C� rl� �1C+S !ate-VYThrUkik.c 0.c w A 0.k. var%, LX-1-v\ es . utvtuck k- • Form 6458 (Rev.June 1985) Certification and Election Form OMB No.15450230 Expires 4-30-88' Department of the Treasury ► See separate Instructions. Internal Revenue Service Name • Taxpayer identifying number • Weld County, Colorado, Board of County Commissioners 84-6000813 r Address(number and street) 915 10th Street, P.O. Box 758 City or town,state and ZIP code Greeley, CO 80632 • Name of purchaser(only completed by a purchaser who is forwarding a qualified disburser election) Taxpayer Identifying number Part I Exemption Certificate I certify that all my production from the properties on the attached list is exempt from the windfall profit tax. I am entitled to this exemption because I qualify for the status indicated below(check applicable box): • Qualified governmental interest(section 4994(a)) ❑ Exempt Indian oil(section 4994(d)) ❑ Qualified charitable interest(section 4994(b)) O Qualified independent producer of exempt stripper well oil(section 4994(g)) I understand that I must file Part III within 10 days after I no longer qualify for exemption from the windfall profit tax. - Under penalties of perjury. I declare that I have examined this certificate,including accompanying instructions, and to the best of my knowledge and belief,it is true,correct,and complete. CHAIRMAN, BOARD OF COMMISSIONERS Signature of exempt producer ► Q Date ► Part f l Independent Producer Certificate I certify that I qualify as an independent producer as defined in section 4992, and that all my taxable production from the properties listed on the attached sheet is entitled to the lower rate of windfall profit tax for tier one and tier two oil. The total taxable production from these properties (plus production from other qualified properties that I have certified)does not exceed my share of the 1,000 barrel a day amount for independent producers. I certify that(check applicable box): ❑ I am a member of a related group(as defined in section 4992(eX2)). I am attaching a list to the Form 6458 that I am filing with the IRS showing the name and taxpayer identifying number of all other members of my"related group." ❑ I am not a member of a related group(as defined in section 4992(eX2)). I understand that I must file Part III within 10 days after I no longer qualify as an independent producer. Under penalties of perjury. I declare that I have examined this certificate,including accompanying instructions, and to the best of my knowledge and belief.(is true,correct.and complete. Signature of independent producer ► Date ► Part III Revocation of a Previously Filed Certificate • I no longer qualify for exemption from,or reduced rates of,the windfall profit-tax.The status that I previously claimed was: ❑ Qualified governmental interest O Independent producer O Qualified independent producer of exempt stripper well oil ❑ Qualified charitable interest ❑ Exempt Indian oil Date of original certification ►' Service Center where filed ► Effective date of revocation N. Signature of producer a- • Date ► Part IV Qualified Disburser Election • I certify that I am a qualified disburser as defined in regulations section 51.4995.5(b)and that I hereby elect to perform all the duties normally imposed upon the purchaser in regard to the administration of the windfall profit tax. I understand that I must file Part VI within 10 days after this election is terminated. • Effective elate of election ' Property(include lull lease name.location,and identifying number,if applicable) Signature of oualilied disburser Date For Paperwork Reduction Act Notice,see page 1 of the Instructions. Form 6458 (Rev.6-85) COL0 AD DEPARTMENT NTB OIL AND GAS WITHHOLDING STATEMENT COLORADO DEPARTMENT OF REVENUE DENVER CO 80261-0007 FOR CALENDAR YEAR 2011 Iv f1'' y Colorado from Oil Shale and Oil/Gas Payments 1. Well Name I, 1 I-.I..SI0NERS 4. County 2. Lease i611 FEB 22 A III 59 5. American Petroleum Institute Well Number 3. Field SEE REVERSE SIDE FOR INSTRUCTIONS CC L I V C D CASH BASIS ACCRUAL BASIS 6. GROSS INCOME $ 20,100.97 $ 17,121.97 7. GROSS INCOME ATTRIBUTABLE TO STRIPPER $ $ WELL PRODUCTION 8. AD VALOREM TAX ON OIL AND GAS $ $ PRODUCTION 9. AD VALOREM TAX ATTRIBUTABLE TO $ $ STRIPPER WELL PRODUCTION 10. SEVERANCE TAX WITHHELD • $ 38.58 If filing on a fiscal period, this information is not correct. Consult your distribution statements or payor for correct amounts. 11. Name,Address and Social Security or Colorado Account No.of Payee: •12. Name,Address and Colorado Account No.or Federal I.D.of Payor: WELD COUNTY COLORAI)O Kerr-McGee Oil&Gas Onshore LP C/O BOARD OF COUNTY COMMIS 1201 Lake Rohhins Dr. 915 10TH STREET The Woodlands.TX 77380 GREELEY.CO 80631 84-6000813 RV37471504 84-1175723 NOTE TO PAYOR: Attach one copy to the DR 0456. Retain a copy for your records.Submit two copies to payee. CUT HERE DR 0021W(11/22/10) WEB OIL AND GAS WITHHOLDING COLORADOSTATEMENT DEPARTMENT OF REVENUE DENVER CO 80261-0007 FOR CALENDAR YEAR 2011 Colorado Severance Tax Withheld from Oil Shale and Oil/Gas Payments 1. Well Name 4. County 2. Lease 5. American Petroleum Institute Well Number 3. Field SEE REVERSE SIDE FOR INSTRUCTIONS CASH BASIS ACCRUAL BASIS 6. GROSS INCOME $ 20,100.97 $ 17,121.97 7. GROSS INCOME ATTRIBUTABLE TO STRIPPER $ $ WELL PRODUCTION 8. AD VALOREM TAX ON OIL AND GAS $ $ PRODUCTION 9. AD VALOREM TAX ATTRIBUTABLE TO $ $ STRIPPER WELL PRODUCTION 10. SEVERANCE TAX WITHHELD • $ 38.58 If filing on a fiscal period, this information is not correct. Consult your distribution statements or payor for correct amounts. 11. Name,Address and Social Security or Colorado Account No.of Payee: •12. Name,Address and Colorado Account No.or Federal I.D.of Payor: WELD COUNTY COLORADO Kerr-McGee Oil&Gas Onshore LP C/O BOARD OF COUNTY COMMIS 1201 Lake Rohhins Dr. 915 10TH STREET The Woodlands.TX77380 GREELEY,CO 80631 84-6000813 RV37471504 84-1175723 NOTE TO PAYOR: Attach one copy to the DR 0456. Retain a copy for your records.Submit two copies to payee. 1H0723 2,000 C CO •r1 C-1 C. cC 5 3 V O C C E a C _ CJ — E E i d o — V 0 0 Cco co kc „moo_�� Hello