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Home My WebLink About20112464 KERR-MCGEE OIL AND GAS ONSHORE DIVISION ORDER Venture Number: 318942 Property Number: 3039739 Property Name: MILKY WAY 3-10 JSND Product: All Products WELD COUNTY BOARD OF COMMISSIONER Status: NOT APPLICABLE County/State: WELD/CO 915 10TH STREET Effective Date: DATES OF FIRST SALES Owner Number: RV37471404-WELD COUNTY BOARD OF COMMISSION GREELEY,CO 80632 Interest Amt/Type: 0.00072063 /RI Unit Description: T2N-R68W, Sec 10:N/2 320 ACRES.MORE OR LESS JSAND FORMATION WELD COUNTY,COLORADO The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by KERR-MCGEE OIL AND GAS ONSHORE(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 asserted 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, or Sept. 30 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 Payor may have certain statutory rights under the laws of the state in which the property is located. Note: NADOA Model Form Division Order(Adopted 9/95) WELD COUNTY BOARD OF COMMISSIONER *Tax ID# XXX-XX-0813 **Tax ID# Attest: ,u CL-- Li/xet E'er 1150 O Street- p o Box 758 Cler to the and , Owner Signature/Corp ate Title Owner Address(if different from above) B Barbara Kirkmever, Chair Greeley, CO 80632 Deputy ,C1 ' � d Owner Signature/Corporate Title SEP 1 2011 City, State Zip Code 1146,I'� Owner Daytime Phone .1861 i/n *Failure to furnish your Social Security/Tax ID number will result in withholding tax in accordance with federal law and any tax withheld will not be refundable by payor. **Insert Tax ID number for all individual parties listed above in the Name and Address box 020/7"0,79e7 Return to: KERR-MCGEE 17377 OIL AND GAS ONSHORE PreparedDate by:Prepared: SeKptember 0L 2Q�0�� Dever,CO 80217-3779 L I-800-677-5603 Dear Interest Owner: 1. Enclosed are two copies of your Division Order or Transfer Order. Please execute (in front of two witnesses) the document stamped "Return This Copy"and retain the one marked"Your Copy"for your records. a. Sign exactly as shown on the Division Order or Transfer Order. Signatures must be witnessed by two people. If joint ownership, all owners will be required to sign, but may sign separate copies. Signatures by Agents, Attorneys-in-Fact, Guardians or Trustees must be verified by attaching evidence of the right to sign in that manner, such as a copy of the Power of Attorney. b. Include the correct Social Security Number or Tax Identification Number in the space provided. Failure to furnish this information may result in withholding tax in accordance with federal law and any tax withheld will not be refundable by payor. If the name on the Division Order or Transfer Order does not match the name on your Social Security Card, please advise us, in writing, of the differences. 2. Please address all correspondence, including your executed Division Order, to the following address: Kerr McGee Attn: Division Orders P.O. Box 173779 Denver, CO 80217 3. For CHANGE OF ADDRESS, use the enclosed form. All ADDRESS CHANGES MUST BE MADE IN WRITING. 4. NAME AND OWNERSHIP CHANGES must be submitted in writing to the above address. Please include proper documentation confirming the change: a. For Name Changes: Marriage Certificate, Divorce Decree, etc. b. For Ownership Changes: Deeds, Assignments, etc., must be recorded in the County (Parish) in which the property is located prior to sending them to our office. Copy of the document sent in must have evidence of the recording (e.g., the recording stamp) on it. c. For Changes due to Death of an Owner: As a general rule, we require complete copies of probate proceedings rendered by a court having jurisdiction over the property in question. If the Estate was not probated, or if it was probated in a different state, other documentation may be required. 5. When you wish to make an inquiry or request a change, please have available as much of the following information as you can: -Owner Number -County and State where well is located -Well name and/or property number -Your telephone number with AREA CODE 6. Anadarko Customer Relations toll-free telephone number: 1-800-359-1692. Our Customer Relations Agents are committed to monitoring and returning calls in a timely manner. Our goal is to return your call within two business days. 7. For access to check information: http://www.oildex.com. For Technical Questions related to this website please call: 1-888-922-1222 (option 3). Anadarko Petroleum Corporation Owner On-Line Access To access your check/EFT statements on-line via the Internet. Go to ... WWW.oildex.com If you have not received a Check/EFT from Anadarko, Kerr McGee, Lance and Howell, no information will be posted onto the oildex website. Scroll down left side of page until you get to "Owner Relations Connect Websites" see below (ffildex tC)Mt. SERVICES COMPANY SUCCESSES PRESS ALLIANCES DIRECTORY CONTACT US a Delivering information. Improving processes. Supporting better decisions. SAS 70 Type II Owner Relations TFC Hby t rnl,., r n i b chide' Co-:elect bVezbibeb Aura Energy LLC Oildex is the energy industry's leading provider of digital data, Anadarko FP 4 workflow and spend analysis solutions, It provides the most - -.- ..n„b,comprehensive solution for managing revenues, expenses and 4,200 Companies ilianar,US,A.er business intelligence, 44,000 Usars ioaiPhilllpz Dawn .. P . pnminino Today, more than 4,200 companies depend on Oildex to help ¢5D billion tr in transaction E0G pecnurrec treamline their business processes, with services ranging detail yearly Click on Anadarko Then click on View Documents and Reports (click here to login) Log in here and it will prompt you to put in your Login and password. NOTE: If you are a first time user be sure to click on First- time users: click here! . It will then prompt you to put in your Login and Temp Password LOGIN is your Owner Number = Is your 6 digit Anadarko owner number (Example: RV12345604 or JV12345601) APC/KMG owner numbers (Not the Payee #) are located at the top of your check detail. si To access oildex you only need to put in the six digit owner number123456, leave off the RV or JV and the 04 or 01 at the end if you are looking at a tax statement. TEMP Password is normaly the last 6 digits of your Tax ID/Social Security # on your account. (Example: SS# 123-45-6789 would be 456789) It will then prompt you to choose a password you can remember. New Password must be at least 7 digits long. Be sure to write your new password down and keep it in a safe place so not to forget it. If you have any other problems accessing www.oiidex.com please contact Oildex support directly at: su000rt@oildex.com orcontactowner.relations©anadarko.com 1099 Misc Tax Form — go in the "Inbox" tab there is a place that states "Display 1099's" If you have several owner numbers you will need to go to each Owner number. 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, legal description, and . percentage of royalties, if applicable. BY: �&fi v r/',e-'('J Coun y Attorney DATE: 9-73- // Hello