HomeMy WebLinkAbout20110537.tiff DIVISION ORDER
Suncor Energy Marketing Inc. 02/11/2011
% ExTex Division Order Services ,
17301 West Colfax Ave, Suite 406 _ .. rEu /LI A V)_
Golden, CO 80401 0u
303-463-8799 FAX 303-463-8808
WELD COUNTY COLORADO Owner Number: 905259
BOARD OF COMMISSIONERS Type of Interest: See Attached
PO BOX 758 Decimal Interest: II
GREELEY, CO 80632
Property Number: See Attached
Property Name:
Operator: WESTERN OPERATING COMPANY
Effective Date: "
Legal Description: "
Production: "
The undersigned certifies the ownership of their decimal interest in production or proceeds as described above.
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 $25.00, or pay annually whichever occurs first, or as
required by applicable state statutes.
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 p perry is located.
r
Owner(s) Signature(s): Barbara Kirkmeyer, Chair, Board of Weld
County Commissioners FEB 2.. 3 2011
Owner(s) Tax ID Number(s): 84-6000-813
Daytime Phone: 970-356-4000 X4200
Mailing Address: 915 10th Street, P.O. Box 758, Greeley, Colorado 80632
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.
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DIVISION ORDER
Suncor Energy Marketing Inc. 02/11/2011
% ExTex Division Order Services
17301 West Colfax Ave, Suite 406 x'; = ' I Li A IC: l
Golden, CO 80401
303-463-8799 FAX 303-463-8808 :. .
WELD COUNTY COLORADO Owner Number: 905259
BOARD OF COMMISSIONERS Type of Interest: See Attached
PO BOX 758 Decimal Interest:
GREELEY, CO 80632
Property Number: See Attached
Property Name:
Operator: WESTERN OPERATING COMPANY
Effective Date:
Legal Description: "
Production:
The undersigned certifies the ownership of their decimal interest in production or proceeds as described above.
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 $25.00, or pay annually whichever occurs first, or as
required by applicable state statutes.
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.
YOUR COPY
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
2011-0537
0ol6
02/11/2011 09:08 am Suncor Energy Marketing Inc. Page
Company:SUNCR Division Of Interest - Division Order Listing
Effective Date: 12/01/2010
Owner: 905259
362096 Weld Weitzel #05-33 County: WELD, CO
Field Name: API#: Operator: ( 804509)WESTERN OPERATING COMPAI
Legal Desc:TOWNSHIP 7 NORTH- RANGE 60 WEST
SECTION:33: SW1/4NW1/4
WELD COUNTY, COLORADO
Owner# I Owner's Name I Fed ID Num I Type I Susp I Rev Share I Start Sto
905259 WELD COUNTY COLORADO 84-6000813 R PAY 0.12500000
362097 Weld Weitzel #11-33 County: WELD, CO
Field Name: API#: Operator: ( 804509)WESTERN OPERATING COMPAI
Legal Desc:TOWNSHIP 7 NORTH- RANGE 60 WEST
SECTION:33: NE1/4SW1/4
WELD COUNTY, COLORADO
I Owner# I Owner's Name I Fed ID Num I Type I Susp I Rev Share I Start] Sto
905259 WELD COUNTY COLORADO 84-6000813 R PAY 0.12500000
This information is provided as an accommodation only and makes no warranty or guarantee as to its accuracy.
Any use or reliance upon information is done so at the user's own risk.
ExTex
17301 W Colfax Ave No 406 303-463-8799
Golden,CO.80401 FAX 303-463-8808
February 11, 2011
Dear Interest Owner,
The enclosed Division Order has been prepared on the basis of documentation
provided.
Please examine the Division Order for accuracy. If you are in agreement with the
interest set forth, execute the original, retaining the copy provided for file and
future reference. A correct mailing address and Social Security or Tax
Identification Number is required and should be included in the spaces provided.
The executed original should then be returned to our office.
Upon receipt of the properly executed Division Order, your interest will be placed
into pay on the 20th day of the following month, providing that the accruals to
your interest amount to at least $25.00.
Please refer to our lease number and your owner number in any communication
with our company so that we can respond promptly.
Very truly yours,
ExTex Land and Administration LLC
Dennis M. Pade Chris C. Pennels Boyd K. Sanstra
Manager Manager Manager
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.
•
County Attorney
DATE: �� ' �. -7/
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