HomeMy WebLinkAbout20103360.tiff MERIT ENERGY COMPANY Pagel of 2
"t 13727 Noel Road, Suite 500
lir Dallas, Texas 75240
972.628.1590 - Royalty Line
•
II www.meritenergy.com
PAYEE NAME PAYEE NO. DATE CHECK NUMBER AMOUNT
WELD COUNTY COLORADO 10078725 01/20/10 0003161083 $255.52
PC/Product Codes Interest Types
AIM Codes
1XX-Oil (BBLs) WI-Working Interest 01-Non-Resident Alien Tax 09-Oklahoma Non-Resident Alien Tax
2XX-Gas(MCF) RI-Royalty Interest 02-Ad Valorem Recovery 10-Backup Withholding Tax
3XX-Condensate (BBLs) BL-Blanchard 04-Utah State Tax 12-Non-Resident Income Tax (NM&OK)
4XX-Plant Products (GALS/BBLS) OR-Overriding Royalty 05-Colorado State Tax 17-Other Settlement Differences
7XX-Sulfur (TONS) 06-Interest Paid
Deductions may include compression, processing, gathering, transportation or other marketing fees where applicable.
Colorado and Wyoming Ad Valorem taxes will no longer be withheld monthly. The deduction will occur in the period Merit Energy Company pays the taxes to the proper tax authority.
For a copy of Merit's Privacy Policy, go to meritenergy.com or contact the "Legal Department" at the address or phone number above.
Property N DOI U Property Name State County Legal Decimal
Sale TYP GROSS GROSS GROSS GROSS GROSS OWNER OWNER OWNER ADJ. NET
Date PC INT PRICE QUANTITY VALUE TAX TRANSP. DEDUCTS PAIDINT VALUE TAX DEDUCTS CODE SHARE
00100852 00007 GATEWOOD 11 1 CO WELD 0.00117580
112009 100 RI 70.6400 186.44 13,171 .05 0.00117580 15.49 15.490.00000000 0.15 05 -0.15
112009 100 RI 0.00117580
00100852 00008 GATEWOOD 11 1 - GAS CO WELD .0
112009 204 RI 4.2400 613.00 2,599.17 0.00117580 17 3.06 3.06
003 05 -0.03
112009 204 RI 0.00000000
0.00117580 1.43 1.43
112009 400 RI 0.4900 2,488.00 1,214.34 0.01 05 -0.01
112009 400 RI 0.00000000
00100937 00002 HALL 41-12 J CO WELD 0.00054297
0.00054297 1.99 1 .99
112009 204 RI 4.2400 865.00 3,667.96 0 02 05 -0.02
112009 204 RI 0.00000000
112009 400 RI 0.5100 1 ,671 .00 858.26
0.00054297 0.47 0.47
00101145 00003 IRVING#5 CO WELD 0.00084130
0.00084130 2.81 2.81
112009 204 RI 4.2400 78T00 3,335.69 0.03 05 -0.03
112009 204 RI 0.00000000
0.00084130 1 .45 1.45
112009 400 RI 0.4900 3,501 .00 1,721 .98 0.01 05 -0.01
112009 400 RI 0.00000000
00101351 00002 LEE 1 , 2(SEC 5)-GAS CO WELD 0.00147860
0.00147860 20.62 20.62
112009 204 RI 4.2400 3,289.00 13,945.43 0.21 05 -0.21
112009 204 RI 0.00000000
0.00147860 8.80 8.80
112009 400 RI 0.5100 11 ,757.00 5,954.05 0.00000000 0.09 05 -0.09
112009 400 RI
00101351 00006 LEE 1 , 2(SEC 5)OIL 100% CO WELD 0.00147860
0.00147860 21 .21 21 .21
112009 300 RI 70.6400 203.05 14,344.47 0 21 05 -0.21
112009 300 RI 0.00000000
00101397 00001 LOHR 13 2 &32 13 CO WELD 0.00140620
112009 100 RI 70.6400 58.96 4,165.23 0.00140620 5.86 5.86
2010-3360
Page 2 of 2
MERIT ENERGY COMPANY
13727 Noel Road, Suite 500
Dallas, Texas 75240
972.628.1590 - Royalty Line
I www.meritenergy.com
PAYEE NAME PAYEE NO. DATE CHECK NUMBER AMOUNT
WELD COUNTY COLORADO 10078725 01 /20/10 0003161083 $255.52
Property A DOI N Property Name State County Legal Decimal
Sale TYP GROSS GROSS GROSS GROSS GROSS OWNER OWNER OWNER ADJ. NET
Date PC INT PRICE QUANTITY VALUE TAX TRANSP. DEDUCTS PAIDINT VALUE TAX DEDUCTS CODE SHARE
112009 100 RI 0.00000000 0.06 05 -0.06
112009 204 RI 4.2400 1,166.00 4,943.30 0.00140620 6.95 6.95
112009 204 RI 0.00000000 0.07 05 -0.07
112009 300 RI 70.6500 58.94 4,163.82 0.00140620 5.86 5.86
112009 300 RI 0.00000000 0.06 05 -0.06
112009 400 RI 0.4600 4,321.00 1 ,983.74 0.00140620 2.79 2.79
112009 400 RI 0.00000000 0.03 05 -0.03
00101397 00002 LOHR 13 4 &41 13 CO WELD 0.00140620
112009 300 RI 70.6400 156.51 11,056.65 0.00140620 15.55 15.55
112009 300 RI 0.00000000 0.16 05 -0.16
00101397 00003 LOHR 13 4 &41 13 - GAS CO WELD 0.00140620
112009 204 RI 4.2400 1,554.00 6,591.07 0.00140620 9.27 9.27
112009 204 RI 0.00000000 0.09 05 -0.09
112009 400 RI 0.4600 5,762.00 2,644.98 0.00140620 3.72 3.72
112009 400 RI 0.00000000 0.04 05 -0.04
00101397 00004 LOHR 5 CO WELD 0.00140620
112009 204 RI 4.2400 1 ,167.00 4,946.82 0.00140620 6.96 6.96
112009 204 RI 0.00000000 0.07 05 -0.07
112009 300 RI 70.6400 122.24 8,635.64 0.00140620 12.14 12.14
112009 300 RI 0.00000000 0.12 05 -0.12
112009 400 RI 0.4600 4,324.00 1 ,985.14 0.00140620 2.79 2.79
112009 400 RI 0.00000000 0.03 05 -0.03
00101816 00002 PAYNE 2 26 -GAS CO WELD 0.00168260
112009 204 RI 4.2500 129.00 547.80 0.00168260 0.92 0.92
112009 204 RI 0.00000000 0.01 05 -0.01
112009 400 RI 0.4900 560.00 274.63 0.00168260 0.46 0.46
00101816 00003 PAYNE 2 261009''0 OIL CO WELD 0.00168260
112009 100 RI 70.6400 57.62 4,070.56 0.00168260 6.85 6.85
112009 100 RI 0.00000000 0.07 05 -0.07
00102038 00002 RUSTY 1 26 100%OIL CO WELD 0.00168260
112009 300 RI 70.6400 126.12 8,909.75 0.00168260 14.99 14.99
112009 300 RI 0.00000000 0.15 05 -0.15
00102038 00003 RUSTY 1 26 - 100% GAS CO WELD 0.00168260
112009 204 RI 4.2400 300.00 1,271 .17 0.00168260 2.14 2.14
112009 204 RI 0.00000000 0.02 05 -0.02
112009 400 RI 0.4900 1,300.00 637.29 0.00168260 1.07 1 .07
112009 400 RI 0.00000000 0.01 05 -0.01
00102795 00002 VAUGHAN1230 -GAS CO WELD 0.01896810
112009 204 RI 4.2200 4.00 16.89 0.01896810 0.32 0.32
112009 400 RI 0.4500 12.00 5.39 0.01896810 0.10 0.10
00102795 00004 VAUGHAN 12 30 100% OIL CO WELD 0.01896810
112009 300 RI 70.6500 61.25 4,327.01 3.03 0.01896810 82.08 0.06 82.02
112009 300 RI 0.00000000 0.82 05 -0.82
OWNER OWNER OWNER NET
VALUE TAXES DEDUCTS SHARE
TOTAL CHECK AMOUNT: 255.52
CURRENT CHECK 258.15 2.63 255.52
YEAR TO DATE 258.15 2.63 255.52
Merit Gas Royalties Settlement Administrator
PO Box 721
Minneapolis MN 55440-0721
1-866-591-7235
11111111111111111
0000001326 102194 002194
WELD COUNTY COLORADO
BOARD OF CTY COMMISSIONERS
P.O. BOX 758
GREELEY CO 80632
RE: Benard Harold Anderson vs. Merit Energy Company, Civil Action No. 07-cv-00916, in the United States District Court for the
District of Colorado, and Niles Miller, et al. vs. Merit Energy Company, Civil Action No. 07-cv-01025 in the United States
District Court for the District of Colorado.
Dear Class Member:
Included below please find your share of the Settlement Fund in the above-named Class Action Settlement.
PLEASE KEEP THIS PAYMENT STUB FOR YOUR RECORDS
PAYER'S name,street address,city,state, 2 Royalties OMB No. 1545-0115
ZIP code,and telephone no. 1904.81
Merit Gas Royalties Settlement 3 other income 2U 0
Administrator
PO Box 721
Minneapolis MN 55440-0721 4 Federal income tax withheld Form 1099-MISC
1-866-591-7235
PAYER'S federal identification number ]a Gross proceeds paid tO Miscellaneous
o CORRECTED °a°ttorney Income
(if checked) 35-2367078
RECIPIENTS identification number Copy B
84-6000813 For Recipient
RECIPIENT'S name,Street address(including This is important tax information and
apt no.),City,state,and ZIP code is being furnished to the Internal
WELD COUNTY COLORADO Revenue Service. If you are required
BOARD OF CTY COMMISSIONERS m file a return,
P.O. BOX 758 a negligence penalty or other sanction
GREELEY CO 80632 maybe imposed on you if this income
is taxable and the IRS determines the t
it has not beern reported.
Account number(see instructions)
Form 1099-MISC (keep for your records) Department of the Treasury Internal Revenue Service
Hello