HomeMy WebLinkAbout20080519.tiff KERR-MCGEE OIL AND GAS ONSHORE DIVISION ORDER
Venture Number: 294767
Property Number: 3003432
Property Name: HUDCO 9-18
Product: All Products
WELD COUNTY BOARD OF COMMISSIONER Status: NOT APPLICABLE
County/State: WELD/CO
915 10TH STREET Effective Date: DATE OF FIRST SALES
Owner Number: RV37471404-WELD COUNTY BOARD OF
GREELEY,CO 80632 Interest Amt/Type: 0.00439453 /RI
Unit Description:
T2N-R65 W SEC 18:NESE
JSND FORMATION SPACING 320 ACS E2
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#84-6000813
JJ **Tax ID
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1 e s t: 1 �qpt ; ..�.-.' ture/Corporate Title Owner Address(if different from above)
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Dep y B d,'k to t Boar "• ;.;, . gnature/Corporate Title City,State Zip Code
_....E 1 1 2008 (970)356-4000 X4200
Owner Daytime Phone
*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
Ci.lS,-an /IC- DA
Return to: KERR-MCGEE OIL AND GAS ONSHORE ''-I "\ Date Prepared January 08,2008
Oil i 1 I C% 1999 Broadway CC , K v15 J\ Prepared by: Mallory Weindorf l?"b
1.1
Denver,CO 80202
1-800-359-1692 2008-0519
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<1 Kerr/vtGee
Kerr-McGee Oil& Gas OnShore LP
1999 Broadway Suite 3700
Denver,CO 80202
January 9, 2008 Phone: 720-929-6000
RE: HUDCO 9-18
T2N-R65W, Section 18: NESE
Weld County, Colorado
Dear Interest Owner:
In preparation for drilling the subject well, an examination of title to the captioned lands was
conducted. The enclosed Division Order reflects your interest according to the records of Weld
County, Colorado. If you no longer own this interest, please advise.
Please read the following instructions carefully before signing the enclosed division order:
1. Be sure that your interest is correct.
2. Sign your name in the space provided exactly as it is shown BEFORE TWO WITNESSES.
3. Your SOCIAL SECURITY NUMBER or TAX IDENTIFICATION NUMBER must be
shown in the space provided. Failure to provide the number may result in withholding of
your production proceeds, as required by law, and you may also be subject to a penalty
imposed by the Internal Revenue Service.
4. Verify the address to which checks should be mailed.
5. If the interest is owned by a CORPORATION, the division order must be signed by a duly
authorized officer and attested. The corporate seal must be affixed and the title of the
signing officer shown.
6. If the interest is owned by a PARTNERSHIP, the division order must be signed by the
general partner or managing partner and evidence of such authority to sign must be
furnished.
7. If the division order is signed by anyone other than the named owner such as an AGENT,
ATTORNEY-IN-FACT,or GUARDIAN,evidence of authority must be provided.
After you have completed and signed the division order, please return the original to me. The copy
is for your records. Should you have any questions or concerns, feel free to contact me.
Sincerely,
it*(4,47,
Mallory Weindorf
Division Order Assistant
enclosures
Cry litAget c(Q
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 fo al description, and
percentage of royalties, if appli .
BY:
Coun ttomey DATE: o / "t%
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