HomeMy WebLinkAbout830018.tiff AR1124O06
B 0994 REC 01924006 04/19/63 13 : 34 $0.00 1 /003
F 0010 MARY ANN FTEt.JERS'"1'EIM CLERK 6, RECORDER WELD CO, CO
RESOLUTION
RE: AUTHORIZATION FOR THE BOARD TO SIGN OIL AND GAS DIVISION
ORDER REGARDING ASAMERA OIL (U. S . ) INC. , P.O. BOX 118,
DENVER, COLORADO 80201
WHEREAS, the Board of County Commissioners of Weld County,
Colorado, pursuant to Colorado statute and the Weld County Home
Rule Charter, is vested with the authority of administering the
affairs of Weld County, Colorado, and
WHEREAS, Weld County, Colorado is the holder of a certain
lease with Asamera Oil (U. S . ) Inc. Said lease covers land more
particularly described as follows, to-wit:
Township 6 North, Range 66 West
Section 26 : SW/4
Weld County, Colorado
WHEREAS, Asamera Oil (U. S. ) Inc. has submitted an Oil and
Gas Division Order on the subject property.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Com-
missioners of Weld County, Colorado, that the Oil and Gas Divi-
sion Order as submitted by Asamera Oil (U. S. ) Inc. be, and hereby
is, approved.
The above and foregoing Resolution was, on motion duly made
and seconded, adopted by the following vote on the 6th day of
April, A.D. , 1983 .
BOARD OF COUNTY COMMISSIONERS
ATTEST: f/1 7/ "'7 -l- - WELD COUNTY, COLORADO
Iv.tea o1/4.vti-r 'k 4 WA6e4r1
Weld County Clerk and Recorder EXCUSED DATE OF SIGNING - AYE
and Clerk to the Boar7fi�n Chuck
Carlson, Chairman
ty County Clerk Ji T. Martin, Pro-Tem
APPROVED AS TO FORM:
Gene R. Bra ner
minty torney Norman Carlson
J cqu in o nson
830018
«U 0 DAY FILE: April 11 , 1983
1 . .
ia9 94 REC.., 019 4006 :14/19/83 13 : 34
I: 001 '1 Me ANN FEUl:::R; 'FEIN CLERK & Pig. JRDFR WELD CO, CO
OIL DIVISION ORDER
To: ASAMERA OIL (U.S.) INC. Division Order No.
Post Office Box 118 Date: March 9, 1983
Denver, Colorado 80201
Each of the undersigned,severally and not jointly,certifies and warrants to Asamera that he is the owner of the
interest shown opposite his name in the below described property or of mineral rights therein or is entitled to receive
the value or proceeds from the sale of oil (which shall mean crude petroleum and all other liquid hydrocarbons, in-
cluding condensate, which shall be accounted for in the same manner as oil hereunder) produced
from the Payne 2-26
lease or property,operated by KCF Oil, Inc.
- situated in
field or area,in Weld County, Colorado
and more fully described as follows to-wit:
Township 6 North, Range 66 West �. •
Section 26: SW/4
Weld County, Colorado
From and after the day of First Runs 19 83 ,at 7:00 a.m.,and until further written notice
to Asamera, and subject to the following provisions, Asamera is authorized:
(a) to purchase and receive oil produced from the above described property, or
(b) where Asamera owns a working interest in said property or has a right to market all or a portion of
the production therefrom, to sell and/or deliver oil produced from such property to any purchaser Asamera
may designate, and Asamera shall give credit for said oil pursuant to the directives contained herein.
•
Credit to: Division of Interest Address
Board of County .00189500 RI Weld County Court House
Commissioners Greeley, CO 80632
B 0994 f-,'t:::c 01 o4006 04/19/83 ij : :34 0l') :5/{:�()�+
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FIRST: Only merchantable pipeline oil shall be tendered to you hereunder, and title shall pass to y9u
upon delivery to any transportation facility designated by you. You shall compute quantities and make corrections
for temperature and deductions for impurities in accordance with your rules, regulations, and customs in effect at
that time and place of delivery. Each of the undersigned working interest owners, if any, agree that all oil run
hereunder will be produced and delivered in compliance with all applicable federal, state, and local laws, orders,
rules, and regulations.
SECOND: Settlement for the aforesaid interests shall be made on the basis of the current field price adopted
or posted by you for oil of like grade and gravity at the time and place of delivery.
THIRD: Payments are to be made monthly by your checks delivered or mailed to the parties thereto enti-
tled at the address above given. If at any settlement date the amount payable to any party hereunder shall be less than
fifteen dollars($15.00), you may defer such payment and make payment when the amount has accumulated to fif-
teen dollars($15.00),but in any event at not less than annual intervals. Deductions for any severance,gross produc-
tion,occupation, windfall profit or other tax imposed on the production, sale or purchase of such oil may be made
therefrom by Asamera.
FOURTH: In case of any adverse claim of title as to any interest or interests covered hereby, or if, in the
opinion of Asamera,any of the undersigned parties may not have good title to the interest claimed,each of the under-
signed affected authorizes you to defer payment,without obligation to pay interest on the amount so deferred,until
such adverse claim or dispute is finally determined or title is resolved to your satisfaction.
FIFTH: No transfer of an interest of any nature or change in the right to receive payments,however ac-
complished,shall be effective as to you until 7:00 a.m. the first day of the calendar month after which you are fur-
nished proper division or transfer order and proof satisfactory to you of such transfer or change,and you hereby are
released from any and all liability for payments made prior thereto pursuant to this instrument. Each of the under-
signed, severally, agree to hold you harmless from any payment made without such proper notification.
SIXTH: If all or any part of the above described property is included in a pooled unit hereafter,then as to
each undersigned party who has agreed to,or is bound by such unit,this division order shall cover and be applicable
to the unitized minerals which,in accordance with the terms of the instruments pursuant to which such unit has been
established,are allocated to the above described property,and payment hereunder to such undersigned party shall be
computed on such allocated minerals in accordance with the interest credited to such party herein.
SEVENTH: This division order shall become valid and binding on each and every owner above named as
soon as signed by such owner regardless of whether or not all of the above named owners have so signed.
ALL SIGNATURES MUST BE WITNESSED
(Each Married Person Should Be Joined By Their Spouse)
WITNESSES: OWNERS SIGN BELOW:
n
V UQM�fN �
Security or Taxpayer ID No.
, .
frit
Please sign your name exactly as it appears herein and also insert your Social Security or taxpayer identification
number.
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TELEPHONE (303) 355-7351
TELEX 45-4483
1 APOSST OFFICE BOX 118 AMERA OIL R .oLS IN of
March 21 , 1983 ,, , Ln""`f J yr ,
fj 1 ,' l 7s$3 //J
Board of County Commissioners
r.
Weld County Court House cRes
Greeley, CO 80632
Re: Payne 2-26
Weld County, Colorado
Dear Interest Owner:
Effective with the first crude oil sales , Asamera Oil (U.S. ) Inc.
commenced purchasing the crude production from the Payne 2-26 in
Weld County, Colorado. This production will go directly to our
Commerce City refinery where it will be converted to various
products .
We have obtained the title opinion with a list of the interest
owners from KCF Oil, Inc. and have prepared our Division Order
based upon this information.
To insure a timely, uninterrupted payment , please check your
Division Order for proper spelling of your name, correct interest
and correct mailing address. Should your name be incorrectly
spelled, or your address changed, please make the necessary
corrections on the face of the Division Order. However, if your
decimal interest is incorrect, please advise this office
immediately. If your Division Order is accurate, please properly
execute one copy by signing in the space provided on the back.
Also, please have your signature witnessed. Please include your
Social Security or tax account number in the space provided on the
Division Order. The second copy of the Division Order should be
retained for your records.
After we have received your Division Order properly executed, we
will place your interest in line for payment.
Note that with regard to the executing of the Division Order, the
following points should be reviewed and complied with:
-2-
1 ) When signing on behalf of a corporation, the signature
should be attested, the corporate seal affixed, and the
title of the signatory party should be shown.
2) Partnerships should have all partners sign , or furnish us
with a certified copy of the Resolution authorizing the
signature affixed to the Division Order when the Division
Order is returned to this office.
3 ) On a signature by a second party, i.e . agents , attorneys-
in-fact , guardians, or any party except the named interest
owner, evidence of the rights of the signatory party
should be furnished to this office.
4 ) Be advised that on small interest amounts , payment will
not be made until the sum due is $ 15. 00 or more, except
that in the month of December , payment will be made of any
sum then due.
Please advise this office promptly of any change of address or
ownership. All transfers of interest for payment record purposes
will be accepted effective only on the first day of the month .
We are most grateful for your cooperation in this matter and trust
that we will hear from your shortly.
Sincerely,
ASAMERA OIL (U.S. ) INC.
4.0:4401.- Pkae
Diana J Pharo
Division Order Department
jh
Enclosures
' TELEPHONE "_C31 355.7351
TELEX 45.4483
11'471., A SAMER.A OIL (L. S.) INC.
POST OFFICE BOX NS • DENVER,COLORADO 50201
QUALIFIED ROYALTY OWNER EXEMPTION
Dear Royalty Owner:
On July 29 , 1981, the Congress of the United States enacted the
Economic Recovery Tax Act of 1981. A major change made by this
act is an exemption from the Windfall Profit Tax for a portion
of crude oil production attributable to a qualified royalty
owner. Effective January 1, 1982 through December 31, 1984 ,
two (2) barrels per day of qualified royalty oil are exempt
from the Windfall Profit Tax, and effective on January 1, 1985,
the exemption is increased to three (3) barrels per day.
Enclosed is Internal Revenue Service Form 6783 to enable you to
certify those properties from which your royalty share of the
oil produced is to be treated as exempt. READ THIS FORM AND
ITS INSTRUCTIONS CAREFULLY. If you are unsure that you qualify
as an exempt royalty owner, or if you have questions concerning
the form, please contact your personal tax advisor or your
local Internal Revenue Service office for guidance.
If your production qualifies Apr exemption, please complete the
form by filling out the top of the form, listing the properties
to be treated as exempt and sign and date the form at the
bottom. Also, indicate you Asamera owner number (as shown on
your remittance advice) in the space provided in the upper right
hand corner of the form.
Send Form 6783 to:
Asamera Oil (U.S. ) Inc.
P. 0. Box 118
Denver, CO 80201
Attn: Windfall Profit Tax
Thank you for your cooperation in this matter.
4
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!crest in the property. (See sections You may not Use ;drm 6753 to p Y
!fls r 'UC• 6•12c(d)(2) and (3) for rules ono excep- any cOrticn o! that amount a5 vein: ex•
(Fe'ere^cos are to the Internal Peve• ',ions.) emot from the w,tnhoicin of windfall
nue C:de.) m.'.xintu'rn amount exerntn.--Themaxi- Drell: tax. since that c.tocdc::G- .xceeds
the maximum amount f\”r",:::, instead.
Paperwork Reduction Act Notice.— morn amount of cualihed rovalry prOOUC• you may !fie Form 5249. ----Y"tnen
The Pe:er-won( Rect.c:inn Act of 1930 non :hat is exempt from the withhold- of Overpaid Windfall P^;;it o claim
says we must tell you wny ive are collect- mg of windfall profit tax is 2 barrels a a credit or refund after:tie calendar year
ing this information. now we will use it, day for oil removed in 1982 througn of removal.
and wnetner you nave to give it to us. 1954. For nit removed in 1955 and after,
We ask for the information to carry out file maximum amount exempt tram with-
Property,f your Qualified production `r..m a
d
the Internal Revenue. laws of the United holding is three barrels a Cay. However. Property, wnen added to ether filed.es
States. We need it to ensure that you are if you must share the royalty owner's ex- production that you have certified. �3
more than the maximum amount exempt.
complying with these laws and to allow emotion with members of your farmer or
not use Form 6732 to certify Inc
us to figure and collect the want amount certain others. your maximum amount you may
of tax. (cu are r^gured to give us :his exempt will h tats. qualified production from mat property.
information. If you are a member of a family, or if For example. you area duaiified royalty
you are a shareholder in a family farm owner wno Goes not have to snare the ex•
Purpose of Form corporation, or if you are a family farm emotion with any other qualified royalty
owner. For oil removed in 1982. your
This form is used by qualified royalty corporation that has common share-
2
owners to certify their status for exemp• - holders with another family farm cor• maximum amount exempt ¢ Barrels a
rom the withholding dt windfall poration. your amount of exemption may day. You have Cuaiitied procucnon from
profit tax. be less than the maximum amount. two orocerties. Quaid:up droeuct:on tram
the first property is 1t,4 barreis per day.
Qualified royalty owners may be enti• ,Members of a family must share the Qualified prcauct:on from Inc second
tied to an exemption of uo to 2 barrels barrel per day exemption based on their procerr/ is ?s carters per a_:. You may
per day (for each day of the calendar portion of the total qualified production not use Form 6783 to certlily the pro•
quarter) from the withholding of windfall of the entire family. A family for purposes duct:on from both properties as being
profit tap for oil removed in 1982 througn of this exemption includes_a husband. exempt from withholding since the total
1984. For oil removed in 1985 and after, wife. and their minor children.
exceeds the maximum amount exempt.
the buaiified royalty owner may be enti- When completing Form 6733. you may To obtain the maximum tax benefit, you
tied to an exemption from withholding of use estimates. based upon nistor:cal data. may want to use Form 6733 to certify
up to 3 barrels per day (for each aaY to compute your portion of the amount the first property. In zny case. you may
of the calendar Quarter). See ''Who May exempt. file Form 6249 to claim a credit or re-
Use Form 6783" for the rules to follow For example. Mr. and Mrs. Jones and fund based on barrels of oil that are
in completing Form 6783. their minor son. Arnold. are all qualified exempt from windfall profit tax but that
If your qualified royalty production royalty owners. For calendar year 1982 have not been certified on Form 678:.
from any one property exceeds the maxi- they expect (based on historical data) Revocation of a Previously Fred Car-
Form amount exempt, you may not use their quarterly Qualified royalty produc•
Form 6783 with respect to that draperty. tion to be as ioitows. tiecate.—tf you are no longer acre to
Jones 40 barrels certify that your production from a prop•
Mr.
Furnishing Form 6783 erty qualifies for exemption from the
Mrs. Jones • 40 barrels withholding of windfall prorit tax• you
Qualified royalty owners should furnish Arnold Jones 20 barrels must complete Part B. In gen e:al, two
Form 6783 to their purchaser (or other 100 barrels events may take place that would cause
withholding agent) so that the purcnaser a revocation of a previously filed certifi•
(or otner withnolding agent) can adjust Accordingly, Mr. Jones would be en•
the withholding of windfall profit tax for . titled to claim exemption from withhold- Cate.
the Qualified royalty owner. ing of up to i!; of a barrel per day. Mrs. • You are no longera qualified royalty
Jones is also entitled to claim an exemp• owner. That is. your interest !n the prop-
Who May Use Form 6783 tion from withholding of up to S of a bar- erty was transformed from a royalty in-
In order to use Farm 6783, you must rel a day. Arnold is entitled to claim an terest to an operating mineral interest.
exemption from withholding of up to ca • The amount of production. wnen
meet three conditions—a qualified al of a barrel per day. added to any other qualified production
• You must ra
y ty For rules concerning the allocation of that you have certified. exceeds the maxi-
owner. - the maximum exempt amount between mum amount exempt. For example, as-
• Your production from the property sharenolders and family farm corpora- sume you are a qualified royalty owner
must be qualified royalty ❑reouc- titans. and family farm corporations with who coesn't have to share the exemption
tion. common sharenolders. please see sec• with :.ty ,;;oar royalty owner and you have
• The qualified royalty production tion 6423(c). only one property that has qualified pro.
- from the procerty you are certifying duc:lon. If that qualified production ex-
If you must share the maximum
(Pius qualified royalty production amount exempt with any Other qualified deeds the maximum amount exempt. you
from other properties that you nave must complete Part B and revoke your
aireaoy certifies. if any) aces not royalty owner, actacn a list showing the prior certification.exceed the maximum amount ex-
name and taxpayer ;cent:tying numcer of
such person(s). If you are revoking a previously fur-
empt. nished Form 6783, give Form 6783 to the
• If your qualified production from a person to whom you furnished your
Qualified royalty owners.—Only indi- property exceeds the maximum amount original certificate.
viduais. estates, and family farm con, exempt, you may not use Form 6783. .
porations are qualified royalty owners. For example, assume you are a quaff• Taxpayer identifying number.—For in-
(Section 6429(d)(1).)droy tied royalty owner wno does not have to dividuals. the taxpayer identifying num- .
Qualified royalty production.--den• share the credit with any other qualified her is their social secuirty number.
erally qualified royalty production is oil royalty owner. Your qualified production For family farm corporations and es-
preauced from the property that is not is from one property. The amount of your totes. the taxpayer identifying numcer is
aunnutaole to an operating mineral in• Qualified production is 10 barrels a day. their employer identification numovr.
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?ui tA'[AuricT rmmK cm=:,wro•urLi
. in--to i1O, 1 Cmd N . 1545-^.515
% � 0" QUAL1 l�n " ' ' , OWNER ' SEsu
r nG A ; EXEN1PT10N I „ea a.
Department ent of me neesury
C nTlrlCATE 1
Reuenue Service
Name ,• • i Employer identlhrllion number
Number and street
City or town. state, and ZIP code
Part A—Royalty owner's Exemption Cartificts.
I certify that I em a qualified royalty owner las defined in section 64291d1111 and that all of my production from the proyweytwsl
listed below aualdies for exemption from the withholding of windfall profit as.
The total qualified production from these properiyiiesllolus qualified production from other properties that I have certified)
does not exceed my ;here of true maximum amount exempt for qualified royally owners. (Attach additional sheets.il naeded.l
Prcpory•t Name Lease Numoer.d any
Location
Property-2 Name . Lease tlumoar"iI any
•
Location
Property.] Name Leas. Numoer,if any
Location - -
Propanpa Name - Leese Numoar,iI any
•
Location
it e -
• •Part 6—Revocation of a Pevicusly Filed Certificate. - I
I am revoking my previously tiled certificate with respect to the propertyfias) listed below. (attach additional sheets, if rswdeedi
Property•1 Name Lease Number,it any - - -
•
Location .
. Date original certificate was filed .
Prooe.ty•2 Name Lease Numoer"if any
Location •
Dale original certificate was tiled -
Under penalties of perjury. I declare that I have examined this Certilicale and to me best al my Imowieoge and belief. „ is true. •
Correct, and comolele,
Please
Sign X
Here —
Signature Dale
Hello