HomeMy WebLinkAbout20062926 DIVISION ORDER
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WALSH PRODUCTION INC Date : 09/11/2006 10 : 36 am
C/O EXTEX DIVISION ORDER SRVCS
17301 W COLFAX AVE STE 406
GOLDEN CO 80401
WELD COUNTY CLERK TO THE BOARD
915 10TH ST Owner Number: 10287X
GREELEY CO 80631 Type of Interest : R
Decimal Interest : 0 . 12500000
Property # : 50854X Property Name : LILLI FIELD UNIT - TRACT 3
Effective Date : 09/01/06 Operator: WALSH PRODUCTION INC
Legal Description: TOWNSHIP 8 NORTH - RANGE 58 WEST
SECTION 8
WELD COUNTY, CO
Production: Oil :Y Gas :N
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 ghts under the laws of the state in which the property is located.
Chairman, Loard of County Commies . 'Tr-s- EL
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DE(' i iY CI_E TO THE BOARD '
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. ,� C�/<-1
v P ' 11JRcst/ (l el-cif) 2006-2926
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EXTEX
17301 W Colfax Ave No.406 303-463-8799
Golden,CO.80401 FAX 303-463-8808
Effective with September 1, 2006 production, the operator of the subject
well(s), Walsh Production Inc., has chosen to disburse the revenue. ExTex
Division Order Services as agent for Walsh Production, Inc. will be
handling the division orders, revenue distributions, tax reporting and
remitting.
The enclosed Division Order has been prepared on the basis of
documentation provided by the previous purchaser, Shell Trading (US)
Company.
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 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 S. 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
BY.
Coun ttomey
DATE: !c / 5 '(--e
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