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HomeMy WebLinkAbout20062923 t- COW( DIVISION ORDER 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 . 03921690 Property # : 53460X Property Name : LILLI FIELD UNIT - TRACT 1 Effective Date : 09/01/06 Operator: WALSH PRODUCTION INC Legal Description: TOWNSHIP 8 NORTH - RANGE 58 WEST SECTION 6: E/2 SW/4 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 st tory rights under the laws of the state in which the property is located. / (; f Cou ty rniisioners Li TY CLS2R TO THE SOX' '� ea.:4. iti,4tAtAHHtitc- I b;,.. ._. 4kie . . rn :, ,, „ Federal Law require. 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 Favor. �a a3-0k> nn : cuffts-1(Cto � 2OO6-2923 /0",--- --0C_• 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 applica BY: Cou ttomey DATE: try/ S e-.<0 Hello