HomeMy WebLinkAbout20050518.tiff OIL AND GAS DIVISION ORDER
OPERATOR: KERR-MCGEE ROCKY MOUNTAIN CORPORATION Date: January 31,2005
1999 BROADWAY,SUITE 3600 Effective Date: Date of First Production
DENVER,CO 80202 Well Number: 141560
(303)296-3600
Well Name: LOVELAND 8-3
Description: 4N-67W 3 SE/NE SPACING: EYNEr
Formation: Niobrara/Codell Copy for your files
County and State: WELD COUNTY,COLORADO
Owner: Address: Decimal Interest:
WEL225 P O BOX 758 0.00704551 GAS RI
WELD COUNTY COLORADO GREELEY CO 80632-0758 0.00704551 OIL RI
C/O BOARD OF COUNTY COMMIS
The undersigned certifies the ownership of the decimal interest in production or proceeds as described above payable by Kerr-McGee Rocky
Mountain Corporation.
Kerr-McGee Rocky Mountain Corporation shall be held harmless in the event of, and is hereby released from any and all damage or loss which
might arise out of any overpayment or underpayment. The Owner executing this Division Order, in consideration of payments by Kerr-McGee Rocky
Mountain Corporation, agrees to pay any overriding royalty or royalty owners and/or all other persons who may have right, title or interest in the
interest in production set out above and further agrees to protect, indemnify and hold Kerr-McGee Rocky Mountain Corporation harmless from and
against any and all loss, cost or expense which it may suffer or sustain by reason of such payment regardless of how any such claim or demand may
arise,including all costs or expenses incurred by Kerr-McGee Rocky Mountain Corporation in defending its position in any such claim,suit or action.
The undersigned agrees to notify Kerr-McGee Rocky Mountain Corporation, 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.
Kerr-McGee Rocky Mountain Corporation. 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 Kerr-McGee Rocky Mountain
Corporation any amount attributable to an interest to which the undersigned is not entitled.
Kerr-McGee Rocky Mountain Corporation may accrue proceeds until the total amount equals twenty-five dollars($25.00),or pay annually,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 Kerr-McGee Rocky Mountain Corporation may have certain
statutory rights under the laws of the state in which the property is located.
The undersigned authorizes Kerr-McGee Rocky Mountain Corporation to withhold from the proceeds of any and all production referred to herein the
amount of any tax placed thereon by any governmental authority and to pay the same on our behalf.
Wit e s/ tte t: E
Owner(s)Signature(s): �- �/ /�" �..,.. /_�.� ��
ittfr
William H. Jerke, Chair Clerk to the Board :., ( SP •�=;
2/14/2005 - , 703:{
Owner(s)S.S.or Tax LD.# 84-6000-81 3 B :, / /, t ,� r.
De.ut Clerk to the Bo4t)rr Sc:l
Owner Daytime Telephone# (970)356-4000 X4200
Owner Fax Telephone# (970) 352-0242
Federal Law requires you to furnish your Social Security or KMG USE ONLY
Taxpayer Identification Number. Rec'd by Date:
Failure to comply will result in 31%tax withholding and will ReIS'd by Date:
not be refundable by Pavor
Approv'd by Date:
i-&9- doffs"
2005-0518
Exhibit"A"
LOVELAND 8-3 -- NIOBRARA/CODELL FORMATION
Well No. 141560
TOWNSHIP 4 NORTH- RANGE 67 WEST, Section 3: EY2NE'/a
82.325 ACRES, MORE OR LESS
WELD COUNTY, COLORADO
Owner ;` Dsclmal< interest
Number Owner Name Internet Calculation _,Interest ` Type
_ t
BAK420 BUDDY BAKER 68.525/82.325 ac x .005 OR 0.00416186 OR
COU576 J.T. COULSON 68.525/82.325 ac x .005 OR 0.00416186 OR
DUN503 DELORES J. DUNN' (34.01/82.325 ac x 1/2 MI x 12.5% RI) + 0.03911327 RI
DUN504 DENNIS G. DUNN* (34.515/82.325 ac x 12.5% RI) 0.03911327 RI
ERL125 EHRLICH I, INC. 34.01/82.325 ac x 1/2 MI x 12.5% RI 0.02581992 RI
HSR001 KERR-MCGEE ROCKY MOUNTAIN CORP 83.228018% GW I 0.64735142 WI
(68.525/82.325 ac x .04599684 OR) + (4.11/82.325
HSR001 KERR-MCGEE ROCKY MOUNTAIN CORP ac x .07808483 OR) 0.04218478 OR
SNY222 BARRY L. SNYDER 2.774824% GW I 0.02150488 W I
(68.525/82.325 ac x .00683062 OR) +(4.11/82.325
SNY222 BARRY L. SNYDER ac x .00814747 OR) 0.00609237 OR
STU755 MARLENE RUTH STURMS 68.525/82.325 ac x .01 OR 0.00832372 OR
TAK805 TAKU RESOURCES, LLC 2.870526% GWI 0.02224658 WI
(68.525/82.325 ac x .01014129 OR) + (4.11/82.325
TAK805 TAKU RESOURCES, LLC ac x .01376770 OR) 0.00912866 OR
UNITED STATES EXPLORATION
UNI724 (unleased Anadarko tract) 9.160/82.325 ac 0.11126632 UL
VAN245 JAMES R. VANDIVER 68.525/82.325 ac x .015 OR 0.01248558 OR
WEL225 WELD COUNTY, COLORADO 4.64/82.325 ac x 12.5% RI 0.00704551 RI
'Interest owned as joint tenants 1.00000000
Kin KERR-MCGEE ROCKY MOUNTAIN CORPORATION
1999 BROADWAY•SUITE 3600•DENVER,COLORADO B0202
PHONE:303/296-3600
FA 303n96360,
January 31, 2005 :
RE: Loveland 8-3
T4N-R67W, Section 3: E%NE'I4
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,
Erin J. Langdon
Division Order Analyst
enclosures
L6-
6- C)() l
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 I description, and
percentage of_r 'es, if applicable.
BY: ---7/7
Co Attorney
DATE: J l-5
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