HomeMy WebLinkAbout20051759 OIL AND GAS DIVISION ORDER
OPERATOR: KERR-MCGEE ROCKY MOUNTAIN CORPORATION Date: June 2,2005
1999 BROADWAY,SUITE 3600 Effective Date: Date of First Production
DENVER,CO 80202 Well Number: 150110
(303)296-3600
Well Name: SHUTT 24-34
Description: 4N-66W 34 C E/2 SPACING: Nr SE14&SHANE%
Formation: Codell Copy for your files
County and State: WELD COUNTY,COLORADO
Owner: Address: Decimal Interest:
WEL210 915 10TH STREET 0.00071016 GAS RI
WELD COUNTY BOARD OF GREELEY CO 80632 0.00071016 OIL RI
COMMISSIONER
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 s Atte :
Owner(s)Signature(s): t ,A.,.L,• .�-...� . i . 1 I
William H. Jerke. Chair Clerk to the
06/15/2005 .ul
61■t ti� 41;:t�1
Owner(s)S.S.or Tax LD.# 84-6000-81 9 cc(; �. t<.
Deputy Clerk t.�r^.. :n(►,4P 1
Owner Daytime Telephone# (970) 356-4000 X4200 tikiet��
Owner Fax Telephone# (970) 352-0242
Federal Law requires you to furnish your Social Security or KMG USE ONLY
Taxpayer Identification Number. Res'd by Date:
Failure to comply will result in 31%tax withholding and will
not be refundable by Payor Rels'd by Date:
Approv'd by Date:
ZE_A 7
fib --/S -aS 00 14- K c2DCL�-/2..59
EXHIBIT "A"
SHUTT 24-34 - Niobrara/Codell Formation
Well No. 150110
TOWNSHIP 4 NORTH- RANGE 66 WEST,Section 34: WASE1/+ & S1/2NE1/4
160 ACRES,MORE OR LESS
WELD COUNTY, COLORADO
�Numt>es�`plta�'r't.
LYNNE M. BAALMAN &MARK E. BAALMAN, (39.091/160 ac x 0.009375% Mi x 12.5% RI) +
BAA553 JT (40/160 ac x 0.01875%Mi x 12.5% RI) 0.00000872 RI
BEN860 BENSON MINERAL GROUP, INC. 39.091/160 ac x 9.81864%MI x 12.5% RI 0.00299860 RI
BOS772 DONNA B. HOFER 77.988/160 ac x 1/4 MI x 12.5% RI 0.01523203 RI
BOS773 CATHERINE A. BOSTRON 77.988/160 ac x 1/8 MI x 12.5% RI 0.00761602 RI
BOS775 MICHAEL H. BOSTRON 77.988/160 ac x 1/8 MI x 12.5% RI 0.00761602 RI
14571 RI
BRO96 KENNETH D. A. BREIBROWN
ENBACH 39.091/160 ac x 0.47712%MI x 39.091/160 ac x 0.47712%MI x 12 5% RI 0 0 RI 0014571 RI
BRO960 JAMES D. BROWNLIE
GEORGE W. CLAY, IV & DANA D. CLAY, (39.091/160 ac x 0.109375% MI x 12.5%RI) +
CLA905 TBTE (40/160 ac x 0.21875% MI x 12.5% RI) 0.00010176 RI
COL250 CORA W. SOLEM
40/160 ac x 1/12 MI x 12.5% RI 0.00260417 RI
(39.091/160 ac x 2.625%MI x 12.5% RI)+
ESP270 THE ESPERANZA CORPORATION (40/160 ac x 5.25%MI x 12.5%RI) 0.00244230 RI
FRA352 DIXIE L. FRAHM 77.967/160 ac x 1/8 MI x 12.5% RI 0.00761396 RI
FRA354 LEE A. FRAHM 77.967/160 ac x 1/8 MI x 12.5% RI 0.00761396 RI
HAN733 LINDA HANSEN 77.988/160 ac x 1/16 MI x 12.5% RI 0.00380801 RI
HCC65539.091/160 ac x 1.21875%OR 0.00297763 OR
JAM28O H BILLIE
IC W. JAMES COLTON COMPANY 40/160 ac x 1/12 MI x 12.5% RI 0.00260416 RI
KNO5 0 N0550 TAMMY KNOLL 77.988/160 ac x 1/16 MI x 12.5%RI 0.00380801 RI
LOR279 ALTHEA LORENZ,TRUSTEES UNDER 39.091/160 ac x 3/8 MI x 12.5% RI 0.01145244 RI
0 01545244 RI
MAR940 FRANCES S. MARTIN-SCHIPPER 40/160 ac x 1/2 MI x 12.5% RI
(39.091/160 ac x 0.078125%MI x 12.5% RI) +
OLD823 OLD WEST TOURS (40/160 ac x 0.15625%MI x 12.5% RI) 0.00007269 RI
OSWALD FAMILY TRUST (39.091/160 ac x 0.096875% MI x 12.5%RI) +
OSW157 LOUIS OSWALD, III,TRUSTEE (40/160 ac x 0.19375% MI x 12.5% RI) 0.00009014 RI
PAT236 PATCHEN FAMILY PARTNERS, LTD 39.091/160 ac x 0.75%OR
0.00183239 OR
PUBLIC SERVICE COMPANY OF 0.021/160 ac x 1/4 MI x 12.5% RI 0.00000410 RI
PUB440 COLORADO
JONATHAN S. RODERICK&CAROL (39.091/160 ac x 0.01875%MI x 12.5% RI) +
ROD274 RODERICK,JT (40/160 ac x 0.0375% MI x 12.5% RI) 0.00001745 RI
SIS761 RUSSELL SISSOM 77.988/160 ac x 1/16 MI x 12.5%RI 0.00380801 RI
SIS762 JOSEPH SISSOM 77.988/160 ac x 1/16 MI x 12.5%RI 0.00380801 RI
ROBERT L. SNYDER & DELORES J.
SNYDER,TRUSTEES OF THE ROBERT L. 091/160 ac x 0.75%OR 0.00183239 OR
SNY233 SNYDER TRUST 39. 0.00260416 3 RI
WAL390 DONALD F. WALKER 40/160 ac x 1/12 MI x 12.5%RI
(39.091/160 ac x 0.125% MI x 12.5% RI) +
WAL404 JOHN C. WALLACE (40/160 ac x 0.25% MI x 12.5% RI) 0.00011630 RI
WAL405 JOHN R. WALLACE 39.091/160 ac x 0.47712%MI x 12.5% RI 0.00014571 RI
(39.091/160 ac x 0.125% MI x 12.5%RI) +
WAL407 THOMAS C.WALLACE (40/160 ac x 0.25%MI x 12.5% RI) 0.00011630 RI
WELD COUNTY BOARD OF 0.909/160 ac x 12.5% RI 0.00071016 RI
WEL210 COMMISSIONERS
JAMES R. WILLIAMS &VELMA J. WILLIAMS,
W IL443 JT 39.091/160 ac x 3/8 MI x 12.5% RI 0.01145244 RI
(39.091/160 ac x 10.5625% Mi x 12.5%RI) +
(40/160 ac x 18.625% MI x 12.5% RI) +
0.01093233 RI
HSR001 KERR-McGEE ROCKY MOUNTAIN CORP. (2.012/160 ac x 15% RI) 0.00458098 OR
HSR001 KERR-McGEE ROCKY MOUNTAIN CORP. 39.091/160 ac x 1.875%OR 0.86346223 WI
HSR001 KERR-McGEE ROCKY MOUNTAIN CORP. 100%GWI 1346
_. - . - _ ___ R/2/2005__.
KERR-MCGEE ROCKY MOUNTAIN CORPORATION
1999 BROADWAY•SUITE 3
PHONE:30&@963600
FAX =296-3601
June 3, 2005
RE: Shutt 24-34
T4N-R66W, Section 34: C E'/3
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 2005-1759
enclosures
Doei
COUNTY ATTORNEY STAFF APPROVAL
This is to affirm the attached Division Order and Authorization to
Receive Payment for an Oil and Gas Welt has been reviewed by
the County Attorney's staff as to form, Iega4-description, and
percentage of royalties, if appli
BY:
Co Attorney
DATE: (�� I �' fir'Li
ir'`i
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