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HomeMy WebLinkAbout20042619.tiff API D5-a3 -io&tiv REVISED OIL AND GAS DIVISION CmJER S Ig '_ 3 - OPERATOR: KERR-MCGEE ROCKY MOUNTAIN CORPORATION Date: August W,.2004 1999 BROADWAY,SUITE 3600 Effective Date: Date of First Production Well Number: 616781-n l` DENVER,CO 80202 � (303)296-3600 Well Name: MUSE#2 J Description: 2N-65W 18 CSE/4 SPACING: E/2 Formation: J SAND Copy for your files County and State: Weld County,Colorado Owner: Address: Decimal Interest: WEL210 915 10TH STREET 0.00439453 GAS RI WELD COUNTY BOARD OF GREELEY CO 80632 0.00439453 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. ��,^ Witness/Attest: Owner(s)Signature(s): i la Robert D. Masden, Chair AUG 2 3 2004 Owner(s)S.S.or Tax I.D.# 84-6000-813 ATTEST: ,� WELD COUNTY CLERK TO HE BOAR Owner Daytime Telephone# 970-356-4000 X4200 BY: Owner Fax Telephone# 970-352-0242 D PUTY CLER HE BOA 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 Rels'd by Date: not be refundable by Pavor Approv'd by Date: 2004-2619 EXHIBIT "A" MUSE #2 TOWNSHIP 2 NORTH, RANGE 65 WEST SECTION 18: E/2 320 ACRES J SAND FORMATION WELL #616791 • wwzz { Y� w _ t o 18509 COUNTY RD 22 SEA765 LARRY D SEATON&CHARLOTTE A SEATON FT LUPTON, CO 80621 12.5% RI X 80/320 AC 0.03125000 RI 18978 WELD COUNTY RD 22 CRO826 ROBERT A CROWDER, II &MELISSA D CROWDER FT LUPTON, CO 80621 12.5% RI X 70/320 AC 0.02734375 RI 18938 WELD COUNTY ROAD 22 POL152 DWAINE W POLAND AND CHARLOTTE L POLAND FT LUPTON, CO 80621 12.5%RI X 10/320 AC 0.00390625 RI 12480 E 124 AVE. HUD206 HUDCO HENDERSON, CO 80640 12.5% RI X 148.75/320 AC 0.05810547 RI 915 10TH STREET WEL210 WELD COUNTY BOARD OF COMMISSIONERS GREELEY, CO 80632 12.5%RI X 11.25/320 AC 0.00439453 RI C/O ROBERT L SNYDER AND DOLORES J SNYDER, TRUSTEES 2368 CEDAR LANE PO BOX 1988 SNY233 ROBERT L SNYDER TRUST CODY,WY 82414 .0081461 ORRI X 320/320 AC 0.00814610 OR 17050 COUNTY ROAD 136 ABL273 ANNA L ABLES TYLER,TX 75703-7708 .0020365 OR X 320/320 AC 0.00203650 OR 5735 SOUTH IVY GREENWOOD VILLAGE, CO CRA565 JOHN D CRANOR 80111-1521 .01 OR X 320/320 AC 0.01000000 OR PO BOX 4782 MOG645 MEAGHER OIL AND GAS PROPERTIES ENGLEWOOD, CO 80155-4782 .0020365 OR X 320/320 AC 0.00203650 OR 1999 BROADWAY, SUITE 3600 HSR001 KERR-MCGEE ROCKY MOUNTAIN CORPORATION DENVER,CO 80202 0.04843750 OR 1999 BROADWAY, SUITE 3600 HSR001 KERR-MCGEE ROCKY MOUNTAIN CORPORATION DENVER, CO 80202 0.80434340 WI TOTAL: 1.00000000 Page 1 c � �Y 4 f KERR BROADWAY, DENVER,COLORADO MCGEEROCKY MOUNTAIN CORPORATION1999 , 1 August 10,2004 1 > 'f � Weld County Board of Commissioners EL _ 915 10th Street Greeley, CO 80632 PHONE:303-296-3600 FAX:303-296-3601 RE: HUDCO 16-18(140890) MUSE#1 (616780) MUSE#2 (616791 & 616790) T2N,R65W,Sec. 18: E/2 Weld County,CO Dear Sirs: The SEATON 8-18 well and the HUDCO 16-18 well have recently been drilled and completed to the Codell/Niobrara formation. In setting up these new wells we also revised the existing division of interest for the Muse #1 and Muse #2. It is our company policy to obtain a new, signed division order on all new formations and new wells. We are enclosing Division Orders for your signature. 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. If your address is shown incorrectly, please correct it. This is the address we will use for mailing your checks; 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. You may retain the Exhibit"A"for your records as well as the copy of the division order. If you have any questions, please feel free to call me at(303)296-3600,ext.2822. Yours truly, KERR-MCGEE ROCKY MOUNTAIN CORPORATION £ti< tod4 0 6cil Rebecca A.Bell Sr. Division Order Analyst 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 ttorney DATE: �/ / (-2-' Hello