HomeMy WebLinkAbout20041612.tiff OIL AND GAS DIVISION ORDER
OPERATOR: KERR-MCGEE ROCKY MOUNTAIN CORPORATION Date: May 27,2004
1999 BROADWAY, SUITE 3600 Effective Date: Date of First Production
DENVER,CO 80202 Well Number: 133001
(303)296-3600
Well Name: SHAFER 7-26
Description: 2N-66W 26 SW/NE SPACING: E/2
Formation: J SAND
County and State: Weld County,Colorado Copy for your toes
Owner: Address: Decimal Interest:
WEL210 915 10TH STREET 0.06250000 GAS RI
WELD COUNTY BOARD OF GREELEY CO 80632 0.06250000 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/ ttest:
Owner(s)Signature(s):
C y k to t•e#:. :rd
Ro.er D. Masden Chair ��•� ice__-;
Owners)S.S.or Tax I.D. 84-6000-81306/07/2004)., �i ,i - `��� Clerk to the Bose
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Owner Daytime Telephone# • t •-
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Owner Fax Telephone# (970 352-0242 ° �,,
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J 90 31
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
not be refundable by Paverby Date:
Approv'd by Date:
�G_ t t7 O y 2004-1612
SHAFER 7-26
WELL NO.133001
J SAND FORMATION
TOWNSHIP 2 NORTH - RANGE 66 WEST, Section 26: E/2
320 acres,more or less
WELD COUNTY,COLORADO
7 ZP •ate--x.�m^e— ^r^ .. , r re
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hj R - @�.U . iCll' _ az...e..a*�' te n., '45 ti44: HI •kill•L:�S.m� Fir.3�N'k a a.. .t t �cwa„.4��",�l" '°' r �2 . '- aEfe n {d'.
70 W ELD COUNTY ROAD 35
BAD243 DAVID L BADDING FORT LUPTON, CO 80621 .15 RI X 160/320 AC X .2 0.01500000 RI
7450 WELD COUNTY ROAD 35
BAD244 JOHN BADDING FORT LUPTON, CO 80621 .15 RI X 160/320 AC X .2 0.01500000 RI
370 17TH ST. #3400
BAS455 BASIN EXPLORATION INC. DENVER, CO 80202 .00034091 X 1.0 X 160/320 0.00017046 OR
PO BOX 339
DEG825 FRANCES I DEAGUERO EAST LAKE, CO 80614 .15 RI X 160/320 AC X .2 0.01500000 RI
621 17TH ST#1320
HCC655 H C COLTON COMPANY DENVER, CO 80293 .00267045 X 1 X 160/320 0.00133523 OR
KERR-MCGEE ROCKY MOUNTAIN 1999 BROADWAY, SUITE 3600
HSR001 CORPORATION DENVER, CO 80202 0.81960000 WI
900 NE LOOP 410 D406
HUD252 FRANCES W HUDDLE SAN ANTONIO, TX 78209 .00068182 X 1 X 160/320 0.00034091 OR
202 PRINZ DR
HUL723 CHARLES HULSE SAN ANTONIO, TX 78213 .00008523 X 1 X 160/320 0.00004262 OR
PO BOX 2210
MAC297 THE MACEY CORPORATION DENVER, CO 80201 .25 X 1 X 160/320 0.01250000 OR
1413 NEW FOREST DRIVE
MCC152 JOYCE MCCALEB LONGVIEW, TX 75601 .00012784 X 1 X 160/320 0.00006392 OR
2901 34TH ST
MCC156 JAMES ADDISON MCCALEB SNYDER, TX 79549 .00025568 X 1 X 160/320 0.00012784 OR
P O BOX 795
MCC157 JOHN CAMERON MCCALEB COMFORT, TX 78013 .00021307 X 1 X 160/320 0.00010654 OR
PO BOX 50441
SANTA BARBARA, CA 93150 .25 X 1 X 160/320 MER736 MERSHON, INC 0.01250000 OR
5175 SHAVANO CT
PAT236 PATCHEN FAMILY PARTNERS, LTD. WINDSOR, CO 80550 .01 X 1 X 160/320 0.00500000 OR
PO BOX 6940
RYM155 VIRGIL L RYMAL SAN ANTONIO, TX 78209 .00068182 X 1 X 160/320 0.00034091 OR
Page 1
SHAFER 7-26
WELL NO. 133001
J SAND FORMATION
TOWNSHIP 2 NORTH -RANGE 66 WEST, Section 26: E/2
320 acres,more or less
WELD COUNTY, COLORADO
& tl5d :.a'} as axe t i ' $ ✓xt lS
4?,vW t
;k. •
10904 VERNA LANE
SHA325 ELIZABETH SHAFER BROOMFIELD, CO 80234 .15 RI X 160/320 AC X .2 0.01500000 RI
65 SOUTH GRAND AVE -
SIS524 MARY J SISNEROS FORT LUPTON, CO 80621 .15 RI X 160/320 AC X .2 0.01500000 RI
ROBERT L SNYDER TRUST C/O 2368 CEDAR LANE
ROBERT L SNYDER & DOLORES J PO BOX 1988
SNY233 SNYDER, CO TRUSTEES CODY, WY 82414 .0079 X 1 X 320/320 0.00790000 OR
MARY F LIEBMANN, A-I-F
PO BOX 90071
SPE522 MILTON SPENCER SAN ANTONIO, TX 78209 .00136365 X 1 X 160/320 0.00068182 OR
NINA SUE STORM 1989 TRUST
DONNA STORM BARROW AND NINA 3 BRYANSTON CT
STO753 SUE STORM,TRUSTEES SAN ANTONIO, TX 78218 .00085227 X 1 X 160/320 0.00042613 OR
112 HARMON DRIVE
STO756 RICHARD R STORM SAN ANTONIO, TX 78209 .00085227 X 1 X 160/320 0.00042613 OR
DICK ROBERTS TRUSTEE
120 E MARTIN
WAT767 GRADY WATSON ESTATE SAN ANTONIO, TX 78205-1304 .00017045 X 1 X 160/320 0.00008523 OR
WELD COUNTY BOARD OF 915 10TH STREET
WEL210 COMMISSIONERS GREELEY, CO 80632 .125 X 160/320 0.06250000 RI
JACKSON S WILSON, SUCCESSOR
TRUSTEE
601 BAILEY
WIL760 JACK WILSON REVOCABLE TRUST FT WORTH, TX 76107 .00085227 X 1 X 160/320 0.00042613 OR
1187 COAST VILLAGE ROAD#1-496 r
WIL765 FRANK WILSON, III MONTECITO, CA 93108 00085227 X 1 X 160/320 0.00042613 OR
TOTAL: 1.00000000
Page 2
i(f►ii KERB AM66EED COLORADO
ROCKY MOUNTAIN CORPORATION
1999 BROADY,SUITE 3600•May 27, 2004
PHONE:303-296-3600
FAX:303-296-3601
RE: Shafer 7-26.1 Sand and Codell/Niobrara Formations
T2N-R66W, Section 26: E''/2
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,
Rebecca A. Bell
Senior Division Order Analyst
enclosures
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//ble.,
J
BY: --r" �1
Co Attorney
DATE: lam,/ �'
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