HomeMy WebLinkAbout820020.tiff RESOLUTION
RE: AUTHORIZATION FOR THE BOARD TO SIGN OIL AND GAS DIVISION
ORDER CONCERNING AMOCO PRODUCTION COMPANY, P.O. BOX 591,
TULSA, OKLAHOMA 74102
AWHEREAS, the Board of County Commissioners of Weld County,
A
Colorado, pursuant to Colorado statute and the Weld County Home
Rule Charter, is vested with the authority of administering the
affairs of Weld County, Colorado, and
WHEREAS, Weld County, Colorado is the holder of a certain
lease with Amoco Production Company. Said lease covers land
more particularly described as follows, to-wit:
tein The N/2 of Section 5, Township 1 North,
v U Range 66 West of the 6th P.M. , Weld
- County, Colorado
- 0
WHEREAS, Amoco Production Company has submitted an Oil and
o�� 3 Gas Division Order on the subject property.
o CC
NOW, THEREFORE, BE IT RESOLVED by the Board of County Com-
s
missioners of Weld County, Colorado, that the Oil and Gas Divi-
o
a sion Order as submitted by Amoco Production Company be, and
hereby is, approved.
- s
cqw The above and foregoing Resolution was, on motion duly made
my
z and seconded, adopted by the following vote on the 6th day of
N J-
ca December, A.D. , 1982.
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BOARD OF COUNTY COMMISSIONERS
i ATTEST: (I WELD COUNTY, COLORADO
- z J 1
a" z We County Clerk_ancRecorder ,, ; 7i,:Lzz.7
and erk to the Boar , J n T. Martin, irman
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Deputy County Clerk Chuck Carlso , ro-Tem
oco
o' *ROVED AS milM:
Norman Carlson,
,C/�-�
/Cou y Attorney . Kirby
e K. St inmark
DATE PRESENTED: December 13, 1982
820020
Amoco Production Company
A
Oil and Gas Division Order 003
10-19-82
Effective At 7 A.M. FIRST PRODUCT I ON
Property Name TWOMt3LEYs MARGARET. UNIT /C/
Royalty/Product LPN (113511---
Operator AMOCO PRODUCTION COMPANY (USA)
Field ifATTEN8E.RG FLAC 410595 00 3 0
State CO County/Parish WELD
Description of Property Special Notes
N/2 SEC 5--1N-bow- GAS FITS FROM J SANDSTONE
Business Associate Type Decimal
Number Name Int. Interest
705255 00 5 GELD COUNTY COLORADO
C/O BOARD OF COUNTY COMMISSIONERS
04 .0009892
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Type Interest Legend.
Form 899 1-77 01 = Working interest 02 - Overriding Royalty 03 • Production Payment 04 - Royalty Interest
AMOCO
TI* Oil and Gas Division Order
To: Amoco Production Company
P.O. Box 591,Tulsa, Oklahoma 74102
Each of the undersigned OWNERS guarantees and warrants he is the owner of the interest set out opposite his name on the reverse side
hereof in oil and gas or the prOceeds from the sale of oil and gas from the property described on the reverse side hereof,and until further
written notice either from you or from us,the undersigned owner and all other parties executing this instrument hereby authorize you,your
successors or assigns to receive and measure such sales in accordance with applicable governmental rules and regulations and to give credit
as set forth on the reverse side hereof.
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U =' The following covenants are parts of this instrument and shall be binding on the undersigned, their successors, legal representatives,and
— assigns:
t" = Oil: Oil sold hereunder shall be delivered f.o.b.to the carrier designated to gather and receive such oil,and shall become your property
upon receipt thereof by the carrier designated by you or by any other purchaser to whom you may resell such oil.The term"oil"es
used in this division order shall include all marketable liquid hydrocarbons.
Should the oil produced from the herein described land be commingled with oil produced from one or more other separately owned
0 LU tracts of land prior to delivery to the designated carrier,the commingled oil sold hereunder shall be deemed to be the interest of the
0 3 undersigned in that portion of the total commingled oil delivered which is allocated to the herein described land on the basis of lease
IX meter readings or any other method generally accepted in the industry as an equitable basis for determining the quantity and quality
:s U of oil sold from each separately owned tract.Such formula shall be uniformly applied to all owners of an interest in the tracts of land.
involved.
Should the interest of the undersigned in the oil produced from the herein described land be unitized with oil produced from one or
j more other tracts of land, this instrument shall thereafter be deemed to be modified to the extent necessary to conform with the
•
applicable unitization agreement or plan of unitization,and all revisions or amendments thereto,but otherwise to remain in force and
effect as to all other provisions.In such event,the portion of the unitized oil sold hereunder shall be the interest of the undersigned
`T in that portion of the total unitized oil delivered which is allocated to the herein described land and shall be deemed for all purposes
ary '� to have been actually produced from said land.
-r Y You agree to pay for the oil sold hereunder at the price posted by you for oil of the same grade and gravity in the same producing
field or area on the date said oil is received by you or the designated carrier. If you do not currently post such a price,then until
such time as you do so,you agree to pay the price established by you.You are authorized to reduce the price by those truck,barge,
x. y tankcar, or pipe line transportation charges as determined by you:
Should the oil sold hereunder be resold by you to another purchaser accepting delivery thereof at the same point at which you take
in Z title, you agree to pay for such oil based upon the volume computation made by such purchaser and at the price received by you
ti for such oil, reduced by any transportation charges deducted by such purchaser.
Quality and quantity shall be determined in accordance with the conditions specified in the price posting.You may refuse to receive
any oil not considered merchantable by you.
L▪ e Gas: Settlements for gas shall be based on the net proceeds realized from the sale thereof, after deducting a fair and reasonable charge
for compressing and making it merchantable and for transporting if the gas is sold off the property.Where gas is sold subject to
t ::: regulation by the Federal Power Commission or other governmental authority,the price applicable to such sale approved by order of
^: such authority shall be used to determine the net proceeds realized from the sale.
• Z Settlements: Settlements shall be made monthly by check mailed to the respective parties according to the division of interest herein
• Z specified at the latest address known by you, less any taxes required by law to be deducted and paid by you applicable to owner's
▪ 2 interest.
.. Evidence of Title: The oil and gas lease or leases, and any amendents, ratifications, or corrections thereof, under which said gas and/or oil
is produced are hereby adopted, ratified, and confirmed as herein and heretofore amended. In the event any dispute or question
C arises concerning the title to the interest of the undersigned in said land and/or the oil or gas produced therefrom or the proceeds
c r thereof, you will be furnished satisfactory abstracts or other evidence of title upon demand. Until such evidence of title has been
furnished and/or such dispute,defect,or questidn of title is corrected or removed to your satisfaction,or until indemnity satisfactory
CO to you has been furnished, you are authorized to withold the proceeds of such oil or gas received and run,without interest.In the
0••• a event any action or suit is filed in any court affecting the title to the interest of the undersigned in the herein described land or the
V 0 oil or gas produced therefrom or the proceeds thereof to which the undersigned is a party,written notice of the filing of such suit or
action shall be immediately furnished you by the undersigned,stating the court in which the same is filed and the title of such suit or
• u- action.You will not be responsible for any change of ownership in the absence of actual notice and satisfactory proof thereof.
Contingent Interests: Whether or not any contingency is expressly stated in this instrument,you are hereby relieved of any responsibility for
determining when any of the interests herein shall increase,diminish,terminate, be extinguished or revert to other parties as a result
of the completion or discharge of money or other payments from said interest, or as a result of the expiration of any time or term
limitation(either definite or indefinite), and, unless you are also the operator of the property, as a result of an increase or decrease in
production,or as a result of a change in the depth,the methods or the means of production,or as a result of a change in the allocation l
of production affecting the herein described land or any portion thereof under any agreement or by order of Governmental authority, d
and until you receive notice in writing to the contrary,you are hereby authorized to continue to remit without liability pursuant to the
division of interest shown herein.
Warranties: Working Interest Owners and/or Operators,and each of them, by signature to this instrument,certify,guarantee and warrant,
for your benefit and that of any pipe line or other carrier designated to run or transport said oil or gas,that all oil or gas tendered here-
under has been and shall be produced from or lawfully allocated to the herein described land in accordance with all applicable Federal, Cr)
state and local laws,orders, rules and regulations.
This instrument may be executed by one or more, but all covenants herein shall be binding upon any party executing same and upon
his heirs,devisees,successors,and assigns irrespective of whether other parties have executed this instrument.
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Witness of Signature Name /
Social Security(or Tax ID)Number
Witness of Signature Name
Social Security(or Tax ID)Number
Witness of signature Name
Social Security(or Tax ID)Number
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2 3 1982
oFteeLEy. COLo,
Instructions To All Interest Owners
Read Carefully Before Signing The Instrument
This instrument should not be altered in any way unless accompanied by documentary
evidence to support the change.
If your name and interest are correctly shown:
Signature: Sign name as shown on the instrument. Have your signature witnessed.
If signing for a corporation, signature must be attested, corporate seal affixed,
and title of signatory party shown.
Signature by Second If the instrument is signed by agent, attorney-in-fact, guardian or any party
Party: other than the named interest owner, we must have evidence of the rights
vested in the signatory party.
Taxpayers Identification Insert your number in the space provided below your name on the instrument
Number or Social in accordance with the instructions reproduced on the reverse side hereof.
Security Number:
Mailing Address: Insert the address to which checks are to be mailed. Print or type. Do not
abbreviate. If you are already receiving checks from this company, be sure to
use the same address to which we are now mailing checks.
Property Number: In the upper right corner of the instrument you will find the number assigned
to this property. This number will appear on the statement attached to your
check and should always be used when corresponding with this company.
Settlement for your Upon receipt of the properly executed instrument and evidence of clear title,
Interest: the interest credited to you will be authorized for payment. Instruments must
be received in our office by the 20th of the month for checks to be issued the
following month. Checks will be mailed monthly when accruals to your interest
equal $25.00 or more. In November of each year payment will be made for all
accumulated sums of more than $1 .00.
Change of Address: You should notify us promptly of any change in your mailing address. This
notice must be over your own signature, or the signature of your appointed
agent. Always include your business associate number and your old address,
then state your new address with zip code.
Return the executed instrument without delay to the address below. Keep one copy for
your records.
Amoco Production Company
(Attention: Division Order Section)
P.O. Box 591
Tulsa, Oklahoma 74102
Form 1104 6-77 (See reverse side for additional information)
Instructions for furnishi Taxpayer Identification Number or — cial Security Number:
If this account is in the name of:
An individual, furnish the individual's own social security number. A widow 62 or over
who received social security benefits before January 1, 1963, and who has no number of
her own may use the benefit number for tax purposes. All other persons must have their
own number.
Two or more persons (for example, "A and B as joint owners" or "A, B, and C as tenants
in common"), only one number need be furnished. Ordinarily, the number of any one of the
persons will be sufficient, except that if the choice is between husband and wife, furnish the
social security number of the husband—or if between adult and minor, furnish the social
security number of the adult. Underline the name of the person whose number is furnished.
A designated guardian, custodian, committee, etc., and one or more wards, minors,
incompetents, or other individuals, furnish the social security number of the ward, minor,
incompetent, etc., and underline the name of the individual whose number is furnished
(for example, "A as custodian for B under the Uniform Gifts to Minors Act':
furnish B's social security number and underline B's name).
A so-called trust, which is not a legal or valid trust, furnish the social security number
of the person named as trustee and underline his name (for example, a savings account,
not formalized by a trust instrument, in the name of "A in trust for BY furnish the social
security number of A and underline A's name).
A trust, estate, pension trust, corporation, partnership, broker, registered nominee, etc.,
furnish the employer identification number of the entity (for example, "A, trustee under the
will of S for benefit of Y," furnish the employer identification number of the trust). If an
employer identification number is needed, contact any Internal Revenue Service office.
If you do not now have a Social Security Number:
You may obtain the form upon which to make application for a number at your nearest Social
Security or Internal Revenue Service Office. When you have obtained your number notify
this company of the same without delay at the Address appearing on the face hereof.
How to read your check statement
BUSINESS ASSOCIATE NO. PURCHASED OR SOLD QUANTITY YOUR INTEREST
Number assigned to you as an Month and Year of Sales or Barrels, Tons or MCF (Thou- Before Tax is your decimal in-
interest owner. Purchases included in this sand Cubic Feet) sold from terest in gross value,after tax
payment, the Lease. column is your decimal in-
terest in net value after
severance and other produc-
tion taxes.
oco Production Company Sbbmmt a Oil and Gee PmMaxd or Sold
a. O.Boa 591 TuI5a.OklaM1oma]6 o.n<n:m rnn iwwowgn..owiwaio cennei,e mom.e
686516 X00 6 Your Interest
Property No Mo n on) or IC 0u noty To al Tax To al value after tax sei r,,,
260200 00 1 01 71 01 1 010 92 202 18 2 699 16 362 67 337 39
26020`0 00 101 71 02 2 742 46 22 436 40 60 33 54 55
`1\\\ \ 423 00 391 94
'LC i-G.. \2-croeee\<—r,m t.. s-c .a..nom 8-Tensx,.Fr -�,,,..w�,..e�a
LEGEND CODE TOTAL VALUE
Identifies what each line AFTER TAX
represents. Net value of total sales
from the property after
all taxes are paid.
TOTAL TAX
PROPERTY NO. Severance and other Produc-
Number assigned to the lease,Unit, etc. First six numbers are tion taxes paid on the oil or
basic property number.The next two numbers are the sub prop- gas sold from the property.
erty numbers to enable different types of sales to be recorded Federal income taxes are not TOTALS
from the same property.The last number is a"Check digit"to deducted except for non- Total of all your interest pay-
insure the accuracy of the property number. resident aliens. able on this check.
`Ta
' M• C • Amoco Production Company
Amoco Building
P.O. Box 591
Tulsa. Oklahoma 74102
QUALIFIED ROYALTY OWNER' S EXEMPTION
Owners who may qualify for exemption from Crude Oil Excise Tax
(commonly referred to as Windfall Profit Tax).
The Economic Recovery Tax Bill of 1981 provides that beginning in 1982 and
in subsequent years , specified amounts of a qualified royalty owner' s royalty
production are exempt from crude oil excise tax. The amount of exemption
is two barrels per day for 1982 through 1984 and three barrels per day for
1985 and thereafter.
For you to take advantage of this exemption, you must certify to the pur-
chaser (or other withholding agent) by using IRS Form 6783. This Certifi-
cation Form (6783) requires that you certify under the penalties of perjury,
on a property by property basis, each property that you want the exemption
applied to.
Enclosed is a copy of Form 6783 so that you may review the instructions and
determine if you can qualify for the exemption. If you determine that you
meet the three conditions to qualify, as provided in the instructions for
Form 6783, please complete and sign the form and date it or we cannot accept
it as a valid certification.
Please notice that Form 6783 includes a provision for revocation of a pre-
viously filed certification under Part B. If you should determine that you
are no longer able to certify your production from a property then you must
send Amoco a completed Part B revoking the specific property(ies) previously
certified.
Any new properties that may begin production at a later date will also require
a supplemental certification on Form 6783 in order for Amoco to exempt your
interest from the tax.
If you qualify, please return the completed certification form to the follow-
ing address as soon as possible.
Amoco Production Company
P. 0. Box 591
Tulsa, Oklahoma 74102
Attention: Compliance Coordination Group
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