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HomeMy WebLinkAbout20012739.tiff OIL AND GAS DIVISION ORDER OPERATOR: HS RESOURCES,INC. Date: August 28,2001 1999 BROADWAY,SUITE 3600 Effective Date: Date of First Production DENVER,CO 80202 Well Number: 610491 - . • (303)296-3600 f '� Well Name: CLC GU#1 Description: T2N R66W,SEC. 18: Eft SW/4 Formation: Codell County and State: Weld,Colorado Owner: Address: Decimal Interest: WEL210 WELD COUNTY BOARD OF 915 10TH STREET 0.00142746 RI COMMISSIONERS GREELEY,CO 80632 The undersigned certifies the ownership of the decimal interest in production or proceeds as described above payable by HS RESOURCES,INC. HS RESOURCES, INC.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. The Owner executing this Division Order, in consideration of payments by HS RESOURCES, INC., 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 HS Resources,Inc. 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 HS Resources, Inc. in defending its position in any such claim,suit or action. The undersigned agrees to notify HS RESOURCES, INC., 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. HS RESOURCES, INC. 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 HS RESOURCES,INC.any amount attributable to an interest to which the undersigned is not entitled. HS RESOURCES, INC. 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 HS RESOURCES,INC.may have certain statutory rights under the laws of the state in which the property is located. The undersigned authorizes HS RESOURCES, INC.to withhold from the proceeds of any and all production referred t• 'tiW• nt of any tax placed thereon by any governmental authority and to pay the same on our behalf. � N � , Lam, Witnsf • . Owner(s)Signature(s): -2/17 2.4/61 il ,_ ce 7" c M. J. Geile, Chair (09/19/01) Deputy Clerk to �i�r+�'r•f:r � ', Owner(s)S.S.or Tax I.D.# 84-6000-813 �+�`►� Owner Daytime Telephone# (970)356-4000 X4200 Owner Fax Telephone# (970)352-0242 Federal Law requires you to furnish your Social Security or Taxpayer Identification Number. Failure to comply will result in 31%tax withholding and will not be refundable by Payor. 2001-2739 L,C-1)O,17? EXHIBIT "A" CLC GU#1 T2N,R66W SEC.18:E/2SW/4 83.19 ACRES,M/L -- --- Codell Formation Well#610491 -�- OWNER DECIMAL INTEREST NUMBER ;OWNER NAME MAILING ADDRESS INTEREST TYPE 9743 WCR 16 BEA776 DARRELL L. BEARSON AND NELVA M. BEARSON FT. LUPTON,CO 80621 0.00117202 RI 36 STEELE ST.#250 CAN566 CANNON LAND COMPANY ,DENVER, CO 80206 0.10062808 RI !36 STEELE ST.#250 CAN566 CANNON LAND COMPANY DENVER, CO 80206 0.10062808 ORR GROUND WATER MGMT SUBDISTRICT OF THE CENTRAL COLORADO WATER CONSERVANCY 3209 W.28TH ST. GRO853 DISTRICT GREELEY,CO 80634 . 0.00025544 RI 6386 WELD COUNTY RD.23 HEI503 __ RICHARD L. HEIN FORT LUPTON,CO 80621 0.00184367 RI HSR001 HS RESOURCES, INC. _ 0.77300156 NRI HSR001 HS RESOURCES, INC. I 0.00114196 ORR 2368 CEDAR LANE I ROBERT L. SNYDER TRUST,C/O ROBERT L. P.O. BOX 1988 SNY233 ISNYDER&DELORE S J.SNYDER,CO-TRUSTEES CODY,WY 82414 0.00022839 ORR 915 10TH STREET WEL210 I,WELD COUNTY BOARD OF COMMISSIONERS GREELEY, CO 80632 0.00142746 RI CIO PETERSON MGMNTCO INC. 7586 WEST JEWELL AVE.#202 j WEL268 WELCO VENTURE LAKEWOOD, CO 80235-2309 0.01967334; RI TOTAL: 1.00000000 Page 1 HS RESOURCES, INC. 1999 BROADWAY, SUITE 3600 DENVER, COLORADO 80202 (303) 296-3600 FACSIMILE (303) 296-3601 INSTRUCTIONS FOR EXECUTION OF OIL AND GAS DIVISION ORDERS 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 :T*d$SS.r;.s. 3. Your SOCIAL SECURITY NUMBER or TAX IDENTIFICATION NUMBER must be shown in the space provided. Failure to provide the number may result in a 31% withholding of your production proceeds, as required by law, and you also could be subject to a penalty imposed by the Internal Revenue Service. Also enclosed is an IRS Form W-9, please complete and return this form so that we will have it for our records. (For new owners only) 4. Show 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. rT 7. if the division order is signed by anyone .:$r..::. than the �tauieu crw.1Ci 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 us. The copy is for your records. Should you have any questions,please do not hesitate to call. WENDY HOPKINS HS RESOURCES,INC. 1999 BROADWAY, SUITE 3600 DENVER,CO 80202 (303)296-3600 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 foist', legal description, and percentage of royalties, if applicable. BY: /z Count ttorney DATE ) l �' HS RESOURCES, INC. n 57gP 1999 BROADWAY, SUITE 3600 DENVER, COLORADO 80202 SEP 1 7 2001 h(303) 296-3600 I ; FACSIMILE (303) 296-3601 VIEI.D COUNTY ATTORNEY'S OFFICE September 13, 2001 Weld County Attorney's Office Attn.: Mr. Bruce T. Barker 915 Tenth Street P. O. Box 758 Greeley, CO 80632 RE: Request for Information on Interest for Division Order CLC GU #1 —Codell T2N, 1466W, Sec. 18: E/2SW/4 Weld County, CO Dear Mr. Barker: I am in receipt of your letter dated September 11, 2001 regarding the captioned Division Order. I have enclosed copies of applicable pages from a spreadsheet done by the examining attorney, which set out Weld County's interest in the E/2SW/4. The interest is calculated as follows: 1.90 net acres divided by 83.19 (acres in spacing unit) times 50% interest in the tract times 12.50%royalty= .00142746 RI. Please let me know if I can provide anything further. Yours truly, HS RESOURCES, NC. Wendy L.'Hopkins Sr. Division Order Analyst /wlh encl. N/2SE/4 80.00 Acre Unit Tract No.Acres Total Ac. Unit Factor % 2 77.100000 80.000000 0.98375000 98.375000% 3 2.900000 80.000000 0.03625000 3.625000% 80.000000 1.00000000 100.000000% S/2SE/4 80.00 Acre Unit Tract No.Acres Total Ac. Unit Factor % 4 2.420000 80.000000 0.03025000 3.025000% 5 9.700000 80.000000 0.12125000 12.125000% 8 87.880000 80.000000 0.84850000 84.850000% 80.000000 1.00000000 100.000000% E/2SW/4 83.19 Acre Unit Tract No. Acres Total Ac. Unit Factor % 1 88.970000 83.190000 0.80502484 80.502484% 9 1.900000 83.190000 0.02283928 2.283928% 10 14.320000 83.190000 0.17213607 17.213807% 83.190000 1.00000000 100.000000% W/2SW/4 83.19 Acre Unit Tract No.Acres Total Ac. Unit Factor % 1 28.720000 83.190000 0.34523380 34.523380% 7 8.580000 83.190000 0.10313740 10.313740% 8 9.710000 83.190000 0.11872078 11.872078% 9 15.380000 83.190000 0.18463758 18.483758% 10 20.820000 83.190000 0.25027047 25.027047% 83.190000 1.00000000 100.000000% ,a.- YOgr N/2SE/4 80.00 Acre Unit Tract No.Acres Total Ac. Unit Factor 2 77.100000 80.000000 0.98375000 98.375000% 3 2.900000 80.000000 0.03825000 3.825000% 80.000000 1.00000000 100.000000% S/2SE/4 80.00 Acre Unit Tract No.Acres Total Ac. Unit Factor % 4 2.420000 80.000000 0.03025000 3.025000% 5 9.700000 80.000000 0.12125000 12.125000% 8 87.880000 80.000000 0.84850000 84.850000% 80.000000 1.00000000 100.000000% E/2SW/4 83.19 Acre Unit Tract No.Acres Total Ac. Unit Factor % 1 88.970000 83.190000 0.80502484 80.502484% 9 1.900000 83.190000 0.02283928 2.283928% 10 14.320000 83.190000 0.17213807 17.213607% 83.190000 1.00000000 100.000000% W/2SW/4 83.19 Acre Unit Tract No.Acres Total Ac. Unit Factor % 1 28.720000 83.190000 0.34523380 34.523380% 7 8.580000 83.190000 0.10313740 10.313740% 8 9.710000 83.190000 0.11872076 11.872078% 9 15.380000 83.190000 0.18463758 18.483758% 10 20.820000 83.190000 0.25027047 25.027047% 83.190000 1.00000000 100.000000% GARDNE 18A TRACT IX Lot 7 West of the Platte River A.All formations except Sussex and"J" Sandstone fm WI Gross WI Gross NRI % Lsehold Net WI NRI HS Resources, Inc. 1.00000000 0.81500000 1.00000000 1.00000000 0.81500000 Total 0.81500000 ORRI HS Resources, Inc. 1.00000000 0.05000000 1.00000000 0.05000000 Robert L. Snyder and Dolores J. Snyder, Trustees of the Robert L. Snyder 1.00000000 0.01000000 1.00000000 0.01000000 Total 0.08000000 LRI The County of Weld, State of Colorado 1.00000000 0.12500000 0.50000000 0.08250000 Dereii L. Bearson 0.89223838 0.12500000 0.25000000 0.02786239 Nelva M. Bearson 0.89223838 0.12500000 0.25000000 0.02788239 Ground Water Management Subdistrict of the Central Colorado Water Conservancy District 0.10778382 0.12500000 0.50000000 0.00873523 Total 0.12500000 Total 1.00000000 B. Sussex and"J"Sandstone fms. WI Gross WI Gross NRI % Lsehold Net WI NRI HS Resources, Inc. 1.00000000 0.82500000 1.00000000 1.00000000 0.82500000 Total 0.82500000 ORRI HS Resources, Inc. 1.00000000 0.05000000 1.00000000 0.05000000 Total 0.05000000 LRI 4 WELD COUNTY ATTORNEY'S OFFICE res 915 TENTH STREET P.O. BOX 758 GREELEY, CO 80632 I WEBSITE: www.co.weld.co.us PHONE: (970) 336-7235 C September 11, 2001 FAX: (970) 352-0242 COLORADO Wendy Hopkins c• HS Resources, Inc. 1999 Broadway, Suite 3600 Denver, CO 80202 RE: Division Order for Weld County, Colorado Dear Ms. Hopkins: The Board of County Commissioners of Weld County, Colorado has received from you a Division Order for various leased oil and gas interests it has in the East Half of the Southwest Quarter of Section 18-2-66 for the CLC GU #1 well. A copy of the Division Order is enclosed. I am somewhat uncertain as to whether the royalty interests included in Exhibit "A" attached to the Division Order are correct. I therefore respectfully request that you provide me with documentation showing how HS Resources arrived at those the numbers. If you should have any questions or if I may be of any assistance, please feel free to call me at (970) 356-4000, extension 4390. Sincerely, ce . Barker �l Weld County Attorney Enclosure pc: Clerk to the Board Hello