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Home My WebLink About911246.tiff CHARLES A. UNDERWOOD LAND/MINERALS P.O Box 9295 Englewood, CO. 80111 (303) 779-0689 April 24 , 1991 Board of Assessment Appeals State of Colorado 1313 Sherman Street - Room 315 Denver , Colorado 80203 Re : Abatement Hearing - May 9 , 1991 @1 : OOPM Charles A. Underwood v. Weld County Board of Commissioners Gentlemen : In addition to the Exhibits "A" thru "S" presented to the Board on or about November 26th , 1990 , Charles A. Underwood ( Petitioner) submits the following Exhibits and information for use in the captioned hearing . A copy of this letter and Exhibits was mailed to the Weld County Board of Commissioners on April 24th, 1991 . Exhibit Z-1 Plat showing the Keota Unit (J-Sand formation) S/2 Section 4 & E/2 Section 9 all in Township 9 North, Range 61 West of 6th P . M. , Weld County, Colorado , containing 640 acres , more or less Orange Color - Scheetz Lease 160 acres . Yellow Color - Gillette Lease 480 acres . #1 Scheetz well - NW/4 NE/4 Sec . 9-9N-61W. #10 Gillette well - SW/4 SE/4 Sec . 9-9N-61W . Exhibit Z-2 Letter of 11 /8/90 to Charles A. Underwood from the Weld County Board of Commissioners regarding : a) Tax Abatement Petition dated 10/8/90 . b ) Tax Abatement Petition dated 10/19/90 . In order to avoid any confusion the Appeal to the Board of Assessment Appeals is for ( a) Petition dated 10/8/90 only . Exhibit Z-3 FINDINGS , ORDER AND DECREE in Civil Action No . 81 CV 1858 , Division 1 , District Court , County of Denver, State of Colorado . Dated June 6th , 1985 . Pepper Tank Company v. Teresa M. Scheetz v . Western Crude Oil , Inc . , et al . Page 2 , Paragraph 5 - "The NE/4 of said Section 9 is currently part of and subject to the Keota Field Unit Pepper Tank Company, is and , always has been the Operator thereof . " 1��I 15t-- /9-500 /9 911246 Bd . Appeals - 4/24/91 page 2 . Exhibit Z-4 STIPULATION AND SETTLEMENT AGREEMENT in Civil Action No . 81 CV 1858 , Division 1 , District Court , County of Denver , State of Colorado . Pepper Tank Company v. Teresa M. Scheetz v . Western Crude Oil , Inc . , et al . Page 3 , Paragraph b . "The Scheetz Lease is a valid and existing lease currently in full force and effect as to the NW/4 NE/4 of said Section 9 . " Paragraph c . "Pepper is the owner of 100% of the working interest in the Scheetz Lease as to said NW/4 NE/4 and in the Scheetz #1 Well , and Pepper is the owner of all of the pumps , pipe , tank batt- eries , and other equipment and personal property located on and in such well and lands " Paragraph d. "The Scheetz Lease has been released of record as to the S/2 NE/4 and the NE/4 NE/4 of said Section 9 and the mineral estate thereto is unleased as of the date hereof. Page 4 , Paragraph 6 . "Upon entry of the foregoing Decree , and on or before June 15 , 1985 , Pepper and Scheetz shall jointly apply to the Colorado Oil & Gas Conservation Commission for approval of the termination of the Keota Field Unit formed and approved on July 17 , 1963 , by such Commission under Cause No . 10 . Pepper as Operator of the Keota Field Unit hereby agree that said Unit Agree- ment is terminated effective upon the entry of the Decree provided for above and is of no force or effect with respect to future production from the NE/4 of Section 9 , Township 9 North , Range 61 West , 6th P .M Upon approval of such termination of the Keota Field Unit , Pepper , or its successors , shall , and Pepper on behalf of itself, its successors and assigns does hereby agree to , operate the Scheetz No . 1 well located in the NW/4 NE/4 of said Section 9 as a separate well and not as part of the Keota Field Unit or any other pool or unit . " Exhibit Z-5 1983 Oil & Gas Real & Personal Property Declaration Schedule by Pepper Tank Company for the Keota Unit in Sec . 4-9N-61W & Sec . 9-9iN-61W, Weld County . - the production reported is for the previous year . - Paragraph D Listing of Real Property includes the equipment for the #1 Scheetz well (NW/4 NE/4 Sec . 9 ) , the #10 Gillette well ( SW/4 SE/4 Sec . 9 ) , and the water disposal well #7 Gillette (NW/4 SW/4 Sec . 9 ) . Bd. Appeals - 4/24/91 page 3 . Exhibit Z-6 1983 Tax Notice - Pepper Tank Company "4792-C Leasehold Int NW4 & S2 4 9 61 & NW4/SE4 9 9 61 (Keota Unit ) Pepper Tank Company . " The above description is incorrect for the Keota Unit as there is no mention of the NE/4 Sec . 9-9N-61W the Scheetz Lease where the #1 Scheetz well is located . The Keota Unit covered the S/2 Sec . 4 & E/2 Sec . 9 - 9N - 61W, Weld County , Colorado Exhibit Z-7 Notice of Sale and Distraint Warrant for the Keota Unit , including equipment for the #1 Scheetz well , the #10 Gillette well , and the #7 Gillette disposal well . Taxes were for the 1984 and 1985 Personal and Leasehold owed by Pepper Tank Company. Approximately 30 minutes before the Tax Sale was Scheduled the taxes were paid by Powder Exploration, Inc . on behalf of Pepper Tank Company. Exhibit Z-8 Letter of January 14 , 1991 to Francis M. Loustalet the Weld County Treasurer from Charles A. Underwood . Said letter requested information as to Tax State- ments on the Keota Unit and on lands that had been a part of the Keota Unit . This was the second re- quest for said information. As of the present date no information has been received from the Treasurer . Exhibit Z-9 Letter of 11 /19/90 to Charles A. Underwood from Vera M. Hoff of the Weld County Assessors Office , enclosing Schedules requested by Underwood , except for the year 1986 which would cover the 1985 oil production. In lieu of the said 1986 Schedule a Computer Printout was submitted . Exhibit Z-10 Letter of 1 /21 /91 to Charles A. Underwood from Vera M. Hoff (Oil & Minerals Dept . ) Weld County Assessor advising why certain information was not available . Exhibit Z-11 1985 Oil & Gas Real & Personal Property Schedule Keota Unit Sec . 4-9-61 & Sec . 9-9-61 . the Production Reported for the Previous Year ( being 1984 production) advises B . I . A. Assessment 25% added to 1984 value of 76 , 730 . 1985 value 95 , 910 . These taxes were paid by Powder Explora- ' tion , Inc. ( see Exhibit Z-7 ) . Bd . Appeals - 4/24/91 page 4 . Exhibit Z-12 Computer Printout from Weld County Assessor ( 1 ) Assessment Year 1986 ( this would be for 1985 Production) shows Pepper Tank Company - Lease 4792-C Leasehold Int NW4 & S2 4 9 61 & NW4/SE4 9 9 61 (Keota Unit ) Pepper Tank Co . Total Value O . (WHERE IS NE/4 Sec . 9 that is part of the Keota Unit? ) ( 2 ) WHY is there no 1986 Oil & Gas Real & Personal Property Schedule? (a) There was no production from the Keota Unit during the year 1985 . (b) Pepper Tank Company was subject to the Order of the District Court of the City and County of Denver insofar as the Keota Unit . Exhibit Z-13 1987 Oil & Gas Real & Personal Property Declaration Schedule - Powder Exploration, Inc . - Scheetz Ill NW/4 NE/4 9 9 61 . Exhibit Z-14 1988 Oil & Gas Real & personal Property Declaration Schedule - Powder Exploration , Inc . - Scheetz Ill - NW/4-9-T9N-R61W, 4-T9N-R61W. Note : The Ill Scheetz well is located in the NW/4 NE/4 of Sec . 9 and none of the proper- ties described in the Location of Properties recites this description . Exhibit Z-15 1989 Oil & Gas Real & Personal Property Declaration Schedule - Heartland Oil & Gas Company - Scheetz Ill NW/4 NE/4 9 9 61 . Exhibit Z-16 1990 Oil & Gas Real & Personal Property Declaration Schedule - Heartland Oil & Gas Company - Scheetz Ill NW4 NE4 9 9 61 . Exhibit Z-17 1987 Oil & Gas Real & Personal Property Declaration Schedule - Charles A. Underwood - Ill Dunbar-McKinley SW/4 SE/4 Sec . 9-9N-61W. Exhibit Z-18 1988 Oil & Gas Real & Personal Property Declaration Schedule - Charles A. Underwood - Ill Dunbar-McKinley SW4 SE4 9 9 61 . Exhibit Z-19 1989 Oil & Gas Real & Personal Property Declaration Schedule - Charles A. Underwood Ill Dunbar-McKinley SW4 SE4 9 9 61 . Bd . Appeals - 4/24/91 page 5 . Exhibit Z-20 1990 Oil & Gas Real & Personal Property Declaration Schedule - Charles A. Underwood 111 Dunbar-McKinley SW4 SE4 9 9 61 . Summary - 1 . The Keota Unit of Weld County, Colorado ( S/2 Sec . 4 & E/2 Sec . 9-9N-61W) was Ordered terminated by a Decree dated June 6th , 1985 from the District Court of the City and County of Denver . The said Decree and a Stipulation and Settlement Agreement were recorded in the Records of the County Clerk & Recorder ' s Office on June 11th, 1985 in Book 1072 Reception 1102012955 and x102012954 2 . The Colorado Oil & Gas Conservation Commission terminated the Keota Unit effective June 1 , 1985 . ( see Exhibit "C" of Appeal dated 11 /26/90 ) and said Order was Recorded on September 5th , 1985 in the Records of the County Clerk & Recorder ' s Office in Book 1083 Reception 1102023687 . 3 . The 1985 Monthly Production Report of the Colorado Oil- & Gas Conservation Commission shows no product- ion from the Keota Unit for the year 1985 . ( see Exhibit "D" of Appeal dated 11 /26/90) . This same information was contained in the Petroleum Infor- mation Report sent to each oil & gas producing County in Colorado to be used as the "best infor- mation available" by a County Assessor to determine Leasehold production. Conclusion 1 . Are the Weld County Assessor and the Weld County Treasurer in contempt of the District Court of the City and County of Denver when an illegal tax is levied on the Keota Unit for 1985 production? 2 . Would Pepper Tank Company , when it knew there was no production from the Keota Unit , been in contempt of the District Court of the City and County of Denver if it had filed the 1986 Oil & Gas Real & Personal Property Declaration Schedule? 3 . The 1985 production tax levied by the Weld County Assessor for non-existent production from the Keota Unit is an illegal tax and as such should be corrected pursuant to Colorado Revised Statutes . Sincerely yours Lia-� lm en sk Charles A. 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T 4 42.31 1 / .� qq LL� _} M... cr net]. ✓ 4-dle.He. tNl&fi tier- 1 • 1.25.22 /""' ce,o • (.04;iete aeie,i111trier. win./ 11.23.83 1.^ p e� / ,r f, \ .. L 4]aner Leato L ,5a,net ,8.14.81 i7 Ai r1( \ Lme.e^r care Lona.a-I ce/e eta°'evaC C.G toss I Je+,araR. T. Duncan 1 3085Charter Expinr. J.R.Outerbrid1Lenn,ld, 9.7.80 9.7.80 6.10.71 g° • N 14enadaas.1.n 7s.n 91s.6& «,e...2 °�er • 6.3047 etal M&T Inc. �i.rrra•• J Ch el a 6.16.61 ..aril., 6.20 0 / L°r/r «w]/ a..e re/. c a�.`a/ I [Yn iw/ ol,w .Yi.EZ T. .•L•300, 3]nor t S Brgpant• Cote G.ue Mm h.mre.r ,. 6re.•� rrrn •-r.„.„5 • 20 2I Memr R.T D xan Charter „ Charley Fxpi. 22 73n 9.7.80 9. .75 5.2080 pdpper Tank 8.15 /8 11'.4.78 31&7 Inc 5.1.77 7. .77 el'1 u.6.7s 6.17.a1 4—u.4x 6.30.77 . al 2.14.71 • 41 Lens., rte •..wr0 •rrNw 4449,...., tv. 'Ynret F (MIa p,! /a� Yiner, Konen. A1..l al 7' in//e//, it 3ab. olJil , 4,.a, I 1{ I _ Ce,e L4+a.mr Cu,a (m9.0/ /e trot 7 m a.a rbrn.rr. / ill / Charter Charter ... Chal 619.78 6.20.80 620 • !om Co/r 2 4,.b2 I 1 AO lheldon C C Cothran Ma • 91001044 Ca f0 Denial mrnryas. 30 ! 9.01414 ca4 7.0 e4 B.L Snyder 29 28 27 Charter Conti ► C4z.t,.. 12.14.88 6,19.78 L.. PBraMrpr I 6.12.73 6 10.7E 740 nn"'1— — — — — — — Lar e. �/' _ 1 r I yyPv , t i 2#C CCyclic.. Me r 1 Juhr. p715rhwab 1 • C c run... 7 ivik0 ..c_io w90 r 910e• - 4 tpleah Ce le 644, ,rta re,p Dan/ 1 F.r.•r.•n War 6i] y ir a 1B.L. Snyder 1�' GI 9� .T. ' ( II ChatterChair,•, Erobr. rrr unta'r 1 19.'6 620.80 1E.14 78 t .-.r•-I. I _�i R.7• womad r 4.26.79 '/� L— — ° 441 15 Duncan 6.2876 3.9.76 4.26.791Charler I ELT:0I6.28.7G (7.26.7916.19.78 1 :rye G 1 g, —n .n.a,�SrA'b' r1 6.�'�.78 _ 1 32 Chatter 1 •r°o,ro to Co le .onr,t .Co r.yc. Ore 5t 7F 489( 9.vo.a.r, t..n +.• carman T.D.Shelor. I 33' 14 .eon ,cl.„ I Chase] 9 ramea, roar W., 'es). 4.14.81 ' cCcorncan 10.1.0 N e,la ' Creels cao . 9rowaa. Cote L oa Szrtkn I Shako., I Ten eldon .2 6.29.81 141 6.29. 15.3.E Y Gr..=f Fn,ws r 5.3.8 3 o/rc. - rti, r err.el.. O - • e.. .er men ref'OA t o.n-4, ..re �_ t 4 /2 r„er r r � PQrr!, a ...r.„. :a rf ' ._ , X1.4 , b cati javiNilD CLERK TO THE BOARD ' P.O. BOX 758 GREELEY,COLORADO 80832 C. (303)3584000 EXT.4225 COLORADO November 8 , 1990 Charles A. Underwood P.O. Box 9295 Englewood, CO 80111 Dear Mr. Underwood: On November 6 , 1990 , this office sent you a letter advising that your petition for tax abatement was denied. The letter should have stated that both of your petitions were denied. The petitions you submitted, and which were considered by the Board on November 5 , 1990 , concern the following properties: 1) Schedule number 0-0407986 , Parce]. df046504000001-01 , Pepper Tank Co 4792-C Leasehold Int NW/4 & S/2 4 9 61 & NW/4 & SE/4 9 9 61 (Keota Unit) ; and 2) Schedule number P-0004282 , Parcel No. 046504000001 (Personal Property) , SW/4 SE/4 Sec 9-9N-61W. I am enclosing copies of your two petitions. You should include both documents in any further appeals. If you have any questions , you may contact this office at 356-4000 , ext 4325 . Sincerely, Donald D. Warden Weld County Clerk to the Board Deputy Clerk t the Board xc: Assessor Z County Attorney i 15 DPT FORM " 'SCRIBED HY THE PROPERTY TAX ADMINISTRATOR FORM 920 1/666/90 PETIT FOR ABATEMENT OR REFUND OF TAXES—c. F ,.,,LcKEt co. DENVER 36312 Petitioners: Use this side only. DENVER , Colorado, OCTOBER 8th , 19.90 City or Town ' To The Honorable Board of County Commissioners of WELD County Gentlemen: The petition of CHARLES A. UNDERWOOD whose mailing address is. P . O . BOX 9295 ENGLEWOOD COLORADO 8.01.1..1 City or Town Slnle Zip Code SCHEDULE NUMBER DESCRIPTION OF PROPERTY AS LISTED ON TAX ROLL 0-0407986 PARCEL 1/046504000001-01 PEPPER TANK CO 4792-C LEASEHOLD INT NW/4 & S/2 4 9 61 & NW/4 & SE/4 9 9 61 ( KEOTA UNIT) PEPPER TANK CO P 0 BOX 1431 DENVER CO 80201 respectfully requests that the taxes assessed against the above property for the years A. D. 19....85.., 19 , are erroneous, illegal, or due to error in valuation for the following reasons: (Completely describe the circumstances surrounding the incorrect value or tax.) 1 . Pepper Tank Co . abandoned said Leasehold in January , 1985 . 2 . During the year 1985 there was no oil and/or gas production from the Keota Unit Leasehold . 3 . The Keota Unit was terminated by the Colorado Oil & Gas Conservation Commission effective June 1 , 1985 . 4 . The Weld County Assessors Office , absent information from Pepper 'lank Company , estimated and assessed the valuation based unon prior years taxes , without the factual infor- mation there was no production in 1985 . 5 . Colorado Oil & Gas Conservation Commission Monthly Production Records for 1985 , and Termination of the Keota Unit are attached . 19 85 LEASEHOLD 19 Value Tax $ 11 , 884 . 82 Value Tax Orig. $11 , 884 . 82 plus Int . $4 , 813 . 35 = $16 , 698 . 17 Abate. $1.6.,.6.9.8...1.7 Bal. —0— The taxes ( taxo) (have not) been paid. Wherefore your petitioner prays that the taxes may be abated or refunded in the sum of $.1 ,6,, 698 . 17 I declare, under penalty of perjury in the second degree that this petition, together with any accompanying exhibits or statements, has been examined by me and to the best of my knowledge, information and belief is true, correct and complete. OLLQL(LAA,A9S, Petitioner CHARLES A. UNDERWOOD By Agent Address...A?.,..o.,....6.O.x...9.29.5 Englewood , CO . 80111 901137 r9�1Qt11r.. RESOLUTION OF COUNTY COMMISSIONERS WHEREAS, The County Commissioners of Weld County, State of Colorado, at a duly and lawfully called regular meeting held on the 5th da of November , A.D. 19 90 y at which meeting there were present the following members• Chairman..Gene..R... Brantner_and_.Commissioners...C.o.nstance L. Harbert, ...G.e.orge Kennedy, C.W. Kirby.,...and...Gordon..E....Lacy notice of such meeting and an opportunity to be present having been given to the taxpayer and the Assessor of said County and said Assessor Richard Keirnes, present, and taxpayer Charles A, Underwood being present; and (name) (name) WHEREAS, The said County Commissioners have carefully considered the within applica- tion, and are fully advised in relation thereto, NOW BE IT RESOLVED, That the Board concurs with the recommendation of (concurs or does not concur) the assessor and the petition be........denied...,, , and an abatement/refund no.t...be..allowed (approved or dented) (be allowed or not be allowed) on an assessed valuation of$....16,.698..17 for $..16,.6.9 . 1. .total taJ r the year s) I SEE ATTACHMENT • 1 ALSO e x airman of Board of County Commissioners. STATE OF COLORADO, County of Weld �ss. I, Dpneld D, Warden f ,parnxyymadonailandelktoxClerk to Board of the Board of County Commissioners in and for the County of Weld State of Colorado, do hereby certify that the above and foregoing order is truly copied from the records of the proceedings of the Board of County Commissioners for said Weld County, now in my office. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said County, at Greeley , this 5th d of Novpmher , A. D. 19....K.. / ',// i a ::,, ✓ >,,G . .:.iS, ? b7bYr` xy Clerk. to Board By:-.___�...:.11ca).L.e (-„---,f4. ( b..ac.4.J Deputy. ACTION OF THE PROPERTY TAX ADMINISTRATOR Denver, Colorado, , 19 The action of the Board of County Commissioners, relative to the within petition, is hereby ❑ approved; ❑ approved in part $ ❑ denied for the following reason(s) ATTEST: • Secretary. Property Tax Administrator. v ;' r; o c .+ .,., ❑ _ _ • y w yu 4. 0 d O ,CI O. '� .. `J b t y in o o G O `.. vy, o Q o - P G 'Y \\j ¢ Q 0.. w v � � °u a co c p �e \' \I H d 4 au Vi W ra N JI 7 O 7 L L > a = E o z o Z v r t Y � `, t.5 v cot` ,� •o yy o• O �" o i w 1 C > a 3 n m at mi w a c o olr �{� Q� E h. To. ti ' w Q O iC 0. 1 `7i I- - n E v w .b -) -s o E z a) ° J ° S a .-.c° : to 4-6 Z 3 � � fl o -. � EwH o ' vay o b H E Et act � , w ,r ` yu) 2 ca" a° Ve ist, ci � € o v a ti a ❑L7O''' �' >, h lJ rl _ s 0 /) 1'A Q Er E .9 s f? Denver , Colorado , October 19th , 1990 TO THE HORORABLE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY Gentlemen : The petition of CHARLES A . UNDERWOOD whose mailing address is : P . O . BOX 9295 ENGLEWOOD , COLORADO 80111 SCHEDULE NUMBER DESCRIPTION OF PROPERTY AS LISTED ON TAX ROLL P-0004282 Parcel No . 046504000001 ( Personal Property) Charles A . Underwood Dunbar-McKinley SW/4 SE/4 Sec . 9-9N-61W P . O . Box 9295 Englewood , CO . 80111 respectfully requests that the taxes assessed against the above personal property for the years A . D . 1985 , are erroneous , illegal , or due to error in valuation for the following reasons : 1 . My operations on the 111 Dunbar-McKinley well located in the SW/4 SE/4 Sec . 9-9N-61W did not commence until March of 1986 . 2 . The 1986 Tax Receipt ( Personal Property) description is for Sec . 4-9N-61W & Sec . 9-9N-61W , Weld County , CO . THIS DESCRIPTION IS FOR THE KEOTA UNIT and includes t e 111 Scheetz well located in the NW/4 NE/4 Sec . 9 , with its equipment ; the 117 Gillette well ( salt water disposal) located in the NW/4 SW/4 Sec . 4 , with its equipment ; and the 111 Gillette well located in the Std/4 SE/4 Sec . 4 , with its casing in the ground . 3 . Thus , the 1985 ( Personal Property) taxes show a valuation of 12 , 040 which applies to the entire Keota Unit . 4 . Subsequent Personal Property valuations for my operations were as follows : 1987 - 270 Tax $24 . 32 1988 - 2990 Tax $241 . 44 1989 - 2990 Tax $253 .30 5 . The 1985 Personal Property Tax ( for the entire Keota Unit ) was $1 , 038 . 58 plus interest of $34 . 60 . 6 . The 1988 and 1989 valuation is correct for my operations and an average tax for these two years is $247 . 37 . 7 . Copies of the 1986 , 1987 , 1988 and 1989 Tax Receipts are attached as well as copies of the Colorado Oil & Gas Conservation Commission Monthly Production Reports for 1985 and 1986 which show the activity in the Keota Field . 1985 Personal Property Value 12 , 040 Tax $1 , 038 . 58 Original $ 1 , 038 . 58 Abate . 791 . 21 Bal . S 247 . 37 Correct 1985 Personal Prop . Tax. The taxes have been paid . Wherefore your petitioner prays that the taxes may be abated or refunded in the sum of $791 . 21 plus interest . I declare under penalty of perjury in the second degree that this petition , together with any accompanying exhibits or statements , has been examined by me and to the best of my knowledge , information and belief is true , correct and complete . P . O . Box 9295 Englewood , CO . 80111 Charles A. Underwood This Petition for Abatement was considered by the Board of County Commissioners of Weld County, Colorado, on the 5th day of November, 1990 . The Board unanimously concurred with the recommendation of denial submitted by the County Assessor. Being present at said meeting were Chairman Gene R. Brantner and Commissioners Constance L. Harbert, George Kennedy, C.W. Kirby, and Gordon Lacy. Also present were Richard Keirnes, Assessor, and Charles A. Underwood, the petitioner. 211-7/7 Gene R. Brantner, Chairman ATTEST: ,1 /-v''f i /„ c ( A e .7 , Weld County Clerk to the Board Bkt_ �I r-lI t �_' J u � t x a _.) eputy Clerk to khe Board ( .. -"' ' %TN.; 1 tt, 9 vii / AR2012955 B 1072 REC 02012955 06/11/85 11 : 32 $21 . 00 1/007 F 1472 MARY ANN FF.UERSTEIN CLERK & RECORDER WELD CO, CO DISTRICT COURT, COUNTY OF DENVER, STATE OF COLORADO Case No. 81 CV 1858 , Division 1 FINDINGS, ORDER AND DECREE PEPPER TANK COMPANY, Plaintiff and Counter-Claim Defendant, v. TERESA M. SCHEET2, Defendant and Counter-Claim Plaintiff, v. WESTERN CRUDE OIL, INC. , et al . , Counter-Claim Defendants. FINDINGS The Court Finds as follows: 1. An Oil and Gas Lease (the "Scheetz Lease") dated September 15 , 1950 , and recorded in Book 1284 at Page 304 of the records of Weld County, Colorado, was granted by Arthur Scheetz to N. K. Bickford , which Oil and Gas Lease covered the following lands: Township '9 North , Range 61 West, 6th P.M. Section 3 : SW/4 Section 9 : NE/4 Section 10 : W/2 Weld County,`To-lorado 2. This Court has jurisdiction over those parties owning or claiming an interest in said lease to the extent it covers the NE/4 of said Section 9 and over those parties owning or claiming an interest in the oil and gas mineral estate in said NE/4 of Section 9 . 3 . The mineral estate in said NE/4 of Section 9 is owned as follows: Z -3 B 1072 REC 02012955 06/11/85 11 : 32 $21. 00 2/007 F 1473 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO Teresa M. Scheetz 7/8 Josh H. Parr 17/350 of 1/8 Jane MCA. O'Hern 17/3 ,0 of 1/8 Alan L. Hays 17/350 of 1/8 Milo M. Stucky 17/350 of 1/8 Peggy Johnson 17/175 of 1/8 Jane Gilman Tracy 17/175 of 1/8 James G. McCue 129/700 of 1/8 Teresa M. Scheetz 299/700 of 1/8 4 . a. The Scheetz Lease has been released of record as to the S/2NE/4 and the NE/4NE/4 of said Section 9 . Said lands are currently unleased , and no other party including Continental Oil Company, J. G. Dyer , S. T. Dyer , C. A. Underwood and Samuel McClaren , own any interest therein by virtue of any oil and gas lease covering such lands. b. The Scheetz Lease is currently valid and existing and is in full force and effect with respect to the NW/4NE/4 of said Section 9 upon which lands the Scheetz No. 1 Well is loci Led . No other party including Continental Oil Company, J. G. Dyer , S. T. Dyer , C. A. Underwood and Samuel Mcclaren, own any mineral interest in such lands or landowners ' royalty interest or working interest in the Scheetz Lease . 5 . The NE/4 of said Section 9 is currently a part of and subject to the Keota Field Unit which was formed under C.R.S. 1953 §100-12-18 and approved by the Colorado Oil and Gas Conservation Commission effective July 17 , 1963 , and which is currently in full force and effect. Pepper Tank Company, Coo ter=Claim Defendant herein ( "Pepper ") is and, always has be, operator thereof. Except as is specifically provided in pat graph 8 below, the Court makes no finding that Pepper has operated the Scheetz Lease as part of said Unit in bad faith or imprudently. 6 . Production within the Unit has been allocated on the basis of one-fourth of production to the owners of interests in the oil and gas mineral estate in said NE/4 of Section 9 and the balance to the owners of interests in the remaining lands in the Unit. 7 . Scheetz has not been receiving her appropriate share of unit production as to the S/2NE/4 and NE/4NE/4 of said Section 9 and is entitled to payment of additional funds from Pepper , the operator of the Keota Field Unit, and no funds from Western Crude Oil , Inc. 8 . Prior to the filing by Teresa M. Scheetz of her Counterclaim herein, Pepper was not aware of and was not in bad -2- B 1072 REC 02012955 06/11/85 11: 32 $21 .00 3/007 F 1474 MARY ANN FEUERSTF.IN CLERK & RECORDER WELD CO, CO • faith with respect to Scheetz ' s appropriate share of production in the Keota Unit. Subsequent to the filing of said Counterclaims, Pepper Tank Company has been in bad faith with respect to distribution to Scheetz of her unpaid and appropriate share of production. 9 . Pepper Tank Company and Teresa M. Scheetz have reached an agreement settling and resolving their dispute which settlement, in part, calls for the entry of the following Order and Decree. ORDER AND DECREE Upon stipulation of the parties , based upon the foregoing findings , and the Court being fully advised of the premises , it is HEREBY ORDERED AND DECREED as follows: 1. That Oil and Gas Lease dated September 15 , 1950 , and recorded in Book 1284 at Page 304 of the records of Weld County, Colorado, which lease was granted by Arthur Scheetz to N.K. Bickford is hereby declared to be released effective December 14 , 1976 , with re pect to the S/2NE/4 and the NE/4NE/4 of Section 9 , Township 9 North , Range 61 West. With respect to the NW/4NE/4 of said Section 9 , said lease is further declared to be released as to , and only as to, those formations other than the "J" Sand formation, as that formation is customarily defined in this area of Weld County, Colorado, as evidenced by the records of the Colorado Oil and Gas Commission. There is no other oil and gas lease burdening any interest in said NE/4 of Section 9 under which anyone may claim an interest. A release to such effect shall be executed by Pepper and delivered to Scheetz , at the offices of James K. Kreutz. 2 . With respect to the Scheetz Lease to the extent it covers the NW/4NE/4 of said Section 9 , said lease is declared to be valid and in full force and effect as to the "J" Sand formation as defined above, only and Pepper Tank Company is found to be and hereby declared to be the owner of 100% of the working interest in such lease and in the Scheetz No. 1 Well located on said lands . Pepper Tank Company is further declared and decreed to be the owner of 100% of all pumps, pipe, tank batteries , and other equipment located in and on said well and lands except the contents of the tank batteries located on said lands, which contents are to be owned as hereinafter provided for in paragraph 3 . 3 . With respect to the contents of the tank batteries located on the NW/4NE/4 and the SW/4SE/4 of Section 9 , Township 9 North, Range 61 West , all of Pepper Tank Company 's right, title and interest in and to such contents is hereby declared -3- B 1072 REC 02012955 06/11/85 11 : 32 $21 . 00 4/007 F 1475 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO and decreed to be owned by Teresa M. Scheetz , subject only to „.** the claims of owners of interests in production from the Keota hall',} snit other than Pepper Tank Company. Pepper Tank Company ave no responsibility for the cost of treating or selling such contents or for the payment of any amounts owing to third i.; parties from the proceeds of sale thereof . Pepper Tank Company shall execute and deliver to Teresa M. Scheetz a Bill of Sale conveying to Scheetz all of Pepper ' s right, title and interest in and to the contents of such tank batteries, as is , where is. Any third party who purchases such contents is hereby notified that payment therefor shall be made directly to Scheetz who shall , upon receipt thereof , be responsible for making distribution thereof to arties other than Pepper in accordance with this paragtaph. a J . \.�% �,-�.- 4 . With respect to those funds currently held in suspense and representing proceeds of production from the Keota Field Unit, which funds are described on that Defendant ' s Exhibit 15 , a copy of which is attached hereto and incorporated herein by th ' s reference, one-fourth of said funds are hereby declared an decreed to be attributable to the NE/4 of Section 9 , To nship 9 North , Range 61 West and it is hereby directed and ordered that said one-fourth amount may be paid to the trust account of the Denver law firm of Welborn , Dufford , Brown & Tooley for disbursement by such firm as follows: a . $10 , 000 shall be disbursed and distributed to Teresa M. Scheetz who shall be responsible for paying out of such $10 , 000 any amounts owing to grantees or assignees of Arthur Scheetz , Teresa M. Scheetz or their successors . b. The balance of said one-fourth amount shall be paid to Pepper Tank Company. 5. The Stipulation and Settlement Agreement shall become part and parcel of this Order and such is adopted by this Court as further Order of this Court. 6 . Based on the foregoing Settlement Agreement, findings and decree, all other claims in this action by and between Pepper and Schr,lzAare hereby dismissed with prejudice and each patty shall bear its own costs in thisaction. //Entered this k� i..,day of ,--9-- , 1985. N• aje ohtSt 44-4 BY THECOUR ail .�+.�.�- � ta Nt �1 V( �,'`. CrOfrel4prOc19= : `"; •rnr;S c. : )RA I . OTHENBERG ��•';N"C er4..0,0or‘r3c11 � istrict Court Judge • a5 �: 4's;tfitil y• N 1019 t�i,� ,w t 1 lei B 1072 REC 02012954 06/11/85 11 : 32 $21 . 00 1 /007 AR2012954 F 1465 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO DISTRICT COURT, COUNTY OF DENVER, STATE OF COLORADO Case No. 81 CV 1858 , Division 1 STIPULATION AND SETTLEMENT AGREEMENT — -- — PEPPER TANK COMPANY, Plaintiff and Counter-Claim Defendant, v. TERESA M. SCHEETZ , Defendant and Counter-Claim Plaintiff , v. WESTERN CRUDE OIL, INC. , et al . , Counter-Claim Defendants . ____ Counter-Claim Plaintiff, Teresa M. Scheetz , (hereinafter " and Counter-Claim Defendant, Pepper referred to as "Scheetz") (hereinafter referred to :3s Western") have nd Third Tank Company. Inc . ( Party Defendant Western Crude Oil , Scheetz Counterclaims resolved the dispute framed by against Pepper and Western in this action. As evidence of such of the monies resolution, and in consideration t f thenefit to be gained monies by hereinafter provided for , the pepper and Scheetz from resolving said dispute on the terms an promises and conditions as conditions hereof and the mut 'apand Western hereby agree contained herein, Scheetz , Pe_1per follows: 1. In settlement of Scheetz damage claims herein Pepper shall pay to Schcetz at the offices of James K. Kreutz the follows: total sum of $46,000 , Pa Y er shall pay to a. On or before June 15 , 1985 , Pepp Scheetz the sum of $26 ,000 in cash or certified funds . The failure of Pepper to so pay such amount shall result in termination of this paragraph of this Stipulation and entry of Settlement Agreement and shall entitle Soh( •tz to the n the a judgment 30 this action waiveser favor allagainst ice and appeal amount of $30 ,000 and Pepper thereon . 8Z small B 1072 REC 02012954 06/11/85 11 : 32 $21 . 00 2/007 F 1466 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO b. The balance of $20,000 shall be payable as provided in paragraph 7 below. 2 . The parties have reached agreement with respect to those funds currently held in suspense by Asamera Oil Company • Union Oil Company, and N.C.R.A. as held by Pepper , as shown on Defendant ' s Exhibit 15 , a copy of which is attached hereto as Exhibit "A, " which funds represent proceeds of production from wells located on the Keota Field Unit. Under the Keota Unit Agreement, as amended , one-fourth (1/4) of such funds is attributable to the owners of interests in the NE/4 of Section 9 , Township 9 North, Range 61 West , 6th P.M. and the Court may enter an order decreeing that said one-fourth of such funds shall be paid to the trust account of Welborn, Dufford, Brown & Tooley for immediate disbursement by it as follows: Teresa M. Scheetz - $10 , 000; the balance to Pepper. Scheetz, and not Pepper , shall be responsible for paying out of said $10 , 000 those amounts , if any, to which the other mineral owners in the said NE/4 of Section 9 , listed in paragraph 4 .a. below, are entitled by virtue of their ownership of a royalty interest in production from the Keota Unit. 3 . With respect to the contents of the tank batteries on the Keota Unit, as to which Pepper warrants a minimum of 600 barrels, on or before June 15 , 1985 , Pepper shall give to Scheetz , at the offices of James K. Kreutz , a Bill of Sale conveying all of Pepper ' s right , title and interest it and to such contents in place, AS IS, WHERE IS, subject to the rights of the owners of interests in production from the Keota Unit other than Pepper , and Pepper shall thereby be relieved of any further liability with respect to contents of said tanks except the obligation to execute such documents as may reasonably be necessary to indicate and verify to third parties Pepper 's relinquishment of its interest in such contents to Scheetz , it being the intent hereof ,that Scheetz be entitled to receive all net proceeds of sale of such contents after payment of the cost of sale, if any, and after payment of amounts owing to third parties owning an interest in such contents , and that Pepper pay no such costs of sale and receive no such proceeds. Pepper agrees that in the event such contents contain less than 600 barrels as of the date of the Bill of Sale, the short fall if any shall be made up out of Pepper ' s share of production from the Scheetz No. 1 Well after production is recommenced . The failure of. Pepper to execute and deliver such Bill of Sale, or to execute such other documents which are reasonably necessary to effectuate the intent of this paragraph, shall result in judgment being entered herein .against Pepper in the amount of $20,000. -2- B 1072 REC 02012954 06/11/85 11 : 32 $21 . 00 3/007 F 1467 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO 4 . Title in and to the oil and gas mineral estate in the • NE/4 of Section 9 , Township 9 North , Range 61 West , 6th F.M. , in and to that oil and gas lease dated September 15 , 1950, and recorded in Book 1284 at Page 304 , of the records of Weld County, Colorado, from Arthur Scheetz to N. K. Bickford (hereinafter referred to as "the Scheetz Lease") , and in and to the Scheetz No. 1 Well in the NW/4NE/4 of said Section 9 , and the equipment and t; qk batteries located thereon and therein, is hereby agreed to be owned as follows: a. The mineral estate in said NE/4 is owned by the following parties in the following proportions subject, as to the NW/4NE./4 of said Section 9 only, to the Scheetz Lease as hereinafter provided : Teresa M. Scheetz 7/8 Josh H. Parr 17/350 of 1/8 Jane McA. O 'Hern 17/350 of 1/8 Alan L. Hays 17/350 of 1/8 Milo M. Stucky 17/350 of 1/8 Peggy Johnson 17/175 of 1/8 Jane Gilman Tracy 17/175 of 1/8 James G. McCue 129/700 of 1/8 Teresa M. Scheetz 299/700 of 1/8 b. The Scheetz Lease is a valid and existing lease currently in full force and effect as to the NW/4NE/4 of said Section 9 . c. Pepper is the owner of 1008 of the working interest in the Scheetz Lease as to said NW/4NE/4 and in the Scheetz No. 1 Well, and Pepper is the owner of all of the pumps , pipe , tank batteries, and other equipment and personal property located on and in such well and lands, except the contents of the tank batteries provided for in paragraph 3 above. d . The Scheetz Lease has been released of record as to the S/;NE/4 and the NE/4NE/4 of said Section 9 and the mineral estate there 1 is unl.eased as of the date hereof. Pepper agrees to and '.oes hereby release such lease as to said 120 acres. Pepper further agrees to and does hereby rc ' ease said lease with respect to the NW/4NE/4 of said Section 9 as to, and only as to, those formations other than the "J" end formation. The Decree of the Court hereinafter provided for shall define the "J " Sands formation using language by which such formation has been traditionally defined in the subject area. Pepper shall execute all documents which are reasonably necessary to effectuate the intent of this paragraph . -3- B 1072 REC 02012954 06/11/85 11: 32 $21 . 00 4/007 F 1468 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO 5. A Decree evidencing and setting forth the foregoing ownership of the mineral estate in the NE/4 of said 5,•ction 9 of the Scheetz No. 1 Well and personal property thereon and therein, of the contents of the Keota Unit tank batteri.i-s and of the suspended funds attributable to said ls:nd may be entered by the Court in this action , and the parties shall apply to the Court for such Decree , said Decree to be in the form attached hereto as Exhibit "B. " Such Decree shall be recorded in the records of the Clerk and Recorder of Weld County, Colorado. 6 . Upon the entry of the foregoing Decree, and on or before June 15 , 1985 , Pepper and Scheetz shall jointly apply to the Colorado Oil and Gas Conservation Commission for approval of the termination of the Keota Field Unit formed and approved on July 17 , 1963 , by such Commission under Cause No. 10 . Subject to such approval , the parties as the owners of interests in the NE/4 of Section 9 as hereinabove described , and Pepper as operator of the Keota Field Unit hereby agree that said Unit Agreement is terminated effective upon the entry of the Decree provided for above and is of no force or effect with respect to future production from the NE/4 of Section 9 , Township 9 North , Range 61 West , 6th P.M. The parties further agree to use their best efforts to obtain such approval from the Colorado Oil and Gas Conservation Commission and agree to execute those additional documents, if any, which are reasonably and legally necessary to accomplish such Unit termination . Any order entered by the Colorado Oil and Gas Conservation Commission terminating the Keota Field Unit shall be recorded in the records of Weld County, Colorado. Upon approval of such termination of the Keota Field Unit, Pepper , or its successor , shall , and Pepper on behalf of itself, its successors and assigns does hereby agree to, operate the Scheetz No. 1 Well located in the NW/4NE/4 of said Section 9 as a separate well and not as part of the Keota Field Unit or any other pool or unit. Pepper further agrees on behalf of itself , its successors and assigns, not to seek or agree to the unitization or pooling of such well or the lands on which it is located with any other wells , production , or lands or to consent to any such pooling or unitization so requested by a third party, without the prior written consent of Scheetz . The failure of Pepper to make the filings with the Colorado Oil and Gas Commission required by this paragraph or to abide by the agreement not to unitize shall result in--lnm-i-naHun`—a-F-₹lits:-- ----,S'/� PerQema�t�_a,nd the entry of judgment in this action against pper and in favor of Scheetz in the amount of $20 ,000 . 7. Pepper shall, prior to the recommencement of production from the Scheetz No. 1 Well , as hereinafter provided for , execute and deliver to Scheetz an Assignment of Production Payment conveying to Scheetz , at the offices of James K. Kreutz -4- B 1072 REC 02012954 06/11/85 11 : 32 $21 . 00 5/007 F 1469 MARY ANN FEUERSTEIN CLERK S RECORDER WELD CO, CO • and Pepper does hereby assign and convey to Scheetz , a production payment burdening Pepper ' s interest in the Scheetz No. 1 Well in the total amount of $20, 000 payable out of Pepper 's interest in production from such well from and after the date of recommencement of production at the rate of $750 per month until fully paid. Such amounts shall be paid by the purchaser of production from such well directly to Scheetz , or her designee, at the offices of James K. Kreutz, and Pepper agrees to execute those documents necessary to accomplish such direct payment. If there is not suff cient producion in any month to pay this $750 amount out of epper interest in production from the Scheetz No. 1 Well , the shortfall shall be made up by Pepper . In the event the Scheetz No. 1 Well does not recommence production within 120 days from June 15 , 1985 , or within sixty (60) days after the date of of entry of an Order of the Colorado Oil and Gas Commission upon the application provided for in paragraph 6 above, whichever time is later , the Scheetz Lease shall terminate as to the NW/4NE/4 of Section 9 . Further, in the event such well, after such recommencement of production, ceases production entirely for a period of sixty consecutive days (for reasons other than an event of force majeure) prior to the time Scheetz has received the total of the $20, 000 production payment the Scheetz Lease shall terminate as tothe provided for above, 9 . In the event of either such termination / /4 he Section Lease, any equipment located on or in the ScheetzeNo. 1 We shall remain thereon for a period of thirty 1 Well which time Scheetz shall have the option to purchasessamelfor fair market value therof. Such fair market value shall be determined by a mutually acceptable appraiser, or if such cannot be found, shall be determined by taking the average of two appraisals--one obtained by Scheetz and one obtained by Pepper . Scheetz shall, within such 30-day period, elect, in writing, whether to exercise such option. The failure to elect shall constitute an election not to purchase. Upon such election to purchase, the $20,000 pi ;vided for above, or the remaining unpaid balance thereof, whichever is lower, shall be applied toward the purchase price, pep sell, remove, or encumber the equipment during anyer shall peri transfer , during which any part of said $20, 000 remains unpaid . If Scheetz does not elect to purchase said equipment, said equipment shall be sold at auction by competitive bid. Scheetz shall be paid out of the proceeds of such sale the remaining unpaid balance of the said $20, 000 production for above. Nothing contained herein shall pr. ohibitnPepper � from paying such $20,000, or amounts thereon, in advance, without notice. -5- B 1072 REC 02012954 06/11/85 11 :32 $21 . 00 6/007 F 1470 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO Agree . A condition of this Stipulation and Settlement Crude Oil dismiss their and third part with claims a Y Defendant , Western solely for rejudice. Western Crude Oillexec each other in this case for in this e purpose of agreeing to tes this Stipulation for i paragraph. The Court may fu ter norder dismissal provided accomplishing such dismissal upon the signing an order Stipulation and Settlement Agreement by all parties, her heirs and in consideration of the fore forever discharge and administrators foregoing, g' Scheetz and successors and Pepper' its officers hereby release and suc assigns, from an ' employees, agents, ages, expenses, costs any and all claims of any kind or nature whatsoever, causes demands , claims which of action, or suits were made or which ' relating in any way to those in this its consideration made ng Scheetz officers, employees , a of the foregoing, release and forever discharge gents, and successors hereby administrators from an g Scheetz y and all claims her heirs, executors and expenses, costs, actions, causes of a demands kind or nature whatsoever , relating action, ' damages, which were made or which or suits se any action. could have beennmadeybyopep Pepper claims pper in this PEPPER TANK COMPANY By: �- � MORTO—M FEPPER, Pre 'ci nt �S'T/1r€ OF <1O�4:gbp / �L.�l i , ;Jfl /�/I )<.. l�r lit, .�J1tG�Ch:�� np TERESA M. CBEETZ —`>__' --_ 5«. % �> 7.,, .ki. /nom y � O p •� �' y Vit �n c• WELBORN, DUFFORD • �( • ..�C'h C e /L >�'4a9it4 , BROW & TOOLEY AR P lee �ji — �l% 1-moo. w e^- i MONICA /�(G,�7 John Welborn '�—= -- - A k�. F. (#2936)j_ _- r�C� C, !( ' W41 Do ig) as P. BRQQ�q ✓/ c /�G(r �! 1700 'roadway RuegsegyeY (#14285) 9 � Q )L �/� Denver , Colorado 80290-1199 TFOr CC✓✓✓��C`S p �? CO 6 i19 Telephone: (303) 861-8013 Attorneys for Pepper Tank Company I -c- B 1072 EC 02012954 06/11/85 11 : J2 $21 . 00 7/007 F 1471 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO of�g�� {1./, Craig W. al m, EsJ //� -- Sherman & Howard 9� Suite 2900 633 Seventeenth Street Denver , Colorado 807.02 Attorneys for est/ern Crude Oil, Inc. 2.71 M James K. Kr Z 0 Lawyers Pr essional Bldg. enver Technological Center 5655 S. Yosemite Englewood, CO 80111 Attorneys for Teresa M. Scheetz r a;T a copy , -,?''.,'It;:": :,., r of tie origin^Ianmg,4:,tt;ty. •�^ .' tr ..v , , JUN to:sig : 1 • Court ,•,...`".. * a rrve ,:Cc; r1 Seel t,;:t o .-y. CC;;city .•:e7i< -7- Ftr a ssn OIL AND at''S REAL AND PEPeONAL 1983 :;,friO-H CCUNET Ai5ES$OR.'S til}20PgEITY lECLARATIONSC _DULE Assessment Date '._Due F' • '� 11��5r('X�10F yyM r(STfi F'pDn(t UNTY r.7 7Rtht:N I ,.�iv FIDEN• .TIAL DATA January l •• ''gpril •:•MA1L'LO�'DUI07YASSESSUFI6'�1 .�''If+'" 1 �j� I• DO NOT USE -- FOR ASSESSOR ONLY + —tl - -'---- • type of Product or Service..''• ' . . is 1i Code Description Acres Actual Value % Assessed Valo Type df Ownership Below `s'SSFSSGI,5 p;Flip - _ LndiCate T 7,110 Prl mart' prod. $ 97K$ Corp '• Partnership `''Igdivlddel-t10 Dam/. 0. "7120 Secondary Prod. 75 7160 Non Producing 29 51311 f' I11,7. 12�V SCHE GEJ JFaVQ PIII 31 l.fv.' 717D Severed interests 29 • Y ,Y V ?t'2 Improvements 29 :NAME AND gODRESS.(INDICATE AN CHANCESf ;:::1;I, ;,i . . r y , I j 1�CPP ER TANK COII• CIIII • 74 Equipachi r urn.m 1 J t Macnlnery 29 �ty6ptJiP- KEOTA 1JNin y, t`, 1 El TOTALS $ $ t 1�'c;b1:eoX,•�14,21 y '+ rc ty,�`" :. :;:::..-;:)•::•,'„,,,,:.,• . . tir= ECEIVED APPROVED. T1ENVL t n i f C0MPLETED • ABSTRACT CHGS. . - R CQI 60 ZO 1 - - � , } I� 1 1) LATE FILING PENALTY APPLIED YES ❑ • NO ❑ + .await I� > �• 44. 45 HI(.! •rl f + e — s I cs t 1,x ;6. w : : t'i,t F aR M DECLARATION , ; }F}'� ) s,ii 'L' .'• a .`w Cv 1, ) � )I r a ," I [fetid; under the penally of pef)ury in the second degree,that V 1 I , ttiaam ule, toget)o and th'any acct rnpanying wienfe , in rialmnon, has e. fir LOCATION,DESCH IP.Ifoo§, INTEREST'(Nacho df ro er $ C eld t ¢ sets fort by me and to ton best of my kaxaide m Ian person, and prone, 1, p p tY. ( ) 1� sets forth a lull antl cmnPlala Ilsl tl all la zaU la real and personal prt pCr�. l•IZI I F ` (t, t! ., M owned by ma, or In my oe0=slon, or under my control, located In U; C '::::1-:,,- has be of Colorado, de the assessment date of this year,that such prhat ,;SECC e5 fhas been reasons ma described and Its value fairly represented; and that -' � o bi Fi Sl�i 9 •{71 l 15 { f 4 attempt has been made t0 misle he Assessor C [o Its age,quality,qudnl f _ + r 1;. or 0alue,• -3g-5.107(2) .I��TURN TFIIS COPY, Al r - f 'z. r LEASE NAME OR LEGAL DESCRIPT ION , 1 s � -/�^ t r f • ;$:::::::,4;:;::S;.,.:1;::.::'::.:!;:::1v ure Or o y�t[� n=-s•- 31/T i x: t e f'r ,:::1:!.* Slgnal ure of Ow ,er or Agent -"� Date f �: ' r r.. : :r, -1V12 r, /'�-_, n •Cry 8 y�i Print Name o Person Signing Declaratl n� P line No. SEE INSTRUCTIONS.FOR LATE' 'FILING PENALTY ' 'Total ::,Indicate Wheathey: .::Well No Type _ Depth Year Grilled No.Wells '•Yb4 Are — Total 0P AT EROR DF - OWNErirJra 5 :List Fractional Interest �LEASEHbLD - '- ;c '•.Df:Operator;: .' '�%Ooqwrytd�eR saF Tr:: ; 1 4 t ,.n ' PLEASE INDICATE.T.HE'LIFE OF THE 0It.AND GAS;gESERVE IN4YEARS UNDER THE CURRENT PRODUCTION RATE Y •1-. ` B „PRODUCTION REPORT FOR PREVIOUS-YEAR 1, Furnish prirttary'production in section R-1 and secondary production in section •-'Bi:PRIMARY PRObUCTION OR.REGOVERY: gIsi.' `• '-:1. z•• " (\`i '+Trinippr eud from Royal ty-Dellve red Royalty-Deilveretl Avers a!Toee AI t. ir,.� ", - �-Total' Sold ( Total Taxable g )✓ Produced 7t,(A) ' li7,:,- o unsold AS CaCs(E xcluslon) XC Product Wee H er � i_� ;'---'4-;-;•.:-;:4--I-:' , rn-)T-_ - (C) (Exclusion) (D) (A B-C(or D) Field Price i VOI,No Oil (Ebl l' 1. ; r 11. , $ /Li •! ti ti i� : Gas (MOH : r r i < r l r 14 .., i •.... Well NO._,.:.:: Oil (Ebll)r tr a , + • 1: _ t;, $ /t, G ,. , O.1`'i,d q''47,174.';'' ...(5As (MC'rF)' + Y.pj+ 1rgP 44 ..41 ,& . '_+l + y ,i ts 41 . .. .�. _ _ y } •1, �1F •1� , 't t �,.n yy Wi •1r 1 • $ /Mr "•Well Na l";'.7:7'61 (BbL)�.� 77,1'.71•17::;:: ',“2.-...;••••:::•2;`,:•:•r,":2- :•••::�' � r ( •, $ RI Gas (MCF) , t $ /(l r -,/' C ) " .P. ''C •, )(' + 1,..1 +-t w Z tSECOND RY;+TE9.1:1Af,2.1PI FECYsG41NgM63'NOD60F RRODUCTIONOR RECOVERY -0-,-;:.1....List toter production for the Year of all oil'$'gas saved,sold,.. : i I qn,lease alld�fla red or vented due to secondary,tertiary or recycling methods. 'Well No. •i Oil (Rbl )Y 1820 rt:• 1620 WItllette: 1820 H•-: f( 0,,-,::„..) $ 29. •30 /h: #K:10 Gas•IMGF1;, &$0X .:;.' w ;r P" ( 1 (i.:2 FAt;.iif�l / $ Jfvl Well No OII (Rol ):: . ] Jcj2 15)2 • - ` Scheetz • _ 53�a 1597. $ 29. •jUi1. ..,,+1 • [ Gas IMGF1 Rs., t ��,` C $ /t'„ qLp `t Well No OII (BUJ:,' , I. {_t. �I1_1 $ f : Gas IMF) "-'1•20.:'' 11 83. METHOD OF SECONDARY, TERTIARYOR RECYCLING REOVERY (i.e. water injection, CO2 injection, etc.). WBII No. i :4later XI1J BC t�.btl ..wan No • well No. _ ;''Cillette // .•7, : `�� . .. -, -- is '' • ,ivIENT EXEMPT IONS IIEUUEST• 'Attach separate sheet if necessary), ,ripiions are limited to the fractional int, .,t owned by the Federal Government, the Statn of Colorado,counties, cities, towns,municipal corporations, tribal councils or other government organizations within the State of Colorado. • Nerve of Government No.& loyal Description Organization Owning Interest • Fractional Address Interest Owned • Total Production: Exempt: Taxable: - !S/Barrel or MCF: D. LISTING OF REAL PROPERTY ' • List below or attach a separate sheet listing buildings, fixtures and leasehold improvements constructed or installed the previous year. This list shall include the description and location of the property, the date of installation, the original installed cost, and any additions since original installation. , . ''c:8ulidings,Fixtures and Leasehold Improvements Description and Location Date of Installed Cost Additions Since Original Installation Instsllatlon 3 - 300 Bbl tanks . - ' 2-4'00 Bbl tanks ` 1953 `l -' 'Lufkin 228 Pumping Unit ' 1953 • - • - .•'lt'- American '4.56 pumping Unit - - 1975 . • 2 ' 6'• X 20',Heater Treaters {National) ` ':'• 1953 —• - Una nrCrnund system far i njectti ng water into _- 1�4 ' • Gill�t�� _? ' .. E:'LISTING OF PERSONAL PROPERTY �, — ----•-•--'-;;; ;--, _ _ ------------ Furnish a complete listing of all property,Additions and deletions may be listed if a complete listing has been previously filed with the Assess° . x; r r0r"Oascr• lAtlon • ";:;r;'= (,;"•-ti,Y �:; ''' ''Model or Year Date Acquired'. Qrl91na1 �.. Estimate Estimator + •, ,. Capacity Mfg. New Used Installed Cost: Physical • iguail lnr ..(1),List Persbrial,Propertyacquired during previous.year•.(Attach separate sheet if necessary). •: . • Condition Uselul r; .11" +:':i ,..•I:a;:_r3.1': . .. ,_r.,+C s:r In Years s i• , 11rRLt' �a±.�+t % r� .'+,,.•.•r:�- n•ti�s, '! r.. • , ,. . 1•. sat 'I•.. .1 v.. ':. �,i, - , °'a:.-y' .!r!ti �>:t ••T:?r s, • (2) List Personal Property sold,traded,or permanently disposed of during previous year. (Attach separate sheet.if.necessary), — t A - . .. {3) List ALL Mobile Equipment lindieete licensed or nonaieensed and show etirrent tic/tag no. (Attach separate sheet if necessary). • -'• !•,;F•: ;,.:,,,Lit, ,- ::i .:c• •\ s:.•:,..F .i ' ' ,x,':11,.1"`, i rt!l. `j� il�.i'a ri1;. .1� �\ ,. .. NOTE::!The cost, description and year acquired data must be furnished above for those fully depreciated assets still in ust F. LEASED, LOANED,OR RENTED PROPERTY {Furniture,Signs,Etc.) (Declare Property Owned By Others Here.) Did you have in your possession on January 1st any leased,loaned,or rented machinery or equipment,or furniture and fixtures, signs,vending: machines,etc? YES ' -NO '`)e. If yes,list below showing description of this property and name and address of owners. r'Y Name and Address of Owner ''i °"' r `' -•`•� t Year Current Cost or — ` ,;. :Description y r. Model/Serial No, Mfg. GSA Llal Price Year Installed Total Yearly R• •1 - t g . • t. r: . ,r' , ' H.i t, 1 , 0 r Please furnish details of purchase or maintenance options. t ,g . i __ _ • - ---- • • t _ - G.PURCHASERS STATEMENT • List names and addresses of purchasers of oil and gas products. Getty Trading & . Co.•i:. =Tratlsp Address P.O. Box 5568 T.A. Quantity • Colorado 802 -5568 .il ,5d , I:; I,L <_ r,1eLl: I u'1 ( , r RANCIS M.LOUSTALET FAX RETAIN THIS BILL Fr- YOUR FILES. `LD COUNTY TREASURER ".:TA.NO; P. BOX 458 GREE 80647 4'792-t: LEASEHOLD INT NIA4 R 2 .4 96'1 & N1.44/SE4 . PHONE: 356--40004000 •18350 -� 9 9 61 (I<E:OfA l.lidI1 ) PEPPER 1iNIK CO C `';'DAACELNUMBEN ,'.�11JIt NO. DSTOOL 1!p 46504000001 O f 1... 1 .:.k.50 RE 1 2 '..VALUATIciNI4; ",v 7 .•. LAND''.+ . IMPs:ort pER4 , . ;6 .r LEVY:', . GENERAL,,':\. , SCIi00L ,: ., WATER DIST. '74 . `�'E:30 "l'4 , 980 68 .670 1 . 302..3 ,0 3 3 . 5037 ;.vr.tbWNd,P.,w. is=-PERE bISt:; , , s:'$AN:Wan; ,,,'JR.coELEG> - DGED:oil wArER, ., . "i SPECIAL, , , ,.I �— ;343. 48 �. — PAID BY CLERK / /198 AMOUNT 1ST HALF "'"' ^> 574.44 2ND HALF 2 . 574 .44 PEPPER TANK CO TOTAL - 5 . 148 .88 P (.) }7l.)X, 1431 . PENALTY&COSTS .•';,,+. - . ... DENVER COLO 80201 i ' y ,M E,�U ,y'S •t -) '� T �` F 3^ CHECKS& DRAFTS ACCEPTED TOTAL AMT. • 'IES WIT} s{� Id SUBJE CT TO COLLECTED eI WII�'TAIV`,tlj'yl.'i1e t,t11�1 I �... FINAL PAYMENT ONLY i.YOUR CANCELLED CHECK IS YOUR BEST RECEIPT -IF YOU NEED OUR RECEIPT PLEASE CHECK HERE n 1983 TAX NOTICE i j MAKE CHECKS PAYABLE TO - ` ✓ IF LOAN COMPANY IS RESPONSIBLE FOR THIS FRANCIS M.LOUSTALET TAX,RETAIN THIS BILL FOR YOUR FILES. WELD COUNTY TREASURER TR,NO. . „ „ .P.O.BOX 458 GREE LEY,CO 80632 .,a:I " 1 r SEC,. ". 4_. ,;,9,;;f5.1 "Sl=(.: ,9 ...9 ' 61 '� .i PHONE: 356-4000 . . 8349 " .. OL r VAncEL'NUM6EN UNIT No. SCHO DIST.NO. :,.,VALUATION,-,.-, LAND: . ; : IMPs.Ott'in.-,, , LEVY , GENERAL, SGHOoL WATER DIST. 1 '7, 81 0 1 7 , 01 0) 68.670) 30)9 . 34 032. 0)9 .v.,itiNN .• .- .' Flat Dist: SAN.Dist. ,. .: JR.coLLEOE'.:' , Dotb:DRwAtEn SPEciAL -- ---..-__ 81 .59 PER SON AI_ r'R1.1EiE.RIY PAID BY CLERK / /198 AMOUNT 1ST HALF 611 .':i1 2ND HALF 6'11 `≥1 P'r::P'P•Efi TANK CO � TOTAL 1 ?3 , i)2 P O E `/, 14.31 1)12:i CZ 4-1°N.201PENALTY&COSTS j '•lVf: r I;; Cf:)80i ?0)'1 f L1 3 L�1+u 1410 dill '1771 f:C CHECKS& DRAFTSACCEPTED TOTAL AMT. , ) "'.fz SUBJT TO COLLECTED k —,. A.g. r_ �.liulai 11 1 " 1 III ..,.. FINAL PAYMENT ONLY L'� n1 ,l .mac_ YOUR CANCELLED CHECK IS YOUR BEST RECEIPT —IF YOU NEED OUR RECEIPT PLEASE CHECK HERE t n 77.7.11 a OFFICE OF THE COUNTY THEA`iIJ1 6F? (/ �'r ° •`'r}pp Yt FRADiG15 R5.LOUSTA LET r �� i +s r P n ) Q(y�P�``'��'�� COUNTY TREASURER 0 tl I 1 (1,,,,T C�,�t,t. 1 • �" r VIRGINIA FAGCHRCRG �F• as^'^� .� c �� r �� t DEPUTY fi}t "I �;ff f i r ',?g C. i. r- D{c\LN ��C, s PHONE(303)356-4000 LYL 4459 sinrh� EE0.,, 1p'. { C„.." i� ;I I P Q HGX 458 -� S� 4;s� �� t�1�,. �, ,r" GREELEY.CGLCR.4DO 80532 t. _ " C9 C OL Cal ADO NOTICE OF SALE By virtue of a distraint warrant issued by me on the 2nd day of December 19 85 and executed on December 2, 19 85 for non-payment of taxes, by levying upon and taking into my possession the property of Pepper Tank Company herein described Pepper Tank Company - P. 0. Box 1431 - Denver, Colorado 80201 . That, by virtue of the authority conferred upon me by statute, I will sell at public auction said property, located at Sec 4 9 61 & Sec 9 9 61 , on the 18th day of March 19 86 at 10:00 to the highest bidder. Sale will be held at the office of the Weld County Treasurer. All Personal Property and operators interest into all lease- hold production. 1 - 1953 Pimping Unit 1 - 1975 Pumping Unit 5 - Tanks (3.12 x 15 & 2.12 x 20) with stairways & catwalks 2 - 1953 heaters 6 x 20 vert. 1 - meter shed 16 x 16 1 - water well (tank with pump and stairway) Terms of sale: Cash Dated at Greeley, Colorado this ` day of � ,.,--4, 19 (r4 --c�� - .L�,�.1.«.{.-, z 7.--''� ._.._ .> Francis M. Loustalet Treasurer of Weld County 7 -'7 - - ii -- ---- STATE OF COLORADO, County of. _ _ _WJ7J) ._.. . . 1,.,. To . GARY PARKER — BAILIFF. 111311 u r r 14 r r r h g DirectAd and authorized to dist rein the Goods and Chattels of PEPPER TANK CO - P O BOX 1431 — _DENVER OD 80201 . . wherever they may he, found in this County, where. the PETPER TANK CO �h, • said. _.. resales, co, .,...., .,,• II ********I'IFr'EIIQ 1'IIUUSANll, EIGHT IIfINI)Ni:D SIX'L'Y-ONL II and _. SP/MT-SEVEN CEN'rs, being the amount of taxes and interevt assessed and levied n.g:litut il the said .PEPPER TANK CO __ . _ . _ for the _ I year.__.1984 & 1985 _. - _., together with all nere,tsary costs in and about the premiss, and ",t' _. i on Fall) amount, mi COmllllnnl011. 'MIS nhnll be your sufficient warrant for �, doing. t� -J-r,.. (�icrn under my h:uul and seal This _ ... .. �. _ N. ... due -11. _ . ., A. D. 10 y5.— L) --.-,e� . �. ;tirc.�, M V '�),,i�1.� C.. 0 411 110•:BSI ILPL'. STATE OP COLORADO, i County of_ _ _ . .wL4P - . . S ss I hill "Virtu I if the above V� nr.:;•II .4 Diffi, ss, i h;nv, on ow . . . . . " l . _, 'y of I ,isn L't. , \ 11. 14 fsr., Ldcrn as the prorrty of the ;Wove limited II 11 Illy following property, to-wit: li PERSONAL LEASFI IOLD 1 1984 TAXES $1,301.36 1984 TAXES $5,686.38 INIIItESl 84.59 IN SST 369.61 ADV FEE 1.00 ADV FEE 6.00 MILEAGE 25.00 TOTAL $6,061.99 I DISTRAINT FEE 15.00 I I TOTAL $1,426.95 I 1985 LEASEHOLD $7,107.79 i', �I 1985 PERSONAL GRAND 101'AL. $15,861.77 It WARN 1N_ ' $1,265.04 --- - i, I �1 No. 28726 'L.;10VAL OF TILL; 71U'I'n ry 'Oi: ANY PROPERTY IJNUEi2. 'i111S I)IS'1'h:Ai ;i : I' MILES T. GILLETTE, et al. , Plaintiffs .71THOUT COMPLIANCE. ()It DUE P9.'10E S vs' LONSI'ITUTES A bREFCH OF THE. LA.,.: I. ' PEPPER TANK COMPANY, et al. , . IIIID IS SUBJECT 1'0 A F1111'. Atli) oR Defendants IMPRISONMENT . tl,.. ' $ ,,,00 l $'line un $I.000 00 $I On 00 I . \� v i 9 F_ ro t � 1, c , ( _. GP.I2Y PARKER ✓ gr �._� c WELD COUNTY TR[ilillf;`R' LAILIFF if TAX COL LECTOh 3 5-^.000 EXT. 4133 DEC 12 1985 CHARLES A. UNDERWOOD LAND/MINERALS P.O Box 9295 Englewood. CO. 80111 (303) 779-0689 January 14 , 1991 Mr. Francis M. Loustalet Weld County Treasurer P .O . Box 458 Greeley , Colorado 80632-0458 Dear Mr . Loustalet : Will you please furnish me with copies of the Weld County Tax Statements that were sent to the Pepper Tank Company covering the Keota Unit , being the S/2 Sec . 4 and E/2 Sec . 9-9N-61W, Weld County, Colorado for the years 1976 , 1977 , 1978 , 1979 , 1980 , 1981 , 1982 , 1983 , and 1984 . I would also like to receive all tax statements sent to Powder Exploration , Inc . for 1985 , 1986 , 1987 , 1988 , and 1989 for the Keota Unit of Weld County, Colorado and for the #1 Scheetz well located in the NW. /4 NE/4 Sec . 9-9N-61W. In the event the requested Tax Statements from your office to the aforesaid parties ( Pepper Tank Company and Powder Exploration) for the years stated are not available to me , please advise me in writing the reasons for same . Thank you for your assistance . Sincerely � A a, O. Charles A. Underwood Z - g OFFICE OF WELD COUNTY ASSESSOR PHONE(303)366-4000, T. 4256 916 10TH STREET GREELEY, COLORADO 60631 I COLORADO November 19, 1990 Mr. Charles A. Underwood P. O. Box 9295 Englewood, Colorado 80111 Dear Mr. Underwood: As per your request, please find enclosed copies of (10) ten Real and Personal Property Declaration Schedules for years 1985 through 1990 and (1) one computer print-out for the year 1986. Total charge is $2.75. Please make check payable to Weld County Assessor. Sincerely, f\\ Vera M. Hoff Oil & Mineral Dept. V Encls. Z. - 1 a re OFFICE OF WELD COUNTY ASSESSOR PHONE(303) 356.4000, T. 4256 B1$ 10TH STREET GREELEY, COLORADO 80$31 11 C. COLORADO January 21, 1991 Mr. Charles A. Underwood P. O. Box 9295 Englewood, Colorado 80111 Dear Mr. Underwood: Reference is made to your letter of January 5th, 1991, in which you request copies of Real and Personal Property Declaration Schedules for the years 1976, 1977, 1978, 1979, 1980, 1981, 1982, 1983 and 1984. We have sent copies to you of all declarations available. By law, we are not required to keep records of this type for a period of more than six years + current. Sincerely, \�, �to..9_.� '` Y'�c Vera M. Hoff Oil & Mineral Dept. V cc: Warren Lasell Z - lo 15 DPT-AD Form DS-658 61.85 • State of Colorado 1985 OIL AND GAS REAL AND PERSONAL PROPERTY Assessment Date.:; Due Date DECLARATION SCHEDULE " • January 1 • April 15 County CONFIDENTIAL DATA" MAIL TO COUNTY ASSESSOR • YOU MUST FILE EVERY YEAR REGARDLESS IF ANY. ADDITIONS OR DELETIONS WERE MADE. B.A.CODE T.A.CODE SCHEDULE NUMBER CHANGE OF NAME AND/OR ADDRESS A. NAME AND ADDRESS(INDICATE ANY CHANGES) �.� �� -.7:. Code NOT USE - FOR ASSESSOR ONLY Code Description Acres Actual Value % Assessed Value . O • Ni• 1`\ �\ 7110 Primary Prod. $ 87% $ `"! 7120 Secondary Prod. 75 • 72 Improvements 29 LOCATION OF PROPERTIES (INDICATE ANY CHANGES OR ADDITIONS) ..%C4t. - - \ '\1�f•ti-\.,--) 74 Aachii rvrn.& 29 ` .--'Z. --C\ !\.3` (7am" ---Ck ! Z) RECEIVED TOTALS $ APPROVED g • ' LEASE NAME OR LEGAL DESCRIPTION COMPLETED ABSTRACT CHGS. • LATE FILING PENALTY APPLIED YES ❑ NO❑ B. Date Business Started Type of Product or Service (in County) Corp.❑ Partnership❑ Individual ❑ Other ❑ Name and Address of Previous Ovvners: STATUS OF PROPERTY (Please Check the Appropriate Box) ❑NEW BUSINESS OR ❑NEW OWNER(S)(You MUST ATTACH a complete itemized listing of all your property, 1. Is this the organization's first return? ❑ Yes ❑ No C. INVENTORY OF WELLS Total No.Wells indicate whether well No. Type Depth Year Drilled You Are: Total No.Acres ❑Operator of the Lease , ❑Owner of the Leasehold List Fractional Interest of Operator % ❑Owner of the Land PLEASE INDICATE THE LIFE OF THE OIL AND GAS RESERVE IN YEARS UNDER THE CURRENT PRODUCTION RATE YRS. D. PRODUCTION REPORT FOR PREVIOUS YEAR Furnish primary production in section D-1 and secondary production in section D-2 Di. PRIMARY PRODUCTION OR RECOVERY • Total Transported from ReyyaltY livered'Royalty-Delivered Total Taxable Average Price At Produced CBI A Cas Only As Product Only Welf Heaaa or premis(C�nsold (Ex Suasion) (Exc�E�ion) 1F) Field Prlcs (A) (B+C-Dloral (G) Well No. Oil (Bbl.) $ /bbl Gas (MCF) � _‘ht- • Cj.14-.py.n---k lyutk•- • S /MCF well No. Oil (Bbl.) a`J�O 0.k..... . --Nrcya \CV:1/4y 1\.. .,,A) � �6 1 rt"'I -c-% $ /MCF Gas (MCF) Well No. Oil (Bbl.) $ /bbl Gas (MCF) $ /MCF 02. SECONDARY, TERTIARY OR RECYCLING METHODS OF PRODUCTION OR RECOVERY $ /bbl Gas (MCF)We11 No. Oil ( \�� `��..iL (a c�C\ ,r) $ /MCF 1 Well No. Oil (Bbl.) $ /bbl Gas (MCF) '-'5., : $ /MCF Well No. Oil (Bbl.) ��' '- ' ' $ /bbl Gas (MCF) $ /MCF . D3, METHOD OF SECONDARY, TERTIARY OR RECYCLING RECOVERY, (i.e.water injection, CO2 injection, etc.). Well No. Well No. Well No. E. ASSESSMENT EXEMPTIONS REQUEST: (Attach separate sheet if necessary.) i Exemptions are limited to the fractional interest owned by the Federal Government,the State of Colorado,counties,cities,towns,municipal corporations,tribal councils or other government organizations within the Stat lorado. Name of Government Fractional Lease No.Ik Legal Description Organization Owning Interest Z--t I Address Interest Owned Total Production: I Exempt: 'Taxable: I S/Barrel or MCP: . LISTING OF REAL PROPERTY List below or attach a separate sheet listing bu,..,ings,fixtures and leasehold improvements co. .rutted or installed the previous year. This list shall include the description and location of the property, the date of installation, the original installed cost, and any additions since original installation. - Date of Installed Cost Additions Sine Original allati Buildings,Fixtures and Leasehold Improvements Description and Location Installation G. LISTING OF PERSONAL PROPERTY • F Jrnish a complete listing of all property.Additions and deletions may be listed if a complete listing has been previously filed with the assessor. i Date Acquired Estimated Model or Year Original Estimate Estimated Remainingted ` Item Description Capacity Mfg. New Used Installed Cost physical � ' � No. - - Condition Useful Life I. In Years 1) List Personal Property acquired during previous year. (Attach separate sheet if necessary.) (21 List Personal Property sold,traded, or permanently disposed of during previous year. (Attach separate sheet if necessary.) (3) List ALL Mobile Equipment (non-licensed). Attach separate sheet if necessary. 11 !NOTE: The cost, description and year acquired data must be furnished above for those fully depreciated assets still in use. 1 H. DEPRECIATION SCHEDULE (Furnish Information or Attach most current Copy of Federal Depreciation Schedule) { a. Group and guideline class b. Date c. Cost or d. Depreciation e. Method of f. Life or g. Depreciation for allowed or allowable computing rate this year or description of property acquired other basis in prior years depreciation I - j - I , � - $ 1 Cost of other fully depreciated assets still in use. $ Total depreciation 1. LEASED,LOANED,OR RENTED PROPERTY (Furniture, Signs, Etc.) (Declare Property Owned By Others Here.) Did you have in your possession on January 1st any leased, loaned,rented machinery,equipment,or furniture,fixtures,signs,vending machines, etc.? ❑ YES ❑ NO If yes, list below showing description of this property and name and address of owners. • Description Model/Serial No. Year Current Cost or Year Installed Total Yearly Rent Name and Address of Owner/Lessor Mtg. GSA List Price Please furnish details of purchase or maintenance options. J. PURCHASER'S STATEMENT • List names and addresses of purchasers of oil and gas products.Attach separate sheet if necessaryAddress Quantity Name 1 i K. DECLARATION THIS RETURN IS SUBJECT TO AUDIT. "I declare,under penalty of perjury in the second degree,that this schedule,together with any accompanying exhibits or statements,has been examined by me and to the best of my knowledge,information,and belief,sets forth a full and complete list of all taxable personal property owned by me or in my posses- s.on, or under my control, located in this county in Colorado on the assessment date of this year;that such or property val has been reasonably 395n described and its value fairly represented;and that no attempt has been made to mislead the assessor as to its age,quality,quantity i - SIGNATURE OF OWNER OR AGENT , DATE NAME OF OWNER PHONE NUMBER PP+NT NAME OE PERSON SIGNING PLEASE COMPLETE,SIGN AND RETURN TO THE AS F95QR QN OR BEFORE_ APRIL 15 1990 WELD C C)►.1 i l.l ..r' ASSESSOR A T:E i:'i i•l f:i;:6 . _•P L:R :f:1i*TAI_• G'R O P E::E T Y MAINTENANCE MENU _....... -- A)P:I N 0015'353 7't)E Ei::EC:T ASSt• T YES 1990 C i REi•ialRK S DATE . Mi'•iI)DY `r::r' I))FAST TRACK K MENU .I:I) : E'L OC: .1•if::NU F l.)i•'lC T.'ist:li''1S............................................................ ! ............141:::1!t!:1:RED DATA——— —OPTIONAL T:I:l:1NF1L DATA— PF 1 : PERSONAL RSONAL PROPERTY I•Y ADD I X; E:•!::':> : PERSONAL. PI;f:f! :Eti'.T'.Y.....1!.l'1>A r'E:: I r1 .._..._....X) . . • .. ... ..• P{::3 : PERSONAL RSC)i`1F•'L PROPERTY INACT/DE:I...I:::'TE: # t°', Xt PF4 : PERSONAL PROPERTY REACTIVATE I•:'F : PE::R,°:'ONr'L . PRt:1PE TY. r)ETAl:I._E UPDATE I r't .. . . I'i:.h : PERSONAL PROPERTY :I:NQ1.1:I:R`i PF r : PERSONAL PROPERTY l)1:::'TA:I:L_,:a BROWSE I A I: .I::l::•#:#..._PROP.L.F:'S_�C P I:79 : EMARK S AI)D . . A I.:_: C:;:'.` _ . ... ..::.:....::.. I.,I.. i ;.) . REMARKS I�icrala.�E:. A I Cs' P 1 1 : Ftt)!'INIS7:Et `:i IVE..MfYNL1.......... ... . : _ E'E 1 ,:) : E'AS'T TRACK I) Y I'A:;.'. : ASSESSOR MAIN MENU — _ _. - t C;i...l:::r-R: S.I.f:;N _C1FF...(•'s.,.aS1:::S.. l::_ S r:f E::ii _.... I..._...... _...... ... ._._.._.. ..... E::N'TE::R : PAGE: ON 0_ . t..�Af•`.i�El..:..-1:NS:,Ll:!:Ii`r Air_� 1:_913��>; _.:....:F`t.C.f.:l_iV.4?._=_... ._.... ..._. TN : �;).?r:)...,c;06 ��nr',': r.�<<r:i[l{-)4)0 041 I...F�ET UPI)ATE: 4�izir'�:`ra:''S ':�S{rya I''I.�:E'E�'I:::f 'TAN K CO ACTIVE ON : 09/16/1986 MAP:I I=' 0 BOX 143i i DENVER CO 80201 VAX AREA 1204 .082608 1986 DATE LAST ASSESS 05/15/1986 ..A :'T ASSESS I...ANI) 143870 LAST ASSESS BLDGS 0 TOTAL LAST . ASSESS :..... .. . ... ....:.i 4 9R;"�'4;� '. 1 ' CL 143870 . PRIOR YEAR ASSESS 0 TOT LAND 0 REC DT DEED TP NUMBER. .. Irt O L ._....___.---._._ ...... _ _...r__......._ _ _... . ..... . _ DUC FEE 0.00 LEASE 4792—C I...EASE1•lcll..t).. :E N T:._.i'.1W4 ..'fir S2 4 9 61 & .. ....... .. .... ... TOT B LI)i:Y,S� .. _.....0.. ._.. .. i•1W<i.'SI`:4 9 9 61 (KI:OTA UNIT) PEPPER TANK CO TOTAL.. ',rAl_UI= 0 P F 3 : E•ARCE::!_. PROFILE MENU E:'E:'-1—NEXT PAf';t::EL_ PFi 1 : MEi:NU INQUIRE : _TAI:::4—OWNERS_...- --..._._.... —T._......_....f''E_':>:._f...l:::fYfll:::S....__ .._T_._._._..._.._. -..I::,I-ta__DOC 1.1 _I- I S;T. MESSAGE : PARCEL INACTIVE !'AfEC TP : 0 PARCEL INQUIRY A,SSM-T 044}7caflt)..._:..._. i'(-.1.Rf.::-=---- 04.65040000.01 ____ Ki.i. ... :._::�.n 1Z.r...I.I1':4�..�.. ... ._... .(?S,!1."x.'1.t�'f:;'� . POWDER EXPLORATION INC ACTIVE ON : 09%16:j19#:1::, INACTIVE ON : 05/14/1907 1560 BROADWAY SI,1ITE. 1050 DENVER " CO 002.02 .r..r':,X ARE:A i ;.:!0 4 .,0 x'8696 i try 6'7 :t){:7..1.1::: LAST ASSESS LAST ASSESS LAND LAST ASSESS BLOGS 0 TOTAL LAST ASSESS 0 PRIOR OR YEAR ASSE $S _.. . . . .. 143070 _ _ it REC DT DEED TP NUMBER WC1I... DOC FEE 0.00 LEASE ..: , : ::.. (:: LEASEHOLD .I:N {• L,II,,1.<., ,4 ,...:.. .t:} r 61 ,.. 'T'Ci'T' BI...A)i:',,:. 00_. SE:4 `,a '' to 1 (14I:::1:)T A UNIT ) POWDER EXE'I...f:lPA.T :I:l.N T 0 TAL VALUE 4) P F 3 : PARC;EI... PROFILE OE':I.I.,.I:': MENU I::.I::'•r'—NEXT E'ARCEI... E,I::'1 i : si1:::L•lU INQUIRE : 1:.,I_..t4—OWNERS I,F5—l...I:::f:;AI...S P1=;:a--I)OC;I.1 H:I:S'T MESSAGE - PARCEL -:l:P•dAC:'C:1;1rE - -. . "Z. Ill' •15,D,P o Form s 1 r REC►_IYED V State of Colorado 1987 ri�� ,u � 'sL5s0.3 S .J iGc OIL AND GAS 915 GR2ELEY,1 L1?c8063l..,, • . .... APIt:'i:j 'v.DECLARAT ON SCHL AND PERSONAL EDULE YY Assessment Date •' Due Date CONFIDENTIAL DATA January 1 , April 15 " N�t h County • •.- MAIL•TO COUNTY ASSESSOR. ASSESSOk'S °FigU MUST FILE EVERY YEAR REGARDLESS 1F ANY ADDITIONS OR WELD COUNisif DELETIONS WERE MADE. ' B.A.CODE t r1 T.A.CODE SCHEDULE NUMBER CHANGE OF NAME AN ADDRESS 51311 `a�.• --...4r-246 -1- V 012 245 � vo�Z,88 7 �.�-� �:. A. NAME AND ADDRESS(INDICATE ANY CHANGES) TI ..FCl~CEIA EXPLCRL.TIGN, IMC DO NOT USE - FOR ASSESSOR ONLY SCHE C T L 1 ' • Code Description Acres Actual Value % A d Value 7110 Primary Prod. $ 87%$ 156(1 13ROA MAY S�.ITE. 775 ENV Cri , 'CO 8023.2 • 7120 Secondary Prod. 75 72 Improvements 29 LOCATION OF PROPERTIES(INDICATE ANY.CHANGES OR ADDITIONS) 74 Machlnery n.6 29 ct>r�t►':'E 4 • 9 G; TOTALS $ $ If,::-.... ......... ••... RECEIVED APPROVED LEASE NAME OR LEGAL DESCRIPTION - . - COMPLETED ABSTRACT CHGS. LATE FILING PENALTY APPLIED YES ❑ NOD , _ (,, 8.-014 Business Started Type of Product or Service at. d'�, lin County) Corp.❑ Partnership❑ Individual ❑ Other❑ Name and Address of Previous Owners: STA?USOF PROPERTY{Please Check the Appropriate Box)` •.4 f ❑NEW BUSINESS OR ❑NEW OWNER(S)(You MUST.ATTACH a complete itemized listing of all your property. 1. 1s this the first return? ❑ Yes ❑ No ,,,.' 2. Was the well producing in 1984? ❑ Yes ❑ No C INVENTORY OF WELLS Q4,b s c9 Ct.-_ 0 o o , c) 1=5 b Total No.vvels ,^ Indicate whether well No.•• Type 1 Depth Year Drilled • You Aral . ,..: , Y.. e.. Total:No.Acres . Qq erator of the Lease• • ;I' 'v . List Fractional Interest f �wner of the Leasehold 'l Operator 4j,1�� ❑Owner of the Land; PLEASE INDICATE THE LIFE OF THE OIL AND GAS RESERVE IN YEARS UNDER THE CURRENT PRODUCTION RATE YRS. 0: PRODUCTION REPORT FOR PREVIOUS YEAR Furnish primary production in section D•1 and secondary production in section D•2 01. PRIMARY PRODUCTION OR RECOVERY Total Transported from Royaly-Re fired Royalty•Delivered Total Taxable gqveraga�� 1984 Soltl• '' A Cas Only As PProduct Only Priee at , I Head • .Produced premises unsold (F) or Field rice • ( xcluslon) (Exclusion) (q) fB1 (C) (D) (E) (e C-O(or E) (G) Well No* 1 Oil (Bbl.) ((900 Woo - '�J -2QC' • 400 $ 1 ,. l9bl .-F Gas (MCF) $ /MCF Well No. Oil (Bbl.) $ /bbl Gas (MCF) /MCF Well No. Oil (Bbl,) $ /bbl _ Gas (MCF) I $ /MCF , r 02.SECONDARY, TERTIARY OR RECYCLING METHODS OF PRODUCTION OR RECOVERY Well No. Oil (Bbl.) r$ /bbl • Gas (MCF) $ /MCF Well No'. Oil (Bbl.) • $ /bbl Gas (MCF) • $ /MCF r Well No.. Oil (Bbl.) • $ /bbl Gas (MCF) $ /MCF D3. METHOD OF SECONDARY, TERTIARY OR RECYCLING RECOVERY, (i.e. water injection, CO2injection,etc.). Well No. Well No. 'Wall No. • E. ASSESSMENT EXEMPTIONS REQUEST: (Attach separate sheet if necessary.) Exemptions are limited to the fractional interest owned by the Federal Government,the State of Colorado,counties,cities,towns,municipal corporations, tribal councils or other government organizations within the State of Colorado. j(Name of Government 1 �1�� Interest ' Lease No. & Legal Description Organization Owning Interest ' a� ) 3 Address Owned . r `Total Production: 1 Exempt: - 'Taxable: I$/Barrel or MCF: Icon n<<-tn.- .ie,n 1 F. LISTIK.. - REAL PROPERTY List below or attach a separate sheet listing buildings, fixtures and leasehold irnprovements constructed or installed the previous year,, ibis list shall include the description and location of the property, the date of installation, the original installed cost,and any additions since i original installation. Additions Since Original Date of tnstalled Cost Installation Buildings,Fixtures and Leasehold Improvements Oeseriptlon and Location Installation • i i I G. LISTING OF PERSONAL PROPERTY Furnish a complete listing of all property.Additions and deletions may be listed if a complete listing has been previously filed with the assessor.' Year Date Acquired Original Estimate ',A Estimated Model or Remaining I Item I Description Capacity Mfg New I Used Installed Cott y • physical Useful Life I No. Condition - to Yearn ; (1) List Personal Property acquired during previous year. (Attach separate sheet if necessary.) (2) List Personal Property sold,traded, or permanently disposed of during previous year. (Attach separate sheet if necessary.) i • l ' i3) List ALL Mobile Equipment. Attach separate sheet if necessary. ' I • (NOTE: The cost,description and year acquired data must be furnished above for those fully depreciated assets still in use. H. DEPRECIATION SCHEDULE (Furnish Information or Attach most current Copy of Federal Depreciation Schedule) 1 a. Group and guideline class D. Date c. Cost or d. Depreciation e. Method of I. Life or g. Depreciation for acquired ether basis allowed or allowable computing rate this year of description of property in prior years depreciation 11 __...., Cost of other fully depreciated assets still in use. $ Total depreciation I. LEASED, LOANED,OR RENTED PROPERTY (Furniture,Signs, Etc.) (Declare Property Owned By Others Here.) have in our possession on January 1st any leased, loaned, rented machinery,equipment,or furniture,fixtures,signs,vending Did you y i machines,etc.? ❑ YES ❑ NO If yes, list below showing description of this property and name and address of owners. Year Current Cost or Year Installed Total Yearly Rent Name and Address of Owner/Lessor Description Model/Serial No. Mfg. _ GSA List Price ' , . I t Please furnish details of purchase or maintenance options. • IJ. PURCHASER'S STATEMENT List names and addresses of purchasers of oil and gas products. Attach separate sheet if necessaryAddress Quantity Name K. DECLARATION THIS RETURN IS SUBJECT TO AUDIT. "I declare,under penalty of perjury in the second degree,that this schedule,together with any accompanying exhibits or statements.l-3s been examined by me and to the best of my knowledge,information,and belief,sets forth a full and complete list of all taxable personal property owned o', ve or in bed end e or in my eta sion, or under my control, located in this county in Colorado on the assessment date of this year;that such property has been value fairly represented:and that no attempt has been made to mislead the assessor as to its age,quality,quantity or value." CRS 5.107(21 SIGNATURE OF OWNER OR AGENT DATE i NAME OF OWNER PHONE NUPJIBER ==i1^!� r;;r7c '1G F�ll':)rd ctrl�t�iG_.._ _ -------. _ ... .._ 15 DPT-Ap Form DS-658 61-88 11E .-......... :v State of Colorado b r)o ci OIL AND GAS kpR 14 Is , REAL AND PERSONAL PROI _IiTY Assessment Date Due Date DECLARATION SCHEDULE January 1 • ' April.15 CONFIDENTIAL DATA wg�n County A�gE;;;; 5 pFFIG6' YOU MUST FILE EVERY YEAR REGARDLESS IF ANY ADDITIONS OR MAIL TO COUNTY ASSESSOR Cp(}jl�"r DELETIONS WERE MADE. B.A.CODE T.A.CODE SCHEDULE NUMBER CHANGE OF NAME AND/OR ADDRESS • ' ' ' 51311 1200 0012245 ..4! . O�C)k % %,.‘, . A NAME AND ADDRESS(INDICATE ANY CHANGES) _ Powder Exploration DO NOT.USE - FOR ASSESSOR ONLY Code Description Acres Actual Value % A d Value C/0 Anne G. Kremer 87v�$ 5285 S. Washington St. 7110 Primary Prod. $ 7 Littleton, Colorado 80121 7120 Secondary Prod. 72 Improvements 29 LOCATION OF PROPERTIES(INDICATE ANY CHANGES OR ADDITIONS) NW/4-9—T9N—R61W,' 4—T9N—R.61W 74 MdcrPinorrn.a 29 . TOTALS $ • $• - Scheetz #1 RECEIVED APPROVED LEASE NAME OR LEGAL DESCRIPTION- COMPLETED ABSTRACT CHGS. Scheetz #1, LATE FILING PENALTY APPLIED YES ❑ NO❑ {in County) Corp,❑ Partnership❑ Individual (1=1 Other ElB. Date Business Started Type of Product or Service Name and Address of Previous Owners: STATUS OF PROPERTY (Please Check the Appropriate Box) ❑NEW BUSINESS OR O NEW OWNERIS)(You MUST ATTACH a complete itemized listing of all your property. 1. 1s this the first return? ❑ Yes ® No C. INVENTORY OF WELLS Type Depth Year Drilled Total No.Wells Indicate whether well No. 1 You Are: Total No.Acres 40 ®Operator of the Lease ❑Owner of the Leasehold List Fractional Interest of Operator 36 % ❑Owner of the Land PLEASE INDICATE THE LIFE OF THE OIL AND OUS YEAR S RESERVE Furnish primary p od cltion n section 0-11 and secondary produDER THE CURRENT PRODUCTION ct on in section D-2 D. PRODUCTION REPORT FOR PREVI D1. PRIMARY PRODUCTION OR RECOVERY _ Avers9 teen Transported from "Aysity-Relivered Royalty ctiOnly Total Taxable pace at well Head Total 5atd premises unsoltl AsCas Only As Product Only (F) or Field Price ` Produced 3 (B) (C) (Ex(Exclusion) (Exe�E�ion) (B+C.D(orE) $ 1�)f33 (A) 1895 bbl Well No. ` Oii (Bbl.) 1802 1895 0 �$ /MCF Gas (MCF) $ /bbl Well No. Oil (Bbl.) $ /MCF Gas (MCF) $ /bbl Well No. Oil (Bbl.) ,$ /MCF Gas (MCF) D2..SECONDARY,TERTIARY OR RECYCLING METHODS OF PRODUCTION OR RECOVERY $ /bbl Well No. Oil (Bbl.) - - $ /MCF Gas (MCF) - $ /bbl Well No. Oil (Bbl.) $ /MCF Gas (MCF) - $ /bbl_ Well No. Oil (Bbl.) _ $ /MCF Gas (MCF) D3. METHOD OF SECONDARY,TERTIARY OR RECYCLING RECOVERY, (i.e.water injection,CO2 injection, etc.). `�,- rell No. Well No. Well No%Os f s-��t�. ._ E. ASSESSMENT EXEMPTIONS REQUEST: (Attach separate sheet if necessary.) Exemptions are limited to the fractional interest owned by the Federal Government,the State of Colorado,counties,cities,towns,municipal corporations,tribal councils or other government organizations within the State of Colorado. Fractional Name of Government es.1� Address Interest Owned Lease No.& Legal Description Organization Owning Interest . 1Tow Production: • Exempt: Taxable: S/Barrel or MCF: pc-+_tpn+?i-i15 CO°Y {�Q� Cth�r siCle.) F. LISTING OF REAL PROPERTY List belovv or attach a separate sheet listing _uildings, fixtures and leasehold improvements ,nstructed or installed the previous year.This list shall include the description and location of the property, the date of installation, the original installed cost, and any additions since original installation. Date of Additions Since Original Buildings,Fixtures and Leasehold Improvements Description and Location installed Cost - f Installation Installation G. LISTING OF PERSONAL PROPERTY Furnish a complete listing of all property.Additions and deletions may be listed if a complete listing has been previously filed with the assessor. Item Model or Year Date Acquired Original • Estimated No Description Capacity Mfg. .Installed Cost Estimate • Remaining New I Used Physical -• Useful Life 11) List Personal Property acquired during previous year. (Attach separate sheet if necessary.) •Condition ' In Years NO CHANGE • J (2) List Personal Property sold, traded, or permanently disposed of during previous year. (Attach separate sheet if necessary.) . • (3) List ALL Mobile Equipment. Attach separate sheet if necessary. • NOTE: The cost, description and year acquired data must be furnished above for those fully depreciated assets still in use. H. DEPRECIATION SCHEDULE (Furnish Information or Attach most current Copy of Federal Depreciation Schedule) a. Group and guideline class b. Date c. Cost or d. Depreciation e. Method of f. Life or 9. Depreciation for or description of property acdueed other basis allowed or allowable com outing rate this year In prior years depreciation $ Cost of other fully depreciated assets still in use, $ Total depreciation ' I. LEASED, LOANED,OR RENTED PROPERTY (Furniture, Signs, Etc.) (Declare Property Owned By Others Here.) Did you have in your possession on January 1st any leased, loaned, rented machinery, equipment, or furniture,fixtures, signs,vending • - machines, etc.? ❑ YES ❑ NO if yes, list below showing description of this property and name and address of o::`a Name and Address of Owner/Lessor Description Modevs„ial No. Year Current Cost Mfg. GSA List P I e! Year Installed 'T>: .*'early Rent Please furnish details of purchase or maintenance options. J. PURCHASER'S STATEMENT List names and addresses of purchasers of oil and gas products. Attach separate sheet if necessary. Name Address Quantity Enron Oil Trading & Transportation Company 350 N. Belt E. , Ste 201 1895Bb1s Houston, TX 77060 K. DECLARATION THIS RETURN IS SUBJECT TO AUDIT. "I declare, under penalty of perjury in the second degree,that this schedule,together with any accompanying exhibits or statements,has been examined by me and to the best of my knowledge,information,and belief,sets forth a full and complete list of all taxable personal property owned by me or in my posses- sion, or under my control, located in this county in Colorado on the assessment date of this year;that such property has been reasonably described and its value fairly represented;and that no attempt ha een made to misl the a ss ssor as to its age,quality,quantity or value." CRS 39.5.10712) SIGNATURE OF OWNER OR AGENT /‘.e_ 1. G�15 NAME OF OWNER POO Deg. 11-A-TON f LUC . GATE PRINT NAME OF PERSON SIGNING Anne G. Kremer PHONE NUMBER 303-781. 705 PLEASE COMPLETE,SIGN AND RETURN TO THE ASSESSOR ON OR BEFORE APRIL 15 1 1 pPT- orm DS$58 61 •89 l .-EIVED State of Colorado ggg 1 AD Assessor s Office, .� OIL AND GAS 915 1Oth Street REAL AND PERSONAL PROPERTY Assessment Date Due Date ,i DECLARATION SCHEDULE ,January 1 April 15 Greeley, CA�.Orac oung0631 MAR2 1 X89 CONFIDENTIAL DATA MMlO-40 COUNTY ASSESSOR YOU MUST FILE EVERY YEAR REGARDLESS IF ANY ADDITIONS OR A55E550K'5 OFFICE DELETIONS WERE MADE. c©©'�g}il! B.A.CODE T. .CODE SNOWDULE NUMBER CHANGE OF NAME AND/OR ADDRESS `'lam /:.;D 1/ / -mod 0D37s' 6-9 A. NAME AND ADDR SS(INDICATE ANY CHANGES) DO NOT USE - FOR ASSESSOR ONLY Code Description Acres Actual Value % Assessed Value HEARTLAND Q� & GAS COMPANYY7110 Primary Prod. $ B7% $ 444 17th Street Suite 1O3O -7120 Secondary Prod. 75 Denver Co 80202 72 Improvements 29 t..1 .1:1-1.0NQFir8 ERTIES(INDICATE ANY CHANGES OR ADDITIONS) LV it y ql ' w. 74 ,Macninery n.6, 29 TOTALS $ eill1 l RECEIVED APPROVED LEASE NAME OR LEGAL DESCRIPTION COMPLETED ABSTRACT CHGS. �C11eetZ 14 LATE FILING PENALTY APPLIED YES ❑ NO❑ B. Date l3uiiness Started t YP 987.Type of Product or Service 01 1 (in County) Corp.® Partnership❑ Individual Ell Other O1—J t _ Name and Address of Previous Owners: . -STATUS OF PROPERTY (Please Ch7ck the Appropriate Box) , ... c. , . ❑NEW BUSINESS OR ❑-NEW OJNNERIS11You MUST ATTACH a complete itemized listing of ell your property. 1. Is this the first return? El Yes.' ❑ No l,G t C. INVENTORY OF WELLS w PO 9"life> Total No.Wells • 1 Indicate Whether Well Nn..._..._ Type Depth Year Drluad .._ _ "'Ares.. ... .#1 'Scheetz "J" Sandstone 7300' 1952 Total No.Acres ®Operator of the Lease List Fractional In�4go t of ❑Owner of the Leasehold Operator 4b.b % ❑Owner of the Land PLEASE INDICATE THE LIFE OF THE OIL AND GAS RESERVE IN YEARS UNDER THE CURRENT PRODUCTION RATE_5__YRS. D. PRODUCTION REPORT FOR PREVIOUS YEAR Furnish primary production in section D•1 and secondary production in section D-2 D1. PRIMARY PRODUCTION OR RECOVERY Average Total Sold Transported from Royalty livered Royalty-Delivered Total Taxable Price at Well dead „ Produced premises unsold PO,ash Only As�'roduct Only (F) or Field Price (A) (B) (C) Sp1lon) (ExeSEpion) (B+C-D(or E) (G1 Well No. Oil (Bbl.) 1547 1416 0 0 0 1 1416 $ 14.91 /bbl_ #1 Gas (MCF) 0 0 0 0 0 0 $ --- /MCF Well No. Oil (Bbl.) -7, ' $ /bbl $ /MCF Gas (MCF) $ /bbl Well No. Oil (Bbl.) _ $ /MCF _ Gas (MCF) D2. SECONDARY,TERTIARY OR RECYCLING METHODS OF PRODUCTION OR RECOVERY $ /bbl Well No. Oil (Bbl.) $ )MCF Gas (MCF) / �{y9a $ /bbl well No. Oil (Bbl.) . $ /MCF Gas (MCF) c4VT /bbl Well No. Oil (Bbl.) _) `" ",r� �~$ L Gas (MCF) _ _ .$ /MCF_ D3, METHOD OF SECONDARY, TERTIARY OR RECYCLING RECOVERY, (i.e. water injection, CO2 injection, etc.). Well No. Well No. Well No. E. ASSESSMENT EXEMPTIONS REQUEST: (Attach separate sheet if necessary.) Exemptions are limited to the fractional interest owned by the Federal Government,the State of Colorado,counties,cities,towns,municipal corporations, tribal councils or other government organizations within the State f Colorado. Fractional Name of Government Interest Owned Lease No. R Legal Description Organization Owning Interest Address 1Tota, Production: Exempt: Taxable: S/Barrel or MCP: �!='.1P.INJ Ti-ifF CCIPv i. (enn other girlo I iiy� 4614l4TI+fS 11.6 .§0140.x!s .41Fe:IC ' .- : '.State of Colorado 1990 s ua--toit;:4?P A.t.T..: $ OIL AND GAS cai: L; Y,::a_o: G,63>< • REAVAND PERSONAL PRurERTY Assessment Date Due Date DECLARATION SCHEDULE January 1 April 15 il:�l.- :- :'::: ,c ' -• . . CONFIDENTIAL DATA �'�• •• •-' •• :-.,county :•..- YOIJ'MUST FILE EVERY YEAR REGARDLESS IF AAt1N�ADDiiJJOAIS OR MAIL7O.COYN.:TY.. SES$OA. A� DELETIONS WERE M �� l Y ; ` B.A.CODE :T.A.CODE 'SCHEDULE:NUMBER :4 CHANGE OF NAME AND/OR ADORE t�� 12Ca 1: _gb13806 •:' \ lkOC3� ��C, MAR 1990 A.NAME AND,ADDRESS(INDICATE ANY CHANGESI:. . DO NOT USE - FOR ASSESS4W5N•LY'''' elEAR;I.• • ••.• ':ay •,;r‘, 7;,'.,' �Q - Code Description WELLS Actual Value % Assessed Value • :`: . : ' ' 71 Primary Prod. $ 87Yr$ 444 : 17 •S1.:._Ay,ixg- .x.Et3fl • ' 71 Secondary Prod. 75 LEKNlt'. CO 842 72 Improvements 29 ' LOCATION OF PROPERTIES OR LEGAL DESCRIPTION _ " - • • Equip. Furn.& 29 74 Machinery iss(4N44 9 9 61 . .. TOTALS $ $ RECEIVED APPROVED LEASE NAME OR DESCRIPTION. COMPLETED ABSTRACT CHGS. - ' #1 Scheetz•: LATE FILING PENALTY APPLIED YES ❑ NO❑ • 1987 ' oil lin Countv)Denver Corp.51 Partnership❑ Individual ❑ Other ❑ B. Date Business Started Type of Produce or Service Name and Address of Previous Owners: STATUS OF.PROPERTY_:(Please,Check the Appropriate IpaX:, Is this the ❑ No ❑ Yes E3NEW BUSINESS OR'''-: .::`. .•.-'-" .:'• ., �:fir:st return? : ❑ NEW OWNERIS), (You MUST ATTACH a complete itemized listing of all your property.) PLEASE INDICATE THE.LIFE OF THE OIL AND GAS RESERVE IN Y-EARS UNDER THE CURRENT PRODUCTION RATE 7 YRS. C. PRODUCTION REPORT FOR PREVIOUS:Y.EAR-::;t :: FOR ASSESSORS USE ONLY C1. PRIMARY PRODUCTION :..�r.� '.. _ D E F G .•.•.,.: , A B C • • V � Sold or Flared, Avg. Price Allowed Aetuai - .r-L*,l:.......:::::,;,:-`..••.•.•; ;1••;ft `- ' _•-:-. • .: r. . — Welt-: N: Value of Royalty :F.ield Name• ' - ••:•:-.,:::i:: Total -transported Vented or At Well Head Product Exclusion {E x F) Used on or Field Value • Nd•: .Produced. From us a (B x D) (1_%exempt) • - �Y: _ _ �'Pierttises Leas Price • `aBL:. .11512 x:1448 -0- 18.08 bbl :� 7 • 1 MCF /MCF - Kent a /bbl BBL - • . :'.• ' MC£ 1 MCF ;•:.: •::::. ;i:* :y ;i: BBL- ' /bbl .. .4 MCF ,Totals Totals- Totals �,.. i 1 MC•F Totals a., .t Totals f r r �'' _ -1512 1448 -0- ` • �:',.',y . .. , . C AIC2. SECONDARY;;TERTIARY OR RECYCLING RECOVERY PRODUCTION a a es'0 FOR ASSESSORS USE ONLY • A B C D E F G - Method • IN ii- U Sold or Flared, Avg. Price Value of Allowed Actual Product Royalty of • :--:: Field Name No. ' ' N Total Transported Vented or At Well Head Exclusion Value Recovery.'', " ',' T Produced • Premises uLea a oPrice (B x D) (1.%exempt) (E•x F) BBL /bbd MCF /MCF BBL . . . /bbl • MCF /MCF _ BBL /bbl MCF /MCF Totals Totals Totals Totals ' Totals .. ' 7, _ _ D. EXCLUDABLE ROYALTIES ' Excludable royalty amounts are limited to the fractional interest owned by the Federal Government,the State of Colorado,counties,.cities, towns;municipal corporations,tribal councils or other government organizations within the State of Colorado.• Royalty% Well Name Of Governmental Entity Exempt Front No. Lease Name Or Number Taxation : —Jtli ,• � .. � (SEE OTHER SIDE) 15 OPT-AD Form DS-658 61-87 \�1..ks'6`-' 1Z-`'LaA \--x- State of Colorado 1987 , ,-.4.,,,- \� OIL AND GAS . � _ .; REAL AND PERSONAL PROPERTY, Assessment Date = Due Date • . DECLARATION SCHEDULE • January 1 ., April 15 Weld County • CONFIDENTIAL DATA MAIL TO COUNTY ASSESSOR YOU MUST FILE EVERY YEAR REGARDLESS IF ANY ADDITIONS OR DELETIONS WERE MADE. - B.A.CODE T.A.CODE SCHEDULE NUMBER CHANGE OF NAME AND/OR ADDRESS cz;4... • A. NAME AND ADDRESS(INDICATE ANY CHANGES) Charles A. Underwood DO NOT USE - FOR ASSESSOR ONLY P.O. BOX 9295 Code Description Acres Actual Value % Assessed Value Englewood, CO. 80111 7110 Primary Prod. $ 87'&$ 7120 Secondary Prod. 75 l \ 72 Improvements 29 LOCATION OF PROPERTIES(INDICATE ANY CHANGES OR ADDITIONS) ' . 74 MaChpnorvrn.& 29 -- SW/4 SE/4 SeC . 9-9N-61W TOTALS $ s RECEIVED APPROVED.:..,.. 'LEASE NAME OR LEGAL DESCRIPTION . ` .* COMPLETED ABSTRACT CHGS. • Dunbar-McKinley -Nw- o'a"a"��rA LATE FILING PENALTY APPLIED YES Cl NO❑ B. Date Business Started Type of Product or Service (in County) Corp.❑ Partnership❑ Individual ❑ Other ❑ Name and Address of Previous Owners: STATUS OF PROPERTY (Please Check the Appropriate Box) Peep@T. Tank Company ❑NEW BUSINESS OR a NEW OWNER(S)(You MUST ATTACH a complete itemized listing of all your property. • 1, Is this the first return? ® Yes ❑ No 2. Was the well producing in 1984? ® Yes ❑ No • C. INVENTORY OF WELLS Total No.Wells indicate whether Well No. Type Depth Year Drilled —1— You Are:Total No.Acres 3operator of the Lease 7!!�`1 Oil 7,400 ' 1953 Interest of O Owner of the Leasehold List Fractional I Operator 100 % ❑Owner of the Land PLEASE INDICATE THE LIFE OF THE OIL AND GAS RESERVE IN YEARS UNDER THE CURRENT PRODUCTION RATE-YRS. D. PRODUCTION REPORT FOR PREVIOUS YEAR Furnish primary production in section D-1 and secondary production in section D-2 D1. PRIMARY PRODUCTION OR RECOVERY Total Transported from Ro alty•�ellvered Royalty•Pellvered Total Taxable rvertta� 191�814 Produced Sold premises unsold /Xp Cas Only As Produet Only (F) Pr pr�(eidePriciad (A) (B) (C) (Ex(o), ) (ExSEflon) (B+C•D(or E) (G) Well No. Oil (Bbl.) 1 .333 1 ,0.4 4 -0- _.0- -0 $1 3 .2L /bbl $ /MCF Gas (MCF) - Well No. Oil (Bbl.) .. $ /bbl Gas IMCFI $ /MCF Well No. Oil (Bbl.) $ /bbl •Gas (MCF) I $ /MCF DLSECONDARY,TERTIARY OR RECYCLING METHODS OF PRODUCTION OR RECOVERY $ /bbl Well No. ON (Bbl.) $ /MCF Gas (MCF) • $ . Well No. Oil (Bbl.) 1 a I \- $ /bbl Gas (MCF) • $ /MCF . Oil (Bbl.) —_.-6-;Well No. �•' $ /bbl Gas {MCF I $ /MCF D3, METHOD OF SECONDARY,TERTIARY OR RECYCLING RECOVERY, (i.e.water injection, CO2 injection, etc.). • Well No. Well No. Well No. .. E. ASSESSMENT EXEMPTIONS REQUEST: (Attach separate sheet if necessary.) - Exemptions are limited to the fractional interest owned by the Federal Government,the State of Colorado,counties,cities,towns,municipal corporations, tribal councils or other government organizations within the olorado. Name of Government 7_4,7Fractional Lease No.& Legal Description Organization Owning Interest Address Interest Owned Total Production: I Exempt: • 'Taxable: I S/Barrel or MCF: r^.,n nti..,.. r7rJn 1 F. LISTING OF REAL PROPERTY Lr st below or attach a separate sheet listing buildings, fixtures and leasehold improvements constructed or installed the previous year, fhis list shall include the description and location of the property, the date of installation, the original installed cost, and any additions since original installation. Buildings,Fixtures and Leasehold Improvements Description and Location Date of Installed Cost Additions Since Original Installation Installation 1 _ Lufkin 228 Pumping Unit 1953 3 - Tanks (300 bbl . each) _ 1 Fire Tube 1953-1986 $984 .00 I 1 --stairway & 1 catwalk 1953 • i I Rods . tubing & down-hole pump 1953 • G. LISTING OF PERSONAL PROPERTY ' i Furnish a complete listing of all property.Additions and deletions may be listed if a complete listing has been previously filed with the assessor. Item Description Model or Year Date Acquired No. Original Estimated Capacity Mfg. Estimate New Used Installed Cost P Remaining hysical (1) List Personal Property acquired duringprevious year. (Attach separate sheet if necessary,) condition Useful Years i I f (2)._ List Personai Property sold,traded,or permanently disposed of during_previous year, (Attach separate sheet if necessary.) I f - _ i ' (3) List ALL Mobile Equipment. Attach separate sheet if necessary. I I 1 1 NOTE: The cost, description and year acquired data must be furnished above for those fully depreciated assets still in use H. DEPRECIATION SCHEDULE (Furnish Information or Attach most current Copy of Federal Depreciation Schedule) a. Group and guideline class b, pate c. Cost or d. Depreciation e. Method of f, Life or g. Depreciation for or description of property acquired other basis allowed o►allowable computing rate this year in prior years depreciation I I Cost of other fully depreciated reciated assets still in use. $ Total depreciation I I. LEASED, LOANED,OR RENTED PROPERTY (Furniture,Signs, Etc.) (Declare Property Owned By Others Here,) Did you have in your possession on January 1st any leased, loaned,rented machinery, equipment, or furniture, fixtures,signs,vending machines,etc.? ❑ YES Q NO If yes, list below showing description of this property and name and address of owners. Year Current Cost or Name and Address of owner/Lessor Description Model/serial No, Year Installed Total Vear! Rent Mfg. GSA List Price y 1 Please furnish details of purchase or maintenance options. i _. J. PURCHASER'S STATEMENT List names and addresses of purchasers of oil and gas products. Attach separate sheet if necessary. Name Permian Corporation Address p,0, Box 152x3 Qua r.Aty Deaver, CO-- K. DECLARATION THIS RETURN IS SUBJECT TO AUDIT. "I declare,under penalty of perjury in the second degree,that this schedule,together with any accompanying exhibits or statement:. has been examined by me and to the best of my knowledge,information,and belief,sets forth a full and complete list of all taxable personal property owned one or in my posses, sion, or under my control, located in this county in Colorado on the assessment date of this year:that such property has been reaso 'y dE•ccribed and its value fairly represented:and that no attem ia5 en ma a topfislead a asses or as to its age,ytiality,quantity or value." CRS 39-S .'12) SIGNATURE OF OWNER OR AGENT i�aA � � NAME OF OWNER charley A . Underwood DATE 6/...6/: "IiNT NAME OF PERSON SIGNING c}1n r1 e P A _ Und e_r_w.Q O 1 PHONE NUMBER 3n3/779-C — ---� — -PLEASE COMPLETE.SIGN AND RETUPP! TO TNF . ^,n -^Fr' R o!,) nth l rr-cnrir mnn.. y- lid DP-TUACG►roLKII:ISY550:A46,5 I 9 S. OFFI,.r.... ��" '. 0 State of Colorado i 9 8 8 91 10D-I STREET I OIL AND GAS GkEELCY,' CO 80631 REAL AND PERSONAL PROPERTY Assessment Date „ • Due Date t:EC�7 ,R DECLARATION SCHEDULE L aMlcLD �� :. �,... ! � ag' January 1.... April 15 County•. ,:' • CONFIDENTIAL DATA MAIL TO COUNTY ASSESSOR • • - �,-;;,• •YOU MUST FILE EVERY YEAR REGARDLESS IF ANY ADDITIONS OR - l "5s_s.c.w, OFFICE :•.. . . .. . . DELETIONS WERE MADE.' - • B.A.CODE T.A.CODE . SCFiED6ig MBER ' CHANGE OF NAME AND/OR ADDRESS .-� '51311 1200 0404232 : • r.• ' '..f- . r.re ( n A.-bIAME AND ADDRESS{INDICATE ANY CHANGES} .,,, :2:2--_ ____} 1jN �[ `?. DO NOT USE - FO`1R ASSESSOR ONLY UNDERWOOD CHARLES A . • Code Description Acres Actual Value % Assessed Value UtJfJOAR—KCK[KLEY' 7110 Primary Prod. $ 87'/:$ P .0 BOX. '9295 •1.'" 7120 Secondary Prod. 75 EttGLEAGOD .00 . ' t301;11 , - - 72 Improvements 29 LOCATION OF PROPERTIES'(INDICATE ANY CHANGES OR ADDITIONS) • • ' 74 Macninery n.& 29 544'S•Ev• 9.: 9" H ea l 11 s<ati ,.1..,L., 64 .6.1 •• .,. . ..•. . .z TOTALS'' $ APPROVED :S RECEIVED APPRO } LEASE NAME OR•LEGAL DESCRIPTION . . . COMPLETED ' 4-7' - - ABSTRACT CHGS. ' Dunbar-McKinley LATE FILING PENALTY APPLIED YES ❑ NO❑ B. Date Business Started:� Type of Productor Service • (in County) Corp.❑ Partnership❑ Individual ❑ Other ❑ Name and Address of Previous Owners: • STATUS OF PROPERTY (Please Check the Appropriate Box) • ❑.NEW BUSINESS OR ON E.W OWNERIS)(You MUST ATTACH a complete itemized listing of all your property. Pepper ' Tank Tank Company 1. Is this the first return?• ❑ Yes ® No C. INVENTORY OF WELLS Total No.Wells. - Indicate Whether Weil No. Type Depth Year Drilled —�— You Ars: • Total No.Acres. Operator of the Lease ff 011 7 '400 1 1 953 • -40- List Fractional Interest of ®Owner of the Leasehold' Operator % ❑Owner of the Land • • PLEASE INDICATE THE LIFE OF THE OIL AND GAS RESERVE IN YEARS UNDER THE CURRENT PRODUCTION RATE YRS. D. PRODUCTION REPORT FOR PREVIOUS YEAR Furnish primary production in section D-1 and secondary production in section D-2 • D1. PRIMARY PRODUCTION OR RECOVERY Total Transported from Re al i e Bred Royalty-Delivered Total Taxable Pvera�er i`ii� . • ' Produced : � Sold premises unsoldCash Only qs Product Only (F) PrpT��sldePlriciad (B) ( xcludon) (Exclqq ion) 51\� (A)-.• • (C) (D) (e (B+C-DlorE) (G) Well No. —1^Oil (Bbl.) 2,000 . . 1 , 949 —0— —0— —0— 1 , 949 $ 1 7 . 56-/bbl Gas (MCF) . . .•.•. . $ I Y.21O/MCF" Well No. Oil (Bbl.) •• $ /bbl ' ,Gas (MCF) " $ /MCF • Wali No. Oil (Bbl.) - • $31�I�'.; /bbl • Gas (MCF) $ /MCF D2. SECONDARY,TERTIARY OR RECYCLING METHODS OF PRODUCTION OR RECOVERY $ /bbl 'Well No. Oil (Bbl.) $ /MCF • • Gas (MCF) • .. _ Well.No. ' ' Oil (Bbl.) • . . ' $ /bbl Gas'(MCFI -, $ /MCF Well No. oil (Bbl.) : - • $ • /bbl Gas (MCF) $ /MCF 03, METHOD-OF SECONDARY, TERTIARY OR RECYCLING RECOVERY, (i.e.water injection, CO2 injection,etc.). Well No. Well No. Wal3 No..: 5' V t„ 7 . . 4 • E. ASSESSMENT EXEMPTIONS REQUEST: (Attach separate sheet if necessary.) Exemptions are limited to the fractional interest owned by the Federal Government,the State of Colorado,counties,cities,towns,municipal corporations,tribal councils or other government organizations within the Colorado. Name of Government Fractional Lease No.& Legal Description Organization Owning Interest 7si O Address Interest Owned Total Production: i Exempt: 'Taxable: o i S/Barrel or MCF: F. LISTING' ?F REAL PROPERTY Last below or attach a separate sheet listing ._dildings, fixtures and leasehold improvement., instructed or installed the previous year. This list shall include the description and location of the property, the date of installation, the original installed cost,and any additions since original installation. Date of Additions Sines Original Buildings,Fixtures and Leasehold Improvements Description and Location Installation installed Cott Installation 1— Lufkin 228 Pumping Unit 1953 ( 3 ) Tanks ( '00 bbl . each) - 1 Fire Tube 1953-1986 1 -stairway & 1 catwalk 1953 Rods, tubing & down-hole pump 1953 G. • LISTING OF PERSONAL PROPERTY Furnish a complete listing of all property.Additions and deletions may be listed if a complete listing has been previously filed with the assessor. Model or Year Date Acquired O►Iglnal .," Estimated Item Description A'rEstlmats- . Remaining No. Capacity Mfg. New ) Used Installed Cost physical 'r ' Useful Life • {1} List Personal Property acquired during previous year. (Attach separate sheet if necessary.) Condition In Veers • (2) List Personal Property sold,traded,or permanently disposed of during previous year. (Attach separate sheet if.necessary.) (3) List ALL Mobile Equipment. Attach separate sheet if necessary. NOTE: The cost, description and year acquired data must be furnished above for those fully depreciated assets still in use. H. DEPRECIATION SCHEDULE (Furnish Information or Attach most current Copy of Federal Depreciation Schedule) a. Group and guideline class b. Date e. Cost or d. Depreciation e. Method of f. Life or g. Depreciation for or description of property acquired other basis allowed or allowable computing rate this year ` In prior years depreciation $ Cost of other fully depreciated assets still in use. $ Total depreciation I. LEASED, LOANED,OR RENTED PROPERTY (Furniture, Signs, Etc.) (Declare Property Owned By Others Here.) Did you have in your possession on January 1st any leased, loaned,rented machinery, equipment,or furniture,fixtures,signs,vending machines,etc.? Ba YES ❑ NO I f yes, list below showing description of this property and name and address of owners. Description Model/eerie!No. Year Current Cost or Year Installed Total Yearly Rent Name and Address of Owner/Lessor Mtg. GSA List Price Agland. Inc . Propane Tank 1987 $60.OQ Please furnish details of purchase or maintenance options. J. PURCHASER'S STATEMENT • _ List names and addresses of purchasers of oil and gas products. Attach separate sheet if necessary. Name Address P. O. BOX 1183 Quantity The Permian Corporation Houston, -TX _ 77251 K. DECLARATION THIS RETURN IS SUBJECT TO AUDIT. "I declare,under penalty of perjury in the second degree,that this schedule,together with any accompanying exhibits Jtements,has been examined by me and to the best of my knowiedge,information,and belief,sets forth a full and complete list of all taxable personal pros. •owned by me or in my posses• sion, or under my control, located in this county in Colorado on the assessment date of this year;that such property ha.. . •n reasonably described and its value fairly represented;and that no atteAt,itas been mad to m• lead th assessor as to its ge,quality,quantity or value.'' 'S39-5-1P7(2) SIGNATURE OF OWNER AGEN L.: (/y Zbeige NAME OF OWNER aA.1.2... Q• t sra rs 1 DATE PRINT NAME OF PERSON SIGNING C tr*ea r le s A- �h d e r t.,) PHONE NUMBER SD 3/ ? 71.- 04.41 PLEASE COMPLETE,SIGN AND RETURN TO THE ASSESSOR ON OR BEFORE APRIL 1S • 1t&�F;alullatstgs-e#�ESbsOR!* (t'" •.- State of Colorado 1989 915. 1011f STREET - . :. L . OIL AND GAS Q....._..g. . . ' REAL AND PERSONAL PROPERTY Assessment Date Due Date GREfL�1f, CO :; eC63� �( DECLARATION SCHEDULE ,January 1 April 15 hrt.o County ' ,'•' _. MAR- 7 '89 CONFIDENTIAL DATA MAIL TO COUNTY ASSESSOR._., . ::• ',•• - - YOU MUST FILE EVERY YEAR REGARDLESS 1F ANY ADDITIONS OR NSSESSOii'S oRCE • DELETIONS WERE MADE. r B.A.CODE • T.A.CODE . ` WEU116. 19:FLE•NUMBEFI CHANGE OF NAME ANDIOR ADDRESS . S>l3i> izf,6 .: c+ c14ze2! '�."� 1 % % 9 .- Ar NAME AND ADDRESS(INDICATE ANY CHANGES) .,nr... w...... ` V ; DO NOT USE - FOR ASSESSOR ONLY UNL€RWOOD Cltka.tig�+t:.pi' 7 Code Description Acres Actual Value % A d Value 0L,INDAR—MCK INLE.f - • 7110 Primary Prod. $ 87%$ P 'a: BOX *•92.99i 7120 Secondary Prod. 75, ENGLEWOOD • ,GQ :`':,:8'Oii 1•" '-''-'-'- • - 72 Improvements 29 LOCATION OF PROPERTIES(INDICATE ANY CHANGES OR ADDITIONS)..�: 7A Equip.macni Fu n.& 29 31445E4 9 9. 61 ,, • TOTALS $ $ . - J 'u.:Iiii. ,•,•.,, ,., RECEIVED APPROVED LEASE NAME OR LEGAL DESCRIPTION: ::: . . . COMPLETED ABSTRACT CHGS. DUnbar-MCKYnl.ey-- • ' • LATE FILING PENALTY APPLIED YES ❑ NOD B. • Date Business Sterted Type of Product or Service (in County) Corp.❑ Partnership❑ Individual ❑ Other ❑ /!4•••w t M1` ! ii , , i Name and Address of Previous Owners: : _ ' STAMS•OF.PROPryFITY (Please CHeck the Appropriate Box) i' %;•.:-._i_ ;,:, `:1 . • 0 NEW BUSINESS:OR'`CO NEW .WNER(S)(You MUST ATTACH a complete itemized listing of all your property. 1: Is this the first return;,. Ellis ® No '1"- `' ? _ " ' ' % r ) -3 ... .. .... --: —, ,- . . (. C. INVENTORY OF WELLS- wells Well No. Type Depth Year Drilled Total No. . indicate whetMr.,, . You•,Ve;,..: .m.:.._.•.4...-.AITr ,.�.�.,:�,_.•..,.. _. 0 i 1 7 ,400 ' 19 5 3 "�-Total NO.Acres,G [ Operator of the Lease Owner of the Leasehold List Fractional Interestpf - " •• • •• • Operator % ❑Owner of the Land • • • . - PLEASE INDICATE THE•LIFE-QF.THE OIL AND GAS RESERVE IN YEARS UNDER THE CURRENT PRODUCTION RATE YRS. D. PRODUCTION REPORT FOR PREVIOUS YEAR. - .Furnish primary production in section D-1 and secondary production in section D-2 D1. PRIMARY PRODUCTION OFl RECOVERY Avera e ••i,- Total - Transported from faoyatl •�ellverad RoyaltY-Dellvered Total Taxable price t fA I Mead Sold ,!� Transported set untold At as OMy Aa roduct Only (F) or �leld rice • .,. produced_' (B) {C) Ex iuusion) (ExchitilD) leiion) (B+C-D(or E} id • WeIINp._1_ Oil (Bbl,) •1',304- ' 75n —n- -0- -0- 750 $ 16 .01MC 1 4Gas (MCF) On about 11/30/$9 ;•• 416 b_b..s oil tagQn frnm tanks , $ F well No. r Sheriff r i f f. $ /bbl _ Oil (Bb1.)- _��ortgd:�t�r'Weldr,'QunXy' $ /MCF Gas (MCF). v,: well No. Oil (Bbl.) $ /bbl Gas (MCF( _ $ /MCF D2.SECONDARY,TERTIARY OR RECYCLING METHODS OF PRODUCTION OR RECOVERY ,$ /bbl • Well No. Oil (Bbl.) $ /MCF Gas (MCF.) :;:;: :• ��—� $ /bbl_ Weil No. Oil (Bb1.)' :. 7.:: :::- /MCF $_. Gas (MCF) :r•_ _ .,,-.. . $ /bbl Wet(No. Oil (Bbl.) • $ /MCF Gas (MCF) ':.; ,.•. .-.: ... y .. - e ..: _ D3. METHOD OF SECONDARY.,TERTIARY OR RECYCLING. RECOVERY, (i.e.water injection, CO2 infection,etc.). I : well No. well No. - • well No. E. ASSESSMENT EXEMPTIONS REQUEST: (Attach separate sheet if necessary.) Exemptions are limited to the fractional interest owned by the Federal Government,the State of Colorado,counties,cities,towns,municipal corporations,tribal councils or other government organizations within the State of Colorado. Fractional Name of Government (244b Address Interest Owned Lease No.&Legal Description Organization Owning Interest Total Production: 'Exempt: (Taxable: S/Barrel or MCF: RETURN THIS COPY (see other side.) r15. .p4t tosiclais.e5d18ad,�Oki !J Liet,4A,4 State of Colorado • 1990 cAl � ffii yltril1 OIL AND GAS C14togo 1l l AC itt4Ls t - REAL AND PERSONAL PRUF-ERTY Assessment Date Due Date _4 DECLARATION SCHEDULE January,1 April 15 LG;�l+1.O ,. ' CONFIDENTIAL DATA County MAIL To couNry AssessoR YOU MUST FILE EVERY YEAR REGARDLESS IF ANY ADDITIONS OR DELETIONS WERE MADE. B.A.CODE T.A.CODE SCHEDULE NUMBER CHANGE OF NAME AND/OR ADDRESS call olt1 0014aea A. NAME AND ADDRESS(INDICATE ANY CHANGES) ' - I- DO NOT USE - FOR ASSESSOR ONLY' " 04045,1(4 Ctlp Fi LB it a Code Description :Efts Actual Value \ % Assented Value l W,N.41, 4.."..h'cn7(,.1.Ff.01 , 71 Primary Prod.' $ 87%$ 7 AI ;.(A ;B..29.* 71 Secondary Prod 75 le,4.4.4,091; ,C,C ,dSi.1.#1 . 72 Improvements 29 LOCATION OF PROPERTIES OR LEGAL DESCRIPTION'. 74 EouiP. Furn & 'lief 29 Marhlnary l'" 1 W,S i lll 4 SI )1 .4,, TOTALS $ $ RECEIVED APPROVED LEASE NAM OR DESCRIPTJON - COMPLETED - ABSTRACT CHGS r ' UN BA( — n�[ K f�1- e / LATE FILING PENALTY APPLIED YES ❑ NOD B. Date Business Started Type of Product or Service (in County) Corp.❑ Partnership❑ Individual ❑ Other ❑ STATUS OF PROPERTY. (Please Check the Appropriate Box) Is this the Li No Name and Address of Previous Owners: first return? El Yes ❑ NEW BUSINESS OR - ' ❑ NEW OWNERIS) (You MUST ATTACH a complete itemized listing of all your property.) PLEASE INDICATE THE LIFE OF THE OIL AND GAS RESERVE IN YEARS UNDER THE CURRENT PRODUCTION RATE YRS. C. PRODUCTION REPORT FOR PREVIOUS YEAR a FOR ASSESSORS USE ONLY Cl. PRIMARY PRODUCTION D E P G i.2 .:"^rnll' `i ' i .0 :A B C Ilo ee i,. - N dl all� N ._. ,..."-9oltl or Flaree, Ave• Price VPalue p` Ra YaItY Actual +''x I )' °s ,' Feld Name I Total - Tra Froo rtetl Ventetl or At WeII Head roduc Exclusion Value ,i1-40,;','?",,/$, yq , No. T Produced From Used a or Field (B x D) 1.%exempt) (E x F) Premises Lease Price ( BBL -49-- "&" /bbl i v^ Kfv�C� / MCF /MCF • ? * (.0kIL SHo7-SU BBL /bbl -',,,P11,17,vI4t1+.,"s414e MCF - /MCF -,,01,;,*;4,,P,4.,-a* � ' . t," BBL c +e iI,olTo-la"� MCF /MCF Y" yry�� h r > s ,v q,;,yy�, ,r, 5 ,ri; Totals Totals Totals M+,� x Totals u 6 Tote s „yyy,„t"f Yt' s. ".,.,"4. . . C2. SECONDARY, TERTIARY OR RECYCLING RECOVERY PRODUCTION FOR ASSESSORS USE ONLY _. A B C D E F G Method Well N Sold or Flared, Avg. Price Allowed - Actual Value of Royalty of Field Name No I ' Total Transported Vented or At Well Head Product Value Produced From Used On ;or Field (B x D) Exclusion (B . V x F) Recovery. T Premises Lease Price BBL /bbl MCF /MCF BBL /bbl .. . MCF /MCF BBL /bbl r MCF /MCF ¢{ it s +•. ,t " y.e t igitf "* - 'r ix Totals Totals Totals ,sig.»t' 7-( 11# Totals Y""`.w, `T Totals D. EXCLUDABLE ROYALTIES Excludable royalty amounts are limited to the fractional interest owned by the Federal Government,the State of Colorado,counties,cities, towns, municipal corporations,tribal councils or other government organizations within the State of Colorado. Royalty% Exempt From WeII "` a Of Governmental Entity No. Lease Name Or Number ... _._"....__ Taxation 2 r1420 (SEE OTHER SIDE) TAXPAYER'S COPY E. WELL INVENTORY (This Section Must to.Completed For All Producing Wells) WELL METHOD PRODUCTS AVERAGE FLOW RATE WELL .LEASE NAME DEPTH OF FIELD FORMATION EXTRACTED (BBL or MCF/DAY) NO. w RECOVERY ,nWA �{ I` aQ / ..��JJJn 11 �Ny`c ! 3V •r 'j.1w‘VJ If'}Q. vJ�S'Nw6 /1(9 !� (.0a)? _ ‘ F. LISTING OF REAL PROPERTY IMPROVEMENTS (Attach a separate sheet if necessary) Date of Additions Since Original Buildings, Fixtures and Leasehold Improvements Description and Location Installation Installed Cost Installation /.-L v i � 2z.& f v � t t+.tt f l53 .03)' ra& -r,:X,u"'1 4�txr�V..kt U'wwp(14 4 4' P�\ 1 4S 3—I i d i • G. LISTING OF PERSONAL PROPERTY Furnish a complete listing of all property.Additions and deletions may be listed if a complete listing has been previously filed with the assessor. Item Description Model or Year Date Acquired Original Estimated Capacity Mfg. Installed Cost Estimate Remaining No. New I Used Physical Useful Life Condition in Years 0) List Personal Property acquired during previous year. (Attach separate sheet if necessary.) 1--- (2) List Personal Property sold, traded, or permanently disposed of during previous year. (Attach separate sheet if necessary.) (3) List ALL Mobile Equipment. Attach separate sheet if necessary. . NOTE: The cost,description and year acquired data must be furnished above for those fully depreciated assets still in use. K. DEPRECIATION SCHEDULE (Furnish Information or Attach most current Copy of Federal Depreciation Schedule) • a. Group and guideline class b. Date c. Cost or d. Depreciation e. Method of f. Life or •"g• Depreciation for or description of property acquired other basis allowed or allowable computing • rate this year in prior years depreciation ' $ Cost of other fully depreciated assets still in use. $ Total depreciation I. LEASED, LOANED, OR RENTED PROPERTY (Furniture,Signs, Etc.) (Declare Property Owned By Others Here.) Did you have in your possession on January 1st any leased, loaned, rented machinery,equipment, or furniture, fixtures, signs,vending machines,etc.? YES ❑ NO If yes, list below showing description of this property and name and address of owners. Description Model/Serial No. Year Current Cost or Year Installed Total Yearly Rent Name and Address of Owner/Lessor Mfg. GSA Llst Price AiIctj J-t_` 49/Lels.tit T(sAck.- /Ye4 X60, °' Please furnish details of purchase or maintenance options. (Attach a separate sheet if necessary} J. PURCHASER'S STATEMENT c� List names and addresses of purchasers of oil and gas products. Attach separate sheet if necessary. P Q• 647- /is3�y quantity Address _ .Name /141441440KI� 77Z-.S� � ()-"*"-'4 C K. DECLARATION THIS RETURN IS SUBJECT TO AUDIT. "I declare, under penalty of perjury in the second degree,that this schedule,together with any accompanying exhibits or statements,has been examined by me and to the best of my knowledge,information,and belief,sets forth a full and complete list of ell taxable personal property owned by me or in my posses- sion, or under my control, located in this county in Colorado on the assessment date of this year;that such property has been reasonably described and its value fairly represented;and that no attenhisbeen made miss�.aAd,t-ae assessor as t l its age,quality,quantity or value" CRS 39.5.107(2) SIGNATURE OF OWNER OR AGENT _ 11 Cali (0,0 CC_C .... "�� 94/5'a /a NAME OF OWNER CIIPr(el A, Ultde✓...mock + DATE / / PRINT NAME OF PERSON SIGNING etke.A(o-3 N. CU.-APywaod PHONE NUMBER 3°3772 9-0(3 si 7 PLEASE COMPLETE,SIGN AND RETURN TO THE ASSESSOR ON OR BEFORE APRIL 15 Hello