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Home My WebLink About993046.tiff DC2PREAT / . JPyri ! us t ' WELD COUNTY COLORADO WELD COUCTi \if OWNER NUMBER : 0221176 C/O BOARD OF COUNTY cflM ! CT' 1r . '# _ .COMMISSIONERS -� iL ' WELD CNTY CENTENNIAL CENTER P O BOX 758 199' DEC ‘ • GREELEY , CO 80632 t 1 _ (�-- is INSTRUCTIONS TO ALL INTEREST OWNERS READ CAREFULLY BEFORE SIGNING DIVISION ORDER . FAILURE TO COMPLY WITH THESE INSTRUCTIONS WILL DELAY PAYMENT. THE ATTACHED DIVISION ORDER SHOULD NOT BE ALTERED IN ANY WAY UNLESS ACCOMPANIED BY DOCUMENTARY EVIDENCE TO SUPPORT THE CHANGE . Signature : Individuals Sign name as shown on the instrument. Have the signature witnessed by at least one person not related to the party signing . Corporations If signing for a corporation , signature must be attested , corporate seal affixed , and title of signatory party shown . If not previously furnished , a certified copy of authority of executing officer must be submitted . Partnerships If signing for a partnership , all partners must sign unless signed by an authorized partner and a certified copy of his authority furnished . Signature by Second Party If the instrument is signed by an agent , attorney-in-fact, guardian , estate representative , trustee or any party other than the named interest owner, evidence of the rights vested in the signatory party must be provided . Taxpayer ID or Social Security Number Insert your number in the space provided . Failure to provide this information may result in backup '.Atithholding at the rate of 31 % . This information must be shown on this Division Order even if it has been previously provided . State Tax Exempt Please advise immediately if the interest is owned by a tax-free entity and provide our office with a copy of the applicable state form . State taxes will be deducted if you fail to enclose documentation supporting your tax-exempt status. Correspondence Address Indicate in the space provided the address to which correspondence is to be mailed . Print or type. Do not abbreviate. Remittance Address Indicate in the space provided the address to which royalty checks are to be mailed . If you are already receiving checks from SPLLC , be sure to use the same address to which we are now mailing checks. For information about electronic deposit of your check, please call our Customer Relations Department toll free at 1 -800-772-7589 . Change of Address You should notify us promptly of any change in your mailing address . Please call our toll free Customer Relations line for assistance at 1 -800-772_-7589 . RETURN THE EXECUTED DIVISION ORDER PROVIDED TO THE ADDRESS BELOW . KEEP ONE COPY FOR YOUR RECORDS . Plains All American Inc. , For the Accounts of Plains Marketing , L. P . and Scurlock Permian LLC Attention : Revenue Distribution P . O . Box 4648 Houston , TX 77210-4648 PLEASE NOTE THAT AN IMPROPERLY EXECUTED DIVISION ORDER WILL NOT BE PROCESSED FOR PAYMENT AND WILL BE RETURNED FOR PROPER EXECUTION . e cienitan'iltiCj993046 DOFF,n./Jn.3. is DM69/026450/0221176 (KEEP THIS COPY FOR YOUR RECORDS) llIHDI HHIHIH IIHHHIHIH DIVISION ORDER To: Plains All American Inc., For the Accounts of Plains Marketing,L.P.and Scurlock Permian LLC Owner Number P.O. Box 4648 Houston,TX 77210-4648 Date: 12/16/1999 0221176 Property Descr: SEE EXHIBIT'A' Property Name: LOHR 13-4 Effective 7 A.M.: 11/01/1999 Property Number: Operator: SOUTHWESTERN PRODUCTION CORP 01 081959 County and State: WELD, CO Decimal Interest: 0.00140620 Production: OIL/CONDENSATE(GAS) Type of Interest: RI ROYALTY INTEREST Owner Name WELD COUNTY COLORADO WELD COUNTY COLORADO and Address: CIO BOARD OF COUNTY C/O BOARD OF COUNTY COMMISSIONERS COMMISSIONERS WELD CNTY CENTENNIAL CENTER WELD CNTY CENTENNIAL CENTER PO BOX 758 PO BOX 758 GREELEY, CO 80632 GREELEY,CO 80632 [Correspondence Address] [Remittance Address] The undersigned severally and not jointly certifies the ownership of their decimal interest in production or proceeds as described above payable by Plains All American Inc,For the Accounts of Plains Marketing,L P and Scurlock Permian LLC(hereinafter called"Payof'). Payor shall be notified,in writing,of any change in ownership.decimal interest,or payment address. All such changes shall be effective the first day of the month following receipt of such notice Payor is authorized to withhold payment pending resolution of a title dispute or adverse claim asserted regarding the'interest in production claimed herein by the undersigned. The undersigned agrees to reimburse Payor any amount attributable to an interest to which the undersigned is not entitled. Unless otherwise required by law,Payer shall not be required to pay interest on payments withheld due to title dispute or adverse claim Payments of less than$25.00 may be accrued before disbursement until the total amount equals$25.00 or more,or until December 31 of each year,whichever occurs first This Division Order does not amend any lease or operating agreement between the undersigned and the lessee or operator or any other contracts for the purchase of oil or gas. The undersigned will be paid in accordance with the division of interests set out above. As to oil and/or condensate,the Payor shall pay all parties at the price agreed to by the operator for oil and/or condensate to be sold pursuant to this division order. Payor shall compute quantity and make corrections for gravity and temperature and make deductions for impurities. As to gas,the undersigned will be paid in accordance with the division of interest suet forth herein. The Payor will pay all parties for their respective interest in the gas proceeds paid to Payor by the operator for disbursement at the price and upon the terms agreed to by the operator for the gas marketed by the operator. Payor is a disbursement service provider only and does not purchase the gas nor take title to the gas. The operator is responsible for marketing gas produced from the property described in the attached property description. Payor does not assume any obligations of the lessee or operator under any oil and gas lease, gas sales contract or other agreement to which Payor is not a party. In addition to the terms and conditions of this Division Order the undersigned and Payor may have certain statutory rights under the laws of the state in which the properly is located. Special Clauses/Requirements: If applicable,see Exhibit'A'. Owner Social Security# or Taxpayer ID#: 84-6000813 Owner Daytime Telephone#: (971))356-4000 X4200 �■ Owner FAX#: 3(9701 2-0242 n Signature of two Owner BY Witnesses/Attest Signature: / ■ r, �`�' t OWNER#: 02211 6 0 Clerk to the Bo., TITLE. Barbara J. Kirkmeyer, Protem, Weld By: IFS/ . - ��•['_ '. � _! j County Board of Commissioners (12/27/99) Deputy Clerk to thefe FEDERAL LAW REQUIRES YOU TO FURNISH YOUR SOCIAL SECURITY OR TAXPAYER IDENTIFICATION NUMBER. FAILURE TO COMPLY WILL RESULT IN 31%TAX WITHHOLDING AND WILL NOT BE REFUNDABLE BY PAYOR. DOPRBAT/JMO/us 991207010801 (KEEP THIS COPY FOR YOUR RECORDS) EXHIBIT 'A' PROPERTY NUMBER: 01 081959 OWNER: 0221176 OWNER NAME/ADDRESS SSN/TIN INTEREST TYPE PAY ST EFFECTIVE CLAUSES REQUIREMENTS 0221176 WELD COUNTY COLORADO 84-6000813 0.00140620 RI 4N 11/01/1999 1 N/A C/O BOARD OF COUNTY COMMISSIONERS WELD CNTY CENTENNIAL CENTER P 0 BOX 758 GREELEY,CO 80632 CLAUSES 1 AS A COURTESY WE HAVE PLACED YOUR WORKING INTEREST DIRECTLY IN LINE FOR PAYMENT. WE, THEREFORE, REQUEST YOU EXECUTE AND RETURN THE DIVISION ORDER AT YOUR EARLIEST CONVENIENCE. IF WE HAVE NOT RECEIVED YOUR PROPERLY EXECUTED COPY WITHIN 30 DAYS, THE INTEREST WILL BE SUSPENDED. LEGAL DESCRIPTION SE/4 NE/4 SECTION 13, TOWNSHIP 5 NORTH, RANGE 64 WEST, WELD COUNTY, COLORADO. Page 1 (Exhibit A) DOPRBAT I JMO/us OMBA/026450/0221176 (KEEP THIS COPY FOR YOUR RECORDS 1111111IIIIII IHOhIl INIIIIIIIIIIIII DIVISION ORDER To: Plains All American Inc., For the Accounts of Plains Marketing, L.P.and Scurlock Permian LLC Owner Number P.O. Box 4648 Houston,TX 77210-4648 Date: 12/16/1999 0221176 Property Descr: SEE EXHIBIT'A' Property Name: LOHR 13-2 Effective 7 A.M.: 11/01/1999 Property Number: Operator: SOUTHWESTERN PRODUCTION CORP 01 099044 County and State: WELD, CC Decimal Interest: 0.00140620 Production: OIL/CONDENSATE(GAS) Type of Interest: RI ROYALTY INTEREST Owner Name WELD COUNTY COLORADO WELD COUNTY COLORADO and Address' C/O BOARD OF COUNTY C/O BOARD OF COUNTY COMMISSIONERS COMMISSIONERS WELD CNTY CENTENNIAL CENTER WELD CNTY CENTENNIAL CENTER PO BOX 758 PO BOX 758 GREELEY, CO 80632 GREELEY,CO 80632 [Correspondence Address] [Remittance Address] The undersigned severally and not jointly certifies the ownership of their decimal interest in production or proceeds as described above payable by Plains All American Inc.,For the Accounts of Plains Marketing,L.P.and Scurlock Permian LLC(hereinafter called'Payor'3. Payor shall be notified.in writing,of any change in ownership,decimal interest,or payment address. All such changes shall be effective the first day of the month following receipt of such notice. Payor is authorized to withhold payment pending msolution of a title dispute or adverse claim asserted regarding the interest in production claimed herein by the undersigned. The undersigned agrees to reimburse Payor any amount attributable to an interest to which the undersigned is not entitled. Unless otherwise required by law,Payor shall not be required to pay interest on payments withheld due to a title dispute or adverse claim Payments of less than$25 00 may be accrued before disbursement until the total amount equals$25.00 or more,or until December 31 of each year,whichever occurs first This Division Order does not amend any lease or operating agreement between the undersigned and the lessee or operator or any other contracts for the purchase of oil or gas. The undersigned will be paid in accordance with the division of interests set out above. As to oil and/or condensate,the Payer shall pay all parties at the price agreed to by the operator for oil and/or condensate to be sold pursuant to this division order. Payor shall compute quantity and make corrections for gravity and temperature and make deductions for impurities. As to gas,the undersigned will be paid in accordance with the division of interest set forth herein. The Payor will pay all parties for their respective interest in the gas proceeds paid to Payor by the operator for disbursement at the price and upon the terms agreed to by the operator for the gas marketed by the operator. Payor is a disbursement service provider only and does not purchase the gas nor take title to the gas. The operator is responsible for marketing gas produced from the property described in the attached property description. Payor does not assume any obligations of the lessee or operator under any oil and gas lease, gas sales contract or other agreement to which Payor is not a party. In addition to the terms and conditions of this Division Order,the undersigned and Payor may have certain statutory rights under the laws of the state in which the property is located. Special Clauses/Requirements: If applicable,see Exhibit'A'. Owner Social Security# or Taxpayer ID#: 84-6000813 _.._. Owner Daytime Telephone#: (970__356-4000_.X4200 Owner FAX#: (970)352-0242_ - / Signature of two /0 i �� ff r t Owner Bw Witnesses/Attest Y 1 Signature: Clerk to the Board I, OWNER#: 022117 P 1:+�`2fiti� TITLE: Barbara J. Kirkmever, Protein, Weld By: ci- (� � County Board of Commissioners (12/27/99) Deputy Clerk to the Bo !1� t . i 1� FEDERAL LAW REQUIRES YOU TO FURNISH YOUR SOCIAL SECURITY OR TAXPAYER IDENTIFICATION NUMBER. FAILURE TO COMPLY WILL RESULT IN 31%TAX WITHHOLDING AND WILL NOT BE REFUNDABLE BY PAYOR. • J OOPRBAT I JMo I us 991207010904 (KEEP THIS COPY FOR YOUR RECORDS) EXHIBIT 'A' PROPERTY NUMBER: 01 099044 OWNER: 0221176 OWNER NAME/ADDRESS SSN/TIN INTEREST TYPE PAY ST EFFECTIVE CLAUSES REQUIREMENTS 0221176 WELD COUNTY COLORADO 84-6000813 0O0140620 RI 4N 11/01/1999 1 N/A C/O BOARD OF COUNTY COMMISSIONERS WELD CNTY CENTENNIAL CENTER P O BOX 758 GREELEY,CO 80632 CLAUSES 1 AS A COURTESY WE HAVE PLACED YOUR WORKING INTEREST DIRECTLY IN LINE FOR PAYMENT. WE, THEREFORE, REQUEST YOU EXECUTE AND RETURN THE DIVISION ORDER AT YOUR EARLIEST CONVENIENCE. IF WE HAVE NOT RECEIVED YOUR PROPERLY EXECUTED COPY WITHIN 30 DAYS, THE INTEREST WILL BE SUSPENDED. LEGAL DESCRIPTION NW/4 NE/4 SECTION 13, TOWNSHIP 5 NORTH, RANGE 64 WEST, WELD COUNTY, COLORADO. Page 1 (Exhibit A) Hello