HomeMy WebLinkAbout20232480.tiffENERGY
Corporate Office
1099 18th St, Ste 1500
Denver, CO 80202
Dear Owner,
Your account with PDC Energy is currently suspended and the funds have reached the dormancy period.
According to State Statute, PDC Energy is required to remit these funds to the State, unless you respond to the
enclosed letter. Please fill out and return the enclosed letter by the deadline stated to claim your funds.
Unclaimed Property and Escheat information
Funds are reported to the state of the owner's last address on record. It is extremely important to notify PDC if
you have moved and supply us with your current address. If the address we have is incorrect and we cannot
contact you to verify your current address, the funds will be escheated to the state of your last known address.
If the address is unknown, the funds are reported to PDC's state of incorporation, which is Delaware as of June
5, 2015. Prior to that date, it was Nevada.
To claim escheated funds, you will need to contact the state. To locate and collect unclaimed funds, please visit
the National Association of Unclaimed Property Administrators' (NAUPA) website
at http://www.unclaimed.org/ or www.missingmoney.com
What is unclaimed property?
Unclaimed property is mineral revenue and royalties that have not been claimed for a specific amount of time
(dormancy period). These funds have been held in suspense. We attempt to reunite owners with their property
using due diligence letters.
What does escheat mean?
Property is sent to the state of the owner's last known address based on PDC Energy's records. Property with no
last known address is reportable to the state of the holder's (PDC's) domicile (Delaware).
Why was I never notified before that I had money or minerals?
• Property could have been part of a merger, acquisition and/or divestiture
• Previous owner did not notify you of minerals when purchasing property
• Mail could have been returned and we were unable to find your current address
What is a dormancy period?
The dormancy period is the amount of time the government deems an account or asset to be abandoned.
Dormancy periods vary by state.
How can I get these funds?
Please sign and return the enclosed letter via email at escheat@pdce.c0m. Or, you can mail a copy to the
letterhead address. An analyst will then be assigned to help you with your inquiry.
Sincerely,
PDC Energy, Inc.
ConWrr3- gc
g/Z3/23
2023-2480
2023-2480
Le 020'1
�PDC
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07/26/2023
RECEIVED
AUG 0 4 2023
WELD COUNTY
COMMISSIONERS
"THE STATE OF COLORADO REQUIRES US TO NOTIFY YOU THAT YOUR UNCLAIMED
PROPERTY MAY BE TRANSFERRED TO THE STATE IF YOU DO NOT CONTACT US."
WELD COUNTY BOARD OF COMM
PO BOX 758
GREELEY, CO
80632-0758
Owner ID: 1010004360
Unclaimed Property Laws require PDC Energy, Inc. to transfer funds from deposit, account, shares, or other interest
to the State if the account has been inactive for three year(s). According to our records, we are holding funds on
behalf of this owner that are in an unresolved status for three years or longer. Therefore, your property is in danger of
escheating to the state unless you contact us or respond by completing, signing, and returning this notice to:
PDC ENERGY INC
ATTN: DIVISION ORDER DEPARTMENT
1099 18TH STE, STE 1500
DENVER, CO 80202
Email Address: Escheat@pdce.com
Telephone: 888-860-5836
If these held funds are transferred to the State, you will be required to submit a claim to the State in order to recover
them. Please complete the box below and return to us by 08/25/2023 to avoid having your account escheated.
I would like to request the release of funds that are being held on my behalf. I understand that I may need to provide
certain documentation in order to substantiate my legal right to those funds.
Print name: Mike Freeman, BOCC Chair Owner ID: 1010004360
Signature: Date:
AUG 2 3 2023
Address:
1150 "0" Street, Greeley, CO 80631
Daytime Telephone Number: 970.400.4200
Tax ID: 84-6000813
Email:
mfreeman@weld.gov
We appreciate your assistance in this matter. Please contact our office if you have any questions or if we can be of
assistance to you in any way.
Sincerely,
PDC ENERGY INC
Form W-9Request
(Rev. May 2019)
State of Colorado
Substitute
for Taxpayer
Identification Number and Certification
I. Go to www.irs.gov/FormW9 for instructions and the latest information.
Give Form to the
requester or State
Department. Do not
send to the IRS.
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1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.
COUNTY OF WELD
2 Business name/dlaregarded entity name, if different from above
3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check
following seven boxes.
❑ Individual/sole proprietor or ❑ C Corporation ❑ s Corporation ❑ Partnership
single -member LLC
❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership)
Note: Check the appropriate box in the line above for the tax classification of the single -member owner.
LLC if the LLC is classified as asinglemember LLC that is disregarded from the owner unless the owner
another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single
is disregarded from the owner should check the appropriate box for the tax classification of its owner.
❑ Other (see instructions) ► Q Government
only one of the
❑ Trust/estate
►
Exemptions
certain entities,
instructions
Exempt payee
Exemption
code (if any)
wppues roaccounts
(codes appry only to
not individuals: see
on page 3):
code (if any)
from FATCA reporting
f: rot check
of the LLC is
-member LLC that
maeheeedoutside me US.]
5 Remittance address (number, street, and apt/suite or PO Box). See instructions.
1150 "O" STREET
Procurement address if different (optional)
6 City, state, and ZIP code
GREELEY, CO 80632
7 Contact name and email
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid
backup withholding. For individuals, this is generally your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
TIN, later.
Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and
Number To Give the Requester for guidelines on whose number to enter.
Social security number
or
Employer Identification number
8
4
6
0
0
0
8
3
• Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting fora number to be issued to me); and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,
acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments
other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
Sign Signature of
Here U.S. person ►
A-, 7iatz--,
General Instructions
Section references are to the Internal Revenue Code unless otherwise
noted.
Future developments. For the latest information about developments
related to Form W-9 and its instructions, such as legislation enacted
after they were published, go to www.irs.gov/FormW9.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an
information return with the IRS must obtain your correct taxpayer
identification number (TIN) which may be your social security number
(SSN), individual taxpayer identification number (ITIN), adoption
taxpayer identification number (ATIN), or employer identification number
(EIN), to report on an information return the amount paid to you, or other
amount reportable on an information return. Examples of information
returns include, but are not limited to, the following.
• Form 1099-INT (interest earned or paid)
vote► January 3, 2023
• Form 1099-DIV (dividends, including those from stocks or mutual
funds)
• Form 1099-MISC (various types of income, prizes, awards, or gross
proceeds)
• Form 1099-B (stock or mutual fund sales and certain other
transactions by brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions)
• Form 1098 (home mortgage interest), 1098-E (student loan interest),
1098-T (tuition)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property)
Use Form W-9 only if you area U.S. person (including a resident
alien), to provide your correct TIN.
If you do not return Form W-9 to the requester with a TIN, you might
be subject to backup withholding. See What is backup withholding,
later.
Cat. No 10231X Form W-9 (Rev. 5-2019)
POLITICAL SUBDIVISION SALES TAX EXEMPTION CERTIFICATE
(For use by States, Territories or Political
Subdivision thereof, or the District of Columbia)
The undersigned hereby certifies that he is the Controller of Weld County Government and that he is
authorized to execute this Certificate and that all taxable articles/services purchased from
are for the exclusive use of Weld County Government, State of Colorado.
It is understood that the exemption from tax in the case of sales of articles under this Exemption
Certificate to the State, Territory, or Political Subdivision or District of Columbia is limited to the sale of
articles purchased for their exclusive use, and it is agreed that if articles purchased tax-free under this
Exemption Certificate are used otherwise or are sold to employees or others, such fact must be reported
to the manufacturer or the articles covered by this Certificate. It is also understood that the fraudulent
use of this Certificate to secure exemption will subject the undersigned and all parties making use of this
Certificate to all applicable criminal penalties under the Internal Revenue Code.
COLORADO SALES TAX CERTIFICATION OF EXEMPTION NUMBER - 98-03551-0000
FEDERAL TAX EXEMPTION NUMBER - 84-6000813
STATE TAX IDENTIFICATION NUMBER - 14-02101
By
Controller
Colorado statute exempts from state and state -collected sales tax all sales to the United States government and the State of
Colorado, it's departments and institutions, and it's political subdivisions (county and local governments, school districts and
special districts) in their governmental capacities only. {C.R.S. 39-26-114)1)(a)(I)}.
Some governmental entities have a Colorado -issued tax -exemption number, although they are not required to have one.
Following is a copy of Weld County Government's most recent Colorado -issued Certificate of Exemption for Sales and Use Tax
Only.
Jessica Reid
From:
Sent:
To:
Cc:
Subject:
Attachments:
All,
Jessica Reid
Friday, August 18, 2023 10:55 AM
CTB
Adria Schiel; Bruce Barker; Byron Howell; Diane Beckman; Karin McDougal; Matthew Conroy
PDC Energy funds held in suspense
PDC Funds in suspense letter.pdf
We received a letter from PDC Energy, dated July 26, 2023, stating we have funds in suspense from a plugged and
abandoned well (H&Y well). After speaking with them, said funds are due to the lack of a signed Division Order and a title
curative requirement. We need to sign the attached document and email back to them in order to not have the funds
"escheated" to the State of Colorado. Once they receive the signed letter the Division Order department will send us the
DO and I will process it like normal. We will not know what lease this is related to, or how much is being held in suspense,
until we get further along in the process.
Jess Reid
Deputy Clerk to the Board
Weld County
1150 O Street
Greeley, CO 80631
tel: 970-400-4212
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the
person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected
from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and
destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this
communication or any attachments by anyone other than the named recipient is strictly prohibited.
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