HomeMy WebLinkAbout720003.tiff SIGN STIPULATION OF INTEREST
AMOCO PRODUCT ION'COMPANY
RANGE 67, TOWNSHIP 2 NORTH, SECTION 26 East Half (E-j):
BE IT RESOLVED, by the Board of County Commissioners, Weld County,
Colorado, that they do hereby sign, "Stipulation of Interest", as submitted
by Amoco Production Company on the East Half (E2) of Section 26, Township 2
North, Range 67 West of the 6th P. M. , Weld County, Colorado, Oil and Gas
Lease Number 559 as per original lease dated April 29, 1970.
The above and foregoing resolution was, on motion duly made and
seconded, adopted by the following vote: (�
AYES: •
/THHE BOARD OF C UNTY COMMISSIONERS
WELD COUNTY, COLORADO
DATED: MAY 31, 1972
MB 38: . i2{ LHR 542
i 720003
`FAf1/1QGO) Amoco Production Company
� Amoco Building
P.C. Box 591
Tulsa, Oklahoma 74102
May 12, 1972
FILE: E-94-2984-MAL
L-601843 (520113)
WELD COUNTY POOLING UNIT (NAV)
WELD COUNTY
COLORADO
Weld County Colorado
c/o Board of County Commissioners
Weld County Court House
Greeley, Colorado 80631
Gentlemen:
Well No. 1 was completed January 19, 1971 in the Muddy "J" Formation of
the subject unit. Natural gas and condensate sales are being made from
this property.
The enclosed Stipulation of Interest was prepared on the basis of re-
corded title information certified to 8:00 A.M. February 12, 1972. If
you agree with the interest credited to you, please sign and h ndle in
accordance with the attached instruction sheet.
•
Sincerely,
F. D. Culbertson . ..
MAL:l sm
Enclosures
T
AMOCO
Instructions To All Interest Owners
Read Carefully Before Signing The Instrument
This instrument should not be altered in any way unless accompanied by documentary
evidence to support the change.
If your name and interest are correctly shown:
Signature: Sign name as shown on the instrument. Have your signature witnessed.
If signing for a corporation, signature must be attested, corporate seal affixed,
and title of signatory party shown.
Signature by Second If the instrument is signed by agent, attorney-in-fact, guardian or any party
Party: other than the named interest owner, we must have evidence of the rights
vested in the signatory party.
Taxpayers Identification Insert your number in the space provided opposite your name on the instrument
Number or Social in accordance with the instructions reproduced on the reverse side hereof.
Security Number:
Mailing Address: Insert the address to which checks are to be mailed. Print or type. Do not
abbreviate. If you are already receiving checks from this company, be sure to
use the same address to which we are now mailing checks.
Property Number: In the upper right corner of the instrument you will find the number assigned
to this property. This number will appear on the statement attached to your
check and should always be used when corresponding with this company.
Settlement for your Upon receipt of the properly executed instrument and evidence of clear title,
Interest: the interest credited to you will be authorized for payment. Instruments must
be received in our office by the 20th of the month for checks to be issued the
following month. Checks will be mailed monthly when accruals to your interest
equal $5.00 or more. In November of each year payment will be made for all
accumulated sums of more than $1 .00.
Change of Address: You should notify us promptly of any change in your mailing address. This
notice must be over your own signature, or the signature of your appointed
agent. Always include your business associate number and your old address,
then state your new address with zip code.
Return the executed instrument without delay to the address below. Keep one copy for
your records.
Amoco Production Company
(Attention: Division Order Section)
P.O. Box 591
Tulsa, Oklahoma 74102
Form 1104 7-71 (See reverse side for additional information)
Instructions for furnis' ` 'q Taxpayer Identification Number Social Security Number:
If this account is in th, Ante of:
An individual, furnish the individual's own social security number. A widow 62 or over
who received social security benefits before January 1 , 1963, and who has no number of
her own may use the benefit number for tax purposes. All other persons must have their
own number.
Two or more persons (for example, "A and B as joint owners" or "A, B, and C as tenants
in common"), only one number need be furnished. Ordinarily, the number of any one of the
persons will be sufficient, except that if the choice is between husband and wife, furnish the
social security number of the husband—or if between adult and minor, furnish the social
security number of the adult. Underline the name of the person whose number is furnished.
A designated guardian, custodian, committee, etc., and one or more wards, minors,
incompetents, or other individuals, furnish the social security number of the ward, minor,
incompetent, etc., and underline the name of the individual whose number is furnished
(for example, "A as custodian for B under the Uniform Gifts to Minors Act'
furnish B's social security number and underline B's name).
A so-called trust, which is not a legal or valid trust, furnish the social security number
of the person named as trustee and underline his name (for example, a savings account,
not formalized by a trust instrument, in the name of "A in trust for B" furnish the social
security number of A and underline A's name).
A trust, estate, pension trust, corporation, partnership, broker, registered nominee, etc.,
furnish the employer identification number of the entity (for example, "A, trustee under the
will of S for benefit of Y," furnish the employer identification number of the trust). If an
employer identification number is needed, contact any Internal Revenue Service office.
If you do not now have a Social Security Number:
You may obtain the form upon which to make application for a number at your nearest Social
Security or Internal Revenue Service Office. When you have obtained your number notify
this company of the same without delay at the Address appearing on the face hereof.
How to read your check statement
BUSINESS ASSOCIATE NO. PURCHASED OR SOLD QUANTITY YOUR INTEREST
Number assigned to you as an Month and Year of Sales or Barrels. Tons or MCF (Thou- Before Tax is your decimal in-
interest owner. Purchases included in this sand Cubic Feet) sold from tteres column your
gross
is value,
decimal l , er ax
payment. the Lease.
rarest in net value after
severance and other produc-
in-
tion taxes.
oco Production Company Statement o1 Oil and Gas Purchased or Sold
tia osn aloe +N
O Box bar Tula., 04anomn l4 J i,..p dcc_ r mwnee
"""" Your Inceresi
686516n 00 6 e
Property Nn u. v. u� n 'L c Ou'nery Imal Tag To al Vale after tax BO re a. nxa i.=
260200 00 1 01 71 01 1 010 92 202 IB 2 699 16 362 67 337 39
260200 00 101 71 02 2 742 46 22 436 40 60 33 54 55
\ 423 00 391 94
fc .Mr ..00, \a-,a Lri avai 0„a„ Aar 0a\eTirsw
LEGEND CODE TOTAL VALUE
Identities what each line AFTER TAX
represents. Net value of total sales
from the property after
all taxes are paid.
TOTAL TAX
PROPERTY NO. Severance and other Produc-
Number assigned to the lease, unit. etc. First six numbers are Lion taxes paid on the oil or
basic property number-The next two numbers are the sub prop- gas sold from the property.
erty numbers to enable different types of sales to be recorded Federal income taxes are not TOTALS
from the same property.The last number in a Check digit"to deducted except for non- Total of all your interest pay-
insure the accuracy of the property number resident aliens able on this check.
L-601843
MAL:lsm
STIPULATION OF INTEREST
'/%MOCOi
Property No. JGV r t J
To Amoco PrcrJuction Company i.Ii E May 12 , 1`J� 72
P.O. Box 591,Tulsa, Oklahoma 74102 EFFECTIVE 7:00 a.m. First Sale 19
Each of the undersigned OWNERS hereby covenants and warrants as follows:
FIRST: I am the owner of that interest set out below,and should be credited with payments accruing to such interest from and after the effective
date hereof, in the following described property:
L-601843 (520113) WELD COUNTY POOLING UNIT (NAV) consisting of 320.00 acres, more
or less, and described as follows :
E/2 of Section 26-2North-67West, as to all formations from the surface to the base '
of the Cretaceous Formation , Weld County, Colorado.
SEE DIVISION OF INTEREST DIGEST ATTACHED HERETO AND MADE A PART HEREOF.
RECEIPT FOR CERTIFIED MAIL-3O( (plus postage)
SENT TO POSTMARK
j Y OR DATE
I M STREET AND NO.
1 P.O., STATE AND ZIP CODE
OPTIONAL SERVICES FOR ADDITIONAL FEES
RETURN 1. Shows to whom and date delivered 154
d��a With delivery to addressee only 65e
RECEIPT 2. Shows to whom,date and where delivered 354
a e- SERVICES With delivery to addressee only 654
rl Q DELIVER TO ADDRESSEE ONLY _ _ 50d
SPECIAL DELIVERY (extra fee required)
PS Form 3800 NO INSURANCE COVERAGE PROVIDED— (See other side)
Apr. 1971 NOT FOR INTERNATIONAL MAIL *GPO: 1010 0407-401
•
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SECOND: Satisfactory evidence of title will be furnished you at any time on demand.In the event of failure to furnish such evidence of title,or in
the event of any dispute or question at any time concerning the title to said land and/or production therefrom, you are authorized to withhold all
proceer'"'ram production,without interest,until such di;p•:-.9,defect,or question of title is co:rectad or rer..:::d to your satisfaction,or urlt;l indemn;:y
satisfactory to you has been furnished; and in the event any action or suit is filed in any court affecting the title to the land above described or the
production therefrom,to which any of the undersigned is a party,written notice of the filing of such suit or action shall he immediately furnished you by
the undersigned, stating the court in which the same is filed and the title of such suit or action.You will not be responsible for any change of ownership
in the absence of actual notice and satisfactory proof thereof.
THIRD: This stipulation of interest may be executed by one or more, however all covenants herein shall be binding upon each,severally and not
jointly,as soon as signed by him or her,and upon the heirs,devisees,personal representatives,successors and assignees of each.
Witness of Signatures Signatures Taxpayer Id?etificatian or
Social Security Number
The Board of County Commissioners
Weld County, Colorado, Greeley, Colo 84-60000-813
Glenn K. Billings
County Clerk & R order and . J �. JJ• .
Clerk to the Board �.:.
Ashley Harry S. y
A
By: Deputy County Clerk y ;.&•
Mar •
shall H: And6rson -
BE SURE TO INSERT YOUR TAXPAYER IDENTIFICATION OR SOCIAL SECURITY NUMBER IN THE
SPACE PROVIDED ABOVE
Form 600 5-71
AP, Amoco P red ur_tion Company .. .
r"`.a'I"'e Barn 4•,
•Arv!C...0 Division of ;nterest Digest
'402 I 3111"
Dated^..._____. _.. Cm
U ot
WELD COt. FOOLING UNIT
r r IF AC. Ck Chi`s P 1(1f1
_ Property Name.... WELD.....00Ui COUNTY FOOLINGUNI� --(NA:V) .. ...... ...._.. ..._. __...---- - _ r— . .._..� t-.
_ ._NORDEN land ; o. 601843 ----520113 i__i ' _---.... ., _
WATTFNI;FRO n n ,r,.
Stain_ ___ COLQ DO._._ Gnr:i'Parrsh WELD ... ---_ ________
• •:•,:-;sers 0 i 0 No. or Contra.:t No and Purcha,:rs Noma •
Card No. L3 i Ct•.in.o• Cooe , 3
C Condensate - 5.31.8-__-_L...RQC K_T�I.. .D-G 1 L_C0.-_._._ Sequence Code r 8
i xi Nad. Gas- 1Q.�Q_.... PANHANDLE.�A.�IERfLPL O.__.� -14 ET
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o i
b i 3 S D!nmar
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NORDEN LIMITED PARTNERSHIP I01 l i
639 x of 7/8 WI j ! �.
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Panhandle Western Gas Company
I ! P 0 Box 1348 I t
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34.1% of 7/8 WI ! i
Energy Mineral Corporation 101 j 0175007
i s ; 632 Guaranty Bank Building I a
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I Lupton Meadows [)itch Company, The j 04 0018164 '; ;
300 Denver Avenue I '
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Fort Lupton, Colorado, 80621
t I 4.65/320 of 1/8 RI ! ,•
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I I Weld County Colorado 04 1 0606836
"` c/o Board of County Commissioners'
j Weld County Court House I
1 I 1 i Greeley, Colorado, 80631 I '
j I f 155.'35/3Z of 1/8 RI
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r Longmont, Colorado, 80501
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