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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 • • 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.... 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I I Rt 04, Box 125 r Longmont, Colorado, 80501 ' I i 160/320 of 1/8 RI - ! • H 11 Ii i _-/ I I i 1 i I ! l c_..... r,7t;.G�n A 1.71 • . . Hello