HomeMy WebLinkAbout20191728NADOA Model Form Division Order (Adopted 9/95)
DIVISION ORDER
To: Bonanza Creek Energy, Inc.
410 17th Street, Suite 1400
Denver, CO 80202
Attn: Erin Pettigrew
Date: March 28, 2019
Effective Date: December 1, 2018
3toic�Sypj� yam^�( h N� 001/1 `" \tea
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Property Number: CO045354
Property Name: ST ANTELOPE E-2-14XRLNB
Operator: BONANZA CREEK ENERGY INC
County and State: Weld County, Colorado
Property
Description:
Township 5 North, Range 62 West
Sec 2: SWSW; Sec 3: SESE; Sec 10: E2E2; Sec 11: W2W2; Sec 14: W2W2; Sec 15: E2E2
IN /25-n9 Ai
Production:
X
Oil
0' _ II
))
X
Gas
X
Other: all products
Owner Name
and Address:
WELD COUNTY BOARD OF COMMISSIONERS
P O BOX 758
GREELEY, CO 80632-0758
OWNER NUMBER: 1041
Type of Interest: RI
Decimal Interest: 0.02777800
Lease recorded at Reception 113943889
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The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by
Bonanza Creek Energy, Inc. (Payor).
(Company Name)
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 indemnify and reimburse Payor any amount attributable to
an interest to which the undersigned is not entitled.
Payor may accrue proceeds until the total amount equals 5100.00, or pay yearly whichever occurs first, or as required by applicable
state statute.
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.
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.
BOARD OF VL
ATTEST:
CLERK
BY:
DEPUTY CLERK T
Weld County Government
1150 "O" Street
Greeley, CO 80634
hone: 970-336-7204
x: 970-336-7233
Ix ID: 84-6000-813
2019-1728
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
i
EKP
Retain this copy for your records
ty-1
64,4sese)
Lt6-02/23
INSTRUCTIONS TO ALL INTEREST OWNERS
BONANZA CREEK ENERGY, INC.. HAS ENCLOSED AN OIL DIVISION ORDER OR TRANSFER ORDER FOR
YOUR EXECUTION. IF YOU ARE RECEIVING A DIVISION ORDER FROM BCEI FOR THE FIRST TIME,
PLEASE BE ADVISED THAT WE ARE THE NEW OIL PURCHASER. IF A TRANSFER ORDER IS ENCLOSED
WE ARE EVIDENCING CHANGES OF OWNERSHIP IN AN EXISTING WELL.
THE ATTACHED DOCUMENT SHOULD NOT BE ALTERED IN ANY WAY EXCEPT TO CORRECT SPELLING
ERRORS, UNLESS ACCOMPANIED BY DOCUMENTARY EVIDENCE TO SUPPORT THE CHANGE.
If your name and interest are correctly shown:
1. Sign your name as shown on the Oil Division Order or Oil Transfer Order.
2. Have your signature witnessed by two competent witnesses.
3. If your name has changed due to marriage or divorce, execute the Oil Division Order or Oil Transfer Order
using your present name and furnish a copy of the marriage certificate or divorce decree.
4. If signing for a corporation, signature must be attested, corporate seal fixed and title of signatory party
reflected.
5. If signed by agent, attorney -in -fact, guardian or any party other than the named interest owner, a certified
copy of the power of attorney or other evidence of such party's right to sign must be furnished.
6. Oil Division Orders or Oil Transfer Orders for partnerships must be executed by all partners or by an
authorized partner. A certified copy of the instrument giving said partners authority to sign must be
furnished.
7. If Form W-9, Request Taxpayer Identification is enclosed, please fill this out, execute , date, and return.
8. Should you fail to provide your correct Social Security Number or Tax Identification Number, the law
provides that we withhold 28% of all production proceeds due you. You may also be subject to a further
penalty levied by the Internal Revenue Service.
9. Your correct mailing address should be noted in the space provided to insure prompt receipt of production proceeds.
10. The top copy or the "Original" of the Oil Division Order or Oil Transfer Order should be returned to:
Bonanza Creek Energy, Inc
410 17th Street, Suite 1400
Denver, Co 80202
Attn: Erin Pettigrew
10. Should you have any further questions regarding the enclosed Oil Division Order or Oil Transfer Order,
please contact your Erin Pettigrew at EPettigrew@BonanzaCrk.com or 303-803-1725.
11. Please DO NOT DETACH the exhibit from the Oil Division Order or Oil Transfer Order if one is included.
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Denver, CO 80202
(303) 803-1725 direct
(720) 305-0804 fax
Bonanzacrk.com
STATE
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Bonanza Creek Energy, Inc.
April 30, 2018
Page 17
UNIT RECONCILIATION - DIVISION OF INTERESTS
As to all depths and formations,
For Unit consisting of the SW/4SW/4 of Section 2, SE/4SE/4 of Section 3, E/2E/2 of
Section 10, W/2W/2 of Section 11, W/2W/2 of Section 14 and E/2E/2 of Section 15;
TSN, R62W,
g0oS_35-/
For the State Antelope E-2-14XRLNB well
Containing 720.00 acres, more or less
WORKING INTERESTS
Bonanza Creek Energy Operating Company, LLC
410 17th Street, Suite 1500
Denver, CO 80202
(1.0 x 0.81 x 40.00/720.00) (Tract A) +
(1.0 x 0.86 x 40.00/720.00) (Tract B) +
(1.0 x 0.8929 x 0.80 x 80.00/720.00) (Tract D) +
(1.0 x 0.86 x 80.00/720.00) (Tract F) +
(1.0 x 0.75 x 80.00/720.00) (Tract H) +
(1.0 x 0.85 x 0.825 x 160.00/720.00) (Tract I)
Noble Energy, Inc.
1625 Broadway, Suite 2O00
Denver, CO 80202
(1.0 x 0.875 x 160.00/720.00) (Tract C) +
(1.0 x 0.15 x 0.80 x 160.00/720.00) (Tract I)
Raisa II, LLC
1560 Broadway Street, Suite 2050
Denver, CO 80202
(1.0 x 0.1071 x 0.80 x 80.00/720.00) (Tract D) +
(1.0 x 0.50 x 0.79 x 80.00/720.00) (Tract G)
Anschutz Exploration Corporation
555 17th Street, Suite 2400
Denver, CO 80202
(1.0 x 0.50 x 0.79 x 80.00/720.00) (Tract G)
OVERRIDING ROYALTY INTERESTS
Croke Minerals Irrevocable Trust, dated November 26, 2012
258 South Ulukoa Place
Lahaina, HI 96761
(1.0 x 0.065 x 40.00/720.00) (Tract A) +
WI NRI
0.621433 0.506869
0.255556 0.221111
0.067456 0.053409
0.055555 0.043889
Bonanza Creek Energy, Inc.
April 30, 2018
Page 21
WI NRI
Weld County, Colorado
c/o Board of County Commissions
1150 O Street
P.O. Box 758
Greeley, CO 80632
(1.0 x 0.25 x 80.00/720.00) (Tract H)
Reddy Family, Inc.
16827 SE Newport Way
Bellevue, WA 98006
[1.0 x 0.50 x (0.1875 - 0.025) x 80.00/720.00] (Tract D)
NON -PARTICIPATING ROYALTY INTEREST
Ada Nancy Gates
Address not found of record
(1.0 x 0.0125 x 80.00/720.00) (Tract D)
Lavada Hurt
2242 East Juliet Court
Meridian, ID 83642
(1.0 x 0.0125 x 80.00/720.00) (Tract D)
TOTAL WORKING
AND REVENUE INTERESTS:
0.027778
0.009028
0.001389
0.001389
1.000000 1.000000
COOLS - WELL Information
Page 1 of 1
COGIS - WELL Information
Scout Card
DK Related Q Insp. MIT +A GIS a Doc a COA 'If Wellbore
Surface Location Data for API # 05-123-44264
Well Name/No:
Operator:
Status Date:
FacilitylD:
County:
Field:
P lanned Location
Frac Focus
Status: PR
State Antelope #E-2-14XRLNB (click well name for production)
BONANZA CREEK ENERGY OPERATING COMPANY LLC - 8960
12/1/2018
449332
WELD #123
WATTENBERG - #90750
798 FSL 811 FWL
Job Date: 10/8/2018
Job End Date: 10/28/2018
Chemical Disclosure Registry
Wellbore Data for Sidetrack #00
Spud Date:
Wellbore Permit
Permit #:
Prop Depth/Form:
Mineral Owner:
U nit:
Formation and Spacing:
Casing:
Cement:
Casing:
Cement:
Wellbore Completed
Completion Date: N/A
Measured TD:
True Vertical TD:
Top PZ Location: Sec: 2 Twp: 5N 62W
Bottom Hole Location: Sec: 14 Twp: 5N 62W
Formation Log Top
6/26/2018
17149
STATE
Federal or State Lease #:
LocationiD:
Location:
Elevation:
Lat/Long: 40.424267/-104.297109
Reported: 12/14/2018
aOrders
12/1/2018
8039.4
435952
SWSW 2 5N62W 6 PM
4,624 ft.
Lat/Long Source: Field Measured
Days to report: 47
Status: PR 12/1/2018
Spud Date is:
HORIZONTAL
Expiration Date:
Surface Mineral Owner Same:
Surface Owner:
Unit Number:
Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 720, Drill Unit: GWA
String Type: SURF , Hole Size: 13.5, Size 9.625, Top: 0, Depth: 1600, Weight: 36
Sacks: 855. Top: 0, Bottom: 1600. Method Grade:
String Type: 1ST , Hole Size: 8.5, Size: 5.5, Top: 0, Depth: 17149, Weight: 17
Sacks: 2807, Top: , Bottom: 17149, Method Grade:
Measured PB depth:
True Vertical PB depth:
Footage: 330 FSL 10 FWL
Footages: 470 FSL 10 FWL
Log Bottom
NOTICE
6/8/2020 11:12:22 AM
STATE
Depth
Depth
Completed information for formation N-COM Status: PR
1st Production Date: 6/1/2018
Status Date: 12/1/2018
Commingled:
Formation Name: NOT COMPLETED
Tubing Size:
Tubing Packer Depth:
Open Hole Top:
N o Initial Test Data was found for formation N-COM .
N o Perforation Data was found for formation N-COM .
Choke Size:
Open Hole Completion:
Production Method:
Status:
Tubing Setting Depth:
Tubing Multip e Packer:
Open Hole Bottom:
PR
Cored
12/1/2018
DSTs
https://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12344264&type=WELL 4/18/2019
COUNTY ATTORNEY STAFF APPROVAL
This is to affirm the attached Division Order and authorization to receive payment for an
oil and gas well has been reviewed by the County Attorney's staff as to form and legal
description.
Well Name(s): State Antelope E-2-14XRLNB
File Location(s): LE0223
3
BY: _____--,....,-z_----,___ DATE: /7?Bru Barker - County Attorney
I (r(
NOTES: 80 mineral acres/ 720 acres spacing unit * 25% _ .0277800 MATCH
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