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Home My WebLink About20162724.tiffEXTR CTION NADOA Model Form Division Order (Adopted 9195) DIVISION ORDER To: Extraction Oil and Gas, LLC 370 17T" Street. Suite 5300 Denver, CO 80202 Well/Property Name: Well API Number: Well/Property Number: County and State: Well Spacing Location: Spacing Unit Gross Acres: DT -Forbes 5-5-6 05-123-38297 14.104 Weld, Colorado Township 5 North, Range 66 West Section 5: SW/4 and Section 6: S/2 499.0429 Production Type: X Oil X Gas X Other Date: 08/05/2016 Analyst: 'f.Peters Owner Owner Name Tax Interest Type Interest Decimal Number Identification Weld County Colorado 0.00351826 4317 PO Box 758 XXX-XX-0813 RI Greeley, CO 80632 The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by Extraction Oil and Gas, LL0 ("Payer"). Payor shall be notified, in writing, of any change in ownership, decimal interest, or payment address. All such changes shall be effective within 60 days of notification from Payee. 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 $100.00, or pay annually, 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. A facsimile or scanned copy of a signed copy of this Division Order shall be deemed an original. Federal Law requires you to furnish your Social Security or Taxpayer Identification Number. SIGNATURE: ' Ib -A- '+o;----- BOARD OF WEIU Y OC�IyjMIS- SISJNERr5, CHAIRAUG 2 2 CLERK -TO THE BOARD BY: l3it/• RivirJCn , DEP CLERK TO THE BOARD Crnth A Weld County Government 1150 "0" Street 2016 Greeley, CO 80634 Phone: 970-336-7204 Fax: 970-336-7233 Tax ID: 84-6000-813 ( 0Sjfria.l +0 E.x+rac+ion V 0/01-iiaotG, 2016-2724 EXTH3I�GTIO 1 INSTRUCTIONS TO ALL INTEREST OWNERS THIS IS NOT AN OFFER TO PURCHASE OR LEASE YOUR MINERAL RIGHTS. You are receiving this paperwork because Extraction Oil & Gas is currently producing oil and/or gas from a new well, in which you have been identified as an interest owner. In order to receive your royalty payments, the enclosed paperwork must be signed and returned. PLEASE REVIEW, EXECUTE ONE COPY AND RETURN TO OUR OFFICE, AND KEEP ONE COPY FOR YOUR RECORDS. PLEASE DO NOT DETACH THE EXHIBIT FROM THE DIVISION ORDER IF ONE IS INCLUDED. NOTE: Royalty payments are made at the end of each month when the amount due to you has reached $100 or more. 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 Division Order. 2. Have your signature witnessed by two competent witnesses. A notary is not required. 3. If your name has changed due to marriage or divorce, execute the Division 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 an 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. Division 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. Federal law requires that you furnish a correct social security or taxpayer identification number. Failure to comply will result in 28% tax withholding required by the Internal Revenue Service and will not be refunded by Extraction. You may also be subject to a further penalty levied by the Internal Revenue Service. The enclosed W-9 form must be completed and returned with your Division Order. If your tax identification number is pre-printed on the Division Order, a W-9 form is not required. 8. If the Division Order contains an incorrect mailing address, your correct mailing address should be noted on the Division Order to insure prompt receipt of production proceeds. Please print the correct mailing address using no abbreviations. The "Return" portion should be returned to: EXTRACTION OIL AND GAS LLC. 370 17th Street, Suite 5300 Denver, Colorado 80202 Attn: Disinflders Tara_ Peters 10. Should you have any further questions regarding the enclosed Division Order, please contact Owner Relations at 720481-2380 or via email at DivisionOrders@ExtractionOG.com. 11. Please visit our website at ExtractionOG.com to learn more about Extraction Oil and Gas. EXTRACTION OIL AND GAS, LLC, 370 17th STREET, SUITE 5300, DENVER, CO 80202- PHONE 720-557.8300 SW Sf of Section 5 and S31 of Sect! 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O 0 a a N N O O Cli CO 01 a CO N an CO a) H .-1 0 0 cS cY In " m m O Q tga 9 9 aN N a 8 8 oi 0 N N o fc cc Cc m O O La J w • 9 ? 3 3 0.00051062 • 0 el 0 o o a a o a O o 0 0 0.00023004 N 01 01 01 01 N N N N NN g O O O O O S a a a a a a a CO U1 ul CD C pappp 0 N N N e-1CO .�-4 o 0 0 0 0 0 � �,�to In ro a o m o m o 0 ID - 111 i W IA I, J J 9 9 9 9 = 9 9 O 0 0 a Z. C c c C o o 0 I 1 t o 0 0 O 0 0 0 ca ca 0 • a a a a Li U • U U • U • U U I \ i 1 I { 1 NE X SW M Section 5, T5N, R65W, 6th PM Tract Descriptions Continued...- 'r131',5?p •5 7. MINERAL OWNERSHIP Name atelglillrant OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage Lease 9 Percentage Lease 93% 9 7% 9 TRACT NO.10 ✓ 1,6041A - • Legal Description: LOTS 9 &(f10 AND Tit NORTH 1/2 OF LOTS 11 & 12, ALL OF LOTS 13 THROUGH 20, BLOCK 37. ALSO THE SOUTH 1/2 OF THE VACATED ALLEY ADJACENT TO LOTS 13 THROUGH 19 EXCEPT THE EAST 5 FEET OF ALLEY ADJACENT TO LOT 19, ALSO EXCEPTING THE WEST 8.65 FEET OF THE SOUTH 1/2 OF LOT 13, AND CONTAINING 0.8458 NET ACRES WITHIN THE NE/4 OF THE SW/4, OF SECTION 5 BEING 1.2190 GROSS ACRES, MORE OR LESS. SURFACE Name County of Weld OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name County of Weld OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage 100% Percentage Lease 100% 10 Percentage Lease 93% 10 7% 10 L=eQ4Jv5 TRACT NO. 11," ‘p-- . a Legal Description: LOTS 1 TO 7, BLOCK 44 (ANNE BUILDING), ALSO KNOWN AS 804 7TH STREET GREELEY, COLORADO, AND CONTAINING 0.4626 NET ACRES WITHIN THE NE/4 OF THE'SW/4, OF SECTION 5 BEING 0.4626 GROSS ACRES, MORE OR LESS. SURFACE Name County of Weld 100% Percentage 7IPace NE 14 SW X Section 5,15N, R65W, 6u' PM Tract Descriptions Continued.... OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name County of Weld OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage Lease 100% 11 Percentage Lease 33% 11 7% 11 nig/ 5'I TRACT NO.12 •LE.o4I I Legal Description: LOTS 8 THROUGH 26, BLOCK 44, TOGETHER WITH A VACATED NORTH -SOUTH \a.51• ALLEY ADJACENT TO LOTS 12 THROUGH 23, AND A VACATED EAST -WEST ALLEY ADJACENT TO LOTS 9 THROUGH 12, LOTS 17 & 18 & LOTS 23 THROUGH 26, ALSO KNOWN AS 822 7TH STREET GREELEY, COLORADO, ALSO KNOWN AS 822 7TH STREET 750 GREELEY, COLORADO, AND CONTAINING 0.3663 NET ACRES WITHIN THE NE/4 OF THE SW/4, OF SECTION 5 BEING 1.2139 GROSS ACRES, MORE OR LESS. SURFACE Name County of Weld OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name County of Weld OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage 100% Percentage Lease 100% 12 Percentage Lease 93% 12 7% 12 TRACT NO. 13 Legal Description: LOT 30 & W19' LOT 31, BLOCK 42 & EAST 33' RR AVE ADJ LOT 30 ON W SIDE THEREOF EXTENDING TO PT 10'N & 33'W OF NW COR LOT 30 ALSO SOUTH 10' E -W ALLEY ADJ LOT 30 & W19' LOT 31 ON N SIDE THEREOF & ETENDING W TO CENTER OF RR AVE 603 8 STREET GREELEY, Wage SEX SW X Section 5, TSN, R65W, 6'll PM Tract Descriptions Continued... MINERAL OWNERSHIP Name OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LW Richmark Energy Partners, LLC Percentage Lease 100% 26 Percentage Lease 93% 26 7% 26 TRACT NO. 27 ✓ e5041/ Legal Description: LOTS 8 THROUGH 26, BLOCK 44, TOGETHER WITH A VACATED NORTH -SOUTH ALLEY ADJACENT TO LOTS 12 THROUGH 23, AND A VACATED EAST -WEST ALLEY ADJACENT TO LOTS 9 THROUGH 12, LOTS 17 & 18 & LOTS 23 THROUGH 26, ALSO KNOWN AS 822 7TH STREET GREELEY, COLORADO, ALSO KNOWN AS 822 7TH STREET 750 GREELEY, COLORADO, AND CONTAINING 0.1984 NET ACRES WITHIN THE SE/4 OF THE SW/4, OF SECTION 5 BEING 1.2139 GROSS ACRES, MORE OR LESS. SURFACE Name County of Weld OIL, GAS & ASSOCIATED HYDROCARBONS • MINERAL OWNERSHIP Name County of Weld OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Rl hmark Energy Partners, LLC Percentage 100% Percentage Lease 100% 27 Percentage Lease 93% 27 7% Y7 TRACT NO.28 Legal Description: LOT 30 & W19' LOT 31, BLOCK 42 & EAST 33' RR AVE AD! LOT 30 ON W SIDE THEREOF EXTENDING TO PT 10'N & 33'W OF NW COR LOT 30 ALSO SOUTH 10' E -W ALLEY ADJ LOT 30& W19' LOT31 ON N SIDE THEREOF & ETENDING W TO CENTER OF RR AVE 6038 STREET GREELEY, COLORADO, AND CONTAINING 0.0729 NET ACRES WITHIN THE SE/4 OF THE SW/4, OF SECTION 5 BEING 0.1811 GROSS ACRES, MORE OR LESS.. 195 [Page SE % SW %Section 5,151% R6SW, 6'^ PM Tract Descriptions Continued._ {osr{o3l IL(/. II: LID <i2.5ll I.88 S J. Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage Lease 93% 97 t 7% 97 CLEM' 3 TRACT NO. 101 / Legal Description: NORTHH 50' LOT -9-]0 & W20' NORTH 50' LOT 11, BLOCK 77, ALSO KNOWN AS 1020 9 AVENUE GREELEY, COLORADO, AND CONTAINING 0.0121 NET ACRES WITHIN THE 5E/4 OF THE SW/4, OF SECTION 5 BEING 0.1377 GROSS ACRES, MORE OR LESS. SURFACE Name Weld County of Colorado OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County of Colorado OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage 100% Percentage Lease 100% 98 Percentage Lease 93% 98 7% 98 TRACTNO.102 / LE03 ✓3 Legal Description: SOUTH 32.5' LOT 1, BLOCK 77, CITY OF GREELEY, ALSO KNOWN AS 1015 8 AVENUE GREELEY, COLORADO, AND CONTAINING 0.0373 NET ACRES WITHIN THE SE/4 OF THE SW/4, OF SECTION 5 BEING 0.0373 GROSS ACRES, MORE OR LESS. SURFACE Name Weld County of Colorado OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County of Colorado OIL AND GAS LEASEHOLD ESTATE Percentage 100% Percentage Lease 100% 99 233Page ( D. Cul SE % SW %Section 5, TSN, R65W, 6u PM Tract Descriptions Continued... Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage 93% 7% Lease 99 99 jkiloc6a5tri TRACTNO.103✓ LEo353 Legal Description: SOUTH 6SFT LOT 1-2 EAST 3FT SOUTH 65FT LOT 3, BLOCK 77 EXC SOUTH 32.5FT LOT 1, ALSO KNOWN AS 1013 8 AVENUE GREELEY, COLORADO, AND CONTAINING 0.1163 NET ACRES / `6• S , WITHIN THE SE/4 OF THE SW/4, OF SECTION 5 BEING 0.1163 GROSS ACRES, MORE OR LESS. SURFACE Name Weld County of Colorado OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County of Colorado OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage 100% Percentage 93% 7% Percentage 100% Lease 100 Lease 100 100 TRACT NO. 104✓ L60?j53 Legal Description: LOTS 1-7 AND THE NORTH 105 FEET OF LOT 8 AND THE EAST 35 FEET OF LOT 12 AND ALL OF LOTS 13 AND 14 THE NORTH 60 FEET OF LOT 15, BLOCK 77 EXCEPT THE SOUTH 65.5' OF LOTS 1 AND 2 AND THE EAST 3 FEET OF THE SOUTH 65.5 FEET OF LOT 3, ALSO KNOWN AS 810 10 STREET GREELEY, COLORADO, AND CONTAINING 1.594 NET ACRES WITHIN THE 5E/4 OF THE SW/4, OF SECTION 5 BEING 2.1513 GROSS ACRES, MORE OR LESS. SURFACE Name Weld County of Colorado OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County of Colorado Percentage 100% Percentage Lease 100% 101 2341Page SE M SW X Section 5, TSN, RGSW, St" PM Tract Descriptions Continued... OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage Lease 93% 101 7% 101 TRACT N0.105 Legal Description: UNITS A, B & C, WELDORADO CONDOMINIUMS, CITY OF GREELEY, COUNTY OF WELD, STATE OF COLORADO, AND CONTAINING 0.0914 NET ACRES WITHIN THE SE/4 OF THE SW/4, OF SECTION 5 BEING 0.1136 GROSS ACRES, MORE OR LESS. SURFACE Name OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name i .. OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percent e Percentage 93% 7% Percentage Lease Lease C TRACT NO. 106 Legal Description: UNIT D, WELDORADO CONDOMINIUMS, CITY OF GREELEY, COUNTY OF WELD, STATE OF COLORADO, AND CONTAINING 0.0052 NET ACRES WITHIN THE SE/4 OF THE SW/4, OF SECTION 5 BEING 0.1136 GROSS ACRES, MORE OR LESS. SURFACE Name OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Percentage ®t Percentage 100% Lease Page235 'g e NW X SW % Section 5,15W, R65W, 6'h PM Tract Descriptions Continued_. TRACT NO. 11 V Luogr'' Legal Description: LOTS 8 THROUGH 26, BLOCK 44, TOGETHER WITH A VACATED NORTH -SOUTH ALLEY ADJACENT TO LOTS 12 THROUGH 23, AND A VACATED EAST -WEST ALLEY ADJACENT TO LOTS 9 THROUGH 12, LOTS 17 & 18 & LOTS 23 THROUGH 26, ALSO KNOWN AS 822 7TH STREET GREELEY, COLORADO. ALSO KNOWN AS 822 7TH STREET 750 GREELEY, COLORADO, AND CONTAINING 0.3821 NET ACRES WITHIN THE NW/4 OF THE SW/4, OF SECTION 5 BEING 1.2139 GROSS ACRES, MORE OR LESS. SURFACE Name County of Weld OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name County of Weld OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage 100% Percentage Lease 100% 11 Percentage Lease 93% 11 7% it TRACT NO.12 Legal Description: SOUTH 90' LOT 1, BLOCK 27, ALSO KNOWN AS 509 11 AVENUE GREELEY, COLORADO, AND CONTAINING 0.1087 NET ACRES WITHIN THE NW/4 OF THE SW/4, OF SECTION 5 BEING 0.2182 GROSS ACRES, MORE OR LESS. SURFACE Name amMiplalair OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name OIL AND GAS LEASEHOLD ESTATE Percentage Percentage Lease 12 55IPage TRACT NO. 61 ✓ L 6035 Legal Description: PART OF THE W 1/2 OF LOT = 14I THE SW 1/4 OF THE NW 1/4, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE SW CORNER OF SAID LOT 3, THENCE RUNNING NORTH ALONG THE WEST LINE OF LOT 3, 75 FEET, THENCE RUNNING SOUTHWESTERLY ALONG THE WEST SIDE OF THE CANAL TO A POINT 90 FEET EAST OF THE SOUTHWEST CORNER, 476 page NW %SW u Sections, T5N, R55W, 6th PM Tract Cea5pocns Coneicetl._ THENCE RUNNING WEST 90 FEET TO THE POINT OF BEGINNING, AS DEEDED FROM JANE EVANS TO THE COUNTY OF WELD FOR ROAD PURPOSES IN QUIT CLAIM DEED BOOK 114, PAGE 536., AND CONTAINING 0.0773 NET ACRES WITHIN THE NW/4 OF THE SW/4, OF SECTION 6 BEING 0.0775 GROSS ACRES, MORE OR LESS. SURFACE Name Weld County OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County OIL AND GAS LEASEHOLD ESTATE Neme Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentaee 100% Percentage Lease 100% 61 Percentage Lease 93% 61 7% 61 SW NSW X Section 5,15N, R6SW, 6th PM Tract Descriptions Continued... r3 -1 I 0-S'I, Name OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage anew Percentage a Lease 15 Lease 15 15 TRACT NO.16 Legal Description: LOTS 7-8, BLOCK 67, ALSO KNOWN AS 925 11TH AVENUE GREELEY, COLORADO, AND CONTAINING 0.4021 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 0.8724 GROSS ACRES, MORE OR LESS. SURFACE Name Percentage idea OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Percentage Lease 16 OIL AND GAS LEASEHOLD ESTATE Name Percentage Lease Extraction Oil and Gas, LW 93% 16 Richmark Energy Partners, LLC 7% 16 TRACT NO.17 Legal Description: LOTS 8 THROUGH 26, BLOCK 44, TOGETHER WITH A VACATED NORTH -SOUTH ALLEY ADJACENT TO LOTS 12 THROUGH 23, AND A VACATED EAST -WEST ALLEY ADJACENT TO LOTS 9 THROUGH 12, LOTS 17 & 18 & LOTS 23 THROUGH 26, ALSO KNOWN AS 822 7TH STREET GREELEY, COLORADO, ALSO KNOWN AS 822 7TH STREET 750 GREELEY, COLORADO, AND CONTAINING 0.2671 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 1.2139 GROSS ACRES, MORE OR LESS. WW1 SURFACE Name County of Weld Percentage 100% 1091Page SW X SW X Section 5,15N, R65W, 6'h PM Tract Descriptions Continued... Vineyard Christian Fellowship OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC 100% 42 Percentage Lease 93% 42 7% 42 TRACT NO.43 Legal Description: LOTS 22-23-24 & W/2 OF LOT 25, BLOCK 55, ALSO KNOWN AS 1019 9 STREET GREELEY, COLORADO, AND CONTAINING 0.231 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 0.2310 GROSS ACRES, MORE OR LESS. SURFACE Name OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name ars OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC I - '?73l Sf ACI No. 44 '2 l..,c D µ1 ` 3 Legal Description: THE WEST 30 FEET OF THE NORTH 100' LOT 4, BLOCK 76, CITY OF GREELEY, IS 7` COUNTY OF WELD, STATE OF COLORADO, ALSO KNOWN AS 912 10TH STREET GREELEY, COLORADO, AND CONTAINING 0.0689 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 0.0689 GROSS ACRES, MORE OR LESS. Percentage Percentage Lease air Percentage Lease SURFACE Name Weld County OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Percentage 100% 123IPage SW % SW X Section 5, TSN, R6SW, 6u PM Tract Descriptions Continued... Name Weld County OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LW Richmark Energy Partners, LLC Percentage Lease 100% 44 Percentage Lease 93% 44 7% 44 pie 0©112+2 — Ded ID Weld Cfz1.- ( "aU1ed) TRACT NO.45 ./ L e Legal Description: NORTH 50' LOT 9-10 & W20' NORTH 50' LOT 11, BLOCK 77, ALSO KNOWN AS 1020 9 AVENUE GREELEY, COLORADO, AND CONTAINING 0.1256 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 0.1377 GROSS ACRES, MORE OR LESS. SURFACE Name Weld County of Colorado OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County of Colorado OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage 100% Percentage Lease 100% 45 Percentage Lease 93% 45 7% 45 TRACT NO.46 Legal Description: LOTS 9 THRU 16, BLOCK 76, CM OF GREELEY, COUNTY OF WELD, STATE OF COLORADO. ALSO KNOWN AS 1025 9TH AVENUE GREELEY, COLORADO, AND CONTAINING 1.0223 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 1.7448 GROSS ACRES, MORE OR LESS. SURFACE Name OIL, GAS & ASSOCIATED HYDROCARBONS Percentage 4iter 124IPage SW x SW Y. Section 5, T5N, R65W, 6" PM Tract Descriptions Continued... MINERAL OWNERSHIP Name OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC 93% Richmark Energy Partners, LLC 7% Percentage Lease Percentage Lease jTRACrNO 47—( LEO352 .%tl0t, aR(0 Legal Description: UNIT #2, MARLBOROUGH ANNEX CONDOMIUM, ALONG WITH THEIR ll PROPORTIONATE SHARE OF THE COMMON ELEMENTS, CITY OF GREELEY, COUNTY OF WELD, STATE I -S OF COLORADO, AND CONTAINING 0.0287 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION !� 5 BEING 0.0287 GROSS ACRES, MORE OR LESS. %L{Gcta tp f$•Sf. SURFACE Name Weld County OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County OIL AND GAS LEASEHOLD ESTATE Name Extraction °Hand Gas, LLC Richmark Energy Partners, LLC Percentage 100% Percentage Lease 100% 47 Percentage Lease 93% 47 7% 47 TRACT. -N0748- E0 352. Legal Description: LOT 5-6, BLOCK 66, ALSO KNOWN AS 1008 9 STREET GREELEY, COLORADO, AND CONTAINING 0.21.81 NET ACRES WITHIN THE SW/40F THE SW/4, OF SECTION 5 BEING 0.2181 GROSS ACRES, MORE OR LESS. SURFACE Name Weld County 1004E Percentage OIL, GAS & ASSOCIATED HYDROCARBONS 125lPage SW X SW X Section 5, T5N, R65W, 6'h PM Tract Descriptions Continued_ s9 Q ctWC7(R1 1157. L(0' ler MINERAL OWNERSHIP Name Weld County OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage Lease 100% 48 Percentage Lease 93% 4RR 7% 48 TRACTNo.-49_-/_-_LEO 3 53 Legal Description: LOTS 1-7 AND THE NORTH 105 FEET OF LOT 8 AND THE EAST35 FEET OF LOT 12 AND ALL OF LOTS 13 AND 14 THE NORTH 60 FEET OF LOT 15, BLOCK 77 EXCEPT THE SOUTH 65.5' OF LOTS 1 AND 2 AND THE EAST 3 FEET OF THE SOUTH 65.5 FEET OF LOT 3, ALSO KNOWN AS 810 10 STREET GREELEY, COLORADO, AND CONTAINING 0.3824 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 2.1513 GROSS ACRES, MORE OR LESS. SURFACE Name Weld County OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage 100% Percentage Lease 100% 49 Percentage Lease 93% 49 7% . 49 TRACT-NO:50 — L.6 -03t Legal Description: PORTION OF THE NORTH 50' LOT 17, BLOCK 64 (LEES BARBER SHOP), CITY OF GREELEY; ALSO KNOWN AS 924 9TH STREET GREELEY, COLORADO, AND CONTAINING 0.0096 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 0.0095 GROSS ACRES, MORE OR LESS. SURFACE Name Weld County Percentage 100% 126 Page SW % SW % Section 5,13N, R65W, 6'^ PM Tract Descriptions Continued_. OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Percentage Lease Weld County 100% 50 OIL AND GAS LEASEHOLD ESTATE Name Percentage Lease Extraction Oil and Gas, LLC 93% 50 Richmark Energy Partners, LLC 7% 50 OcCitf V 1TRAc!N0z51:7:`dEo 35 Legal Description: PORTION OF THE NORTH 50' LOT 17, BLOCK 64 (ELEANORS BEAUTY SHOP), CITY OF GREELEY; ALSO KNOWN AS 924 9TH AVENUE GREELEY, COLORADO, AND CONTAINING 0.0096 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 0.0096 GROSS ACRES, MORE OR LESS. SURFACE Name Weld. County OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage 100% Percentage Lease 100% 51 Percentage Lease 93% 51 7% 51 ( TRACT 'NO.52 ✓—`Lba3 rj- Legal Description: PORTION OF TH NORTH 90' OF SOUTH 140' LOT 17, BLOCK 64 (MT FALCON BOOKS), CITY OF GREELEY; ALSO KNOWN AS 926 9TH AVENUE GREELEY, COLORADO, AND CONTAINING 0.0172 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 0.0172 GROSS ACRES, MORE OR LESS. SURFACE 127 IPage SW K SW'b Section 5,75N, R65W, 60 PM Tract Descdpdons Continued... -{ o (d54Lo 11. CI Name Weld County OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage 100% Percentage Lease 100% 52 Percentage Lease 93% 52 7% 52 TRACT N0.53 ✓ LE035 0� Legal Description: PORTION OF THE NORTH 90' OF SOUTH 140' LOT 17 , BLOCK 64, CITY OF GREELEY; ALSO KNOWN AS 932 9TH AVENUE GREELEY, COLORADO, AND CONTAINING 0.0207 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 0.0207 GROSS ACRES, MORE OR LESS. SURFACE Name Weld County OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage 100% Percentage Lease 100% 53 Percentage Lease 93% 53 7% 53 RACT IdQ.-5ti 1503 `{G� a5tn(D Legal Description: PORTION OF THE NORTH 90' SOUTH 140' LOT 17, BLOCK 64, CITY OF GREELEY; ALSO KNOWN AS 934 9TH AVENUE GREELEY, COLORADO, AND CONTAINING 0.0126 NET ACRES I S./ WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 0.0126 GROSS ACRES, MORE OR LESS. SURFACE 128 .Page SW )4 SW %Section 5, TSN, ROW, 6'^ PM Tract Descriptions Continued.. cc.s7 .--(ti cs l arlo Name Weld County OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage 100% Percentage 93% 7% Percentage 100% Lease 54 Lease 54 54 TRACTIVO:55-≥ LEO Legal Description: PORTION OF THE NORTH 90' OF SOUTH 140' LOT 17, BLOCK 64 EXCEPTTHE PART TO MT FALCON BOOKS, WINONAS SUB SHOP, GREELEY UNIFORM SHOP AND GUTIERREZ & KOPPES, CITY OF GREELEY; ALSO KNOWN AS 926 9TH AVENUE, GREELEY, COLORADO, AND CONTAINING 0.0126 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 0.0126 GROSS ACRES, MORE OR LESS. SURFACE Name Weld County OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage 100% Percentage Lease 100% 55 Percentage Lease 93% 55 7% 55 TIIACT-NO:56' LE035a Legal Description: LOT 1 TO 16, BLOCK 65 (JAIL) ALSO VAC PT OF ALLEY ADJ TO, ALSO KNOWN AS 901 9 AVENUE GREELEY, COLORADO, AND CONTAINING 1.8355 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 1.8355 GROSS ACRES, MORE OR LESS. 129[Page SW Y. SW Y. Section 5, TSN, R65W, 6th PM Tract Descriptions Continued... SURFACE Name Weld County OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage 100% Percentage Lease 100% 56 Percentage Lease 93% 56 7% 56 tTRACT'NO 574 LE035 ,A . 9C�`�W..LPtp Legal Description: LOT 17-3.B, BLOCK 65 ALSO VAC PT OF ALLEY ADJ TO, AND CONTAINING 0.4592• NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 0.4592 GROSS ACRES, MORE OR S LESS. SURFACE Name Weld County OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage 100% Percentage Lease 100% 57 • Percentage Lease 93% 57 7% 57 TRACTNO:*-4 LE035 •A Legal Description: LOT 19 TO 24, BLOCK 65 ALSO VAC PT OF ALLEY ADJ TO, AND CONTAINING 1.3774 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 1.3774 GROSS ACRES, MORE OR LESS. 130 Page SW % SW ''/. Section 5, TSN, R65W, 60 PM Tract Descriptions Continued... SURFACE Name Weld County OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC tRACf N0, 59✓ CC035 a Legal Description: LOTS 1 TO 4, BLOCK 66, ALSO KNOWN AS 901 10 AVENUE, 903 10 AVENUE AND 1002 9 STREET GREELEY, COLORADO, AND CONTAINING 0.4362 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 0.4362 GROSS ACRES, MORE OR LESS. Percentage 100% Percentage Lease 100% 58 Percentage Lease 93% 58 7% 58 SURFACE Name Weld County OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage 100% Percentage Lease 100% 59 Percentage Lease 93% 59 7% 59 TRACTNO-60.. L O'5 Legal Description: PORTION OF THE NORTH SO' LOT 17, BLOCK 64, CITY OF GREELEY; ALSO KNOWN AS 922 9TH AVENUE GREELEY, COLORADO, AND CONTAINING 0.0191 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 0.0191 GROSS ACRES, MORE OR LESS. 131 IPagc SW % SW X Section 5, TSN, ROW, 6t' PM Tract Descriptions Continued... 4 k SURFACE Name Weld County OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County OIL AND GAS LEASEHOLD ESTATE Name " Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage 100% Percentage 93% 7% Percentage 100% Lease 60 Lease 60 60 (TRACrIvo. ✓ L 0 352 - Legal Description: PORTION OF THE NORTH 50' LOT 17, BLOCK 64 EXCEPT THE PORTION TO CORKRAN OPTICAL, LEES BARBER SHOP & ELEANORS BEAUTY SHOP, CITY OF GREELEY; ALSO KNOWN AS 922 9TH AVENUE GREELEY, COLORADO, AND CONTAINING 0.0192 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 0.0192 GROSS ACRES, MORE OR LESS. SURFACE Name Weld County OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC TRACT -NO: 62- 1 L&03 5 a ` Legal Description: PORTION OF THE NORTH 90' OF SOUTH SHOP), CITY OF GREELEY; ALSO KNOWN AS 930 9TH Percentage 100% Percentage 93% 7% Percentage 100% Lease 61 Lease 61 61 140' LOT 17, BLOCK 64 (WINONAS SUB AVENUE GREELEY, COLORADO, AND 132 !Page SW X SW X Section 5, TSN, R65W, 6'^ PM Tract Descriptions Continued... CONTAINING 0.0402 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 0.0402 GROSS ACRES, MORE OR LESS. 4 SURFACE Name Weld County OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC Percentage 100% Percentage Lease 100% 62 Percentage Lease 93% 62 7% 62 rimer. N0.63 f 9 LE 0 3 5 a Legal Description: LOTS 5-6 AND THE EAST HALF OF LOT 7, BLOCK 76, CITY OF GREELEY, COUNTY OF WELD, STATE OF COLORADO, ALSO KNOWN AS 918 10TH STREET GREELEY, COLORADO, AND CONTAINING 0.5452 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 0.5452 GROSS ACRES, MORE OR LESS. SURFACE Name Weld County OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Name Weld County OIL AND GAS LEASEHOLD ESTATE Name Extraction Oil and Gas, LLC Richmark Energy Partners, LLC TRACT NO. 64 Percentage 100% Percentage Lease 100% 63 Percentage Lease 93% 63 7% 63 133 Page TRACT NO. 82 LE0373 Legal Description: W30' NORTH 100' LOT 3 & EAST 20' OF NORTH 100' LOT 4, BLOCK 76, ALSO KNOWN AS 91010 STREET GREELEY, COLORADO, AND CONTAINING 0.1148 NET ACRES WITHIN THE SW/4 OF THE SW/4, OF SECTION 5 BEING 0.1148 GROSS ACRES, MORE OR LESS. SURFACE Name County of Weld OIL, GAS & ASSOCIATED HYDROCARBONS MINERAL OWNERSHIP Percentage 100% 1'42 Ke Name County of Weld OIL AND GAS LEASEHOLD ESTATE Name Un-Lsssed SW i SW If Section 5, T5N, F55Y�t 6 ' PM Tract Descriyains Continues... Percentage 100% Percentage 100% Lease Lease Karla Ford From: Sent: To: Subject: Hi Karla, Here you go. Tara Peters <TPeters@extractionog.com> Tuesday, April 26, 2016 4:19 PM Karla Ford RE: Extraction - DT Forbes Division Order TRACT NO. 3013935(° Lein Legal Description: LOTS 9 & 10 AND THE NORTH 1/2 OF LOTS 11 & 12, ALL OF LOTS 13 THROUGH 20, BLOCK 37. ALSO THE SOUTH 1/2 OF THE VACATED ALLEY ADJACENT TO LOTS 13THROUGH-19'EXCEPT THE EAST 5 FEET OF ALLEY ADJACENT TO LOT 19; ALSO EXCEPTING THE WEST 8.65 FEET OF THE SOUTH 1/2 OF LOT 13, AND CONTAINING 0.3732 NET ACRES. WITHIN THE NW/4 OF THE SW/4, OF SECTION 5 BEING 1.2190 GROSS ACRES, MORE OR LESS. SURFACE Name County of Weld OIL, GAS & ASSOCIATED HYDROCARBONS. MINERAL OWNERSHIP Name County of Weld OIL AND GAS LEASEHOLD ESTATE Name. Extraction Oil and Gas, LLC RichmarkEnergy Partners, LLC Tara Peters Lead Division Order Analyst Extraction Oil & Gas Direct: 720-557-8316 370 17th Street, Suite 5300 Percentage ,100% Percentage Lease 100% 10 Percentage Lease 93% 10 7% 10 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): DT FORBES 5-5-6 File Location(s): LE0411, LE0412 LE0413, LE0414, LE0415 BY: Brucc'Barker - County Attorney DATE: �' I (nJ/6 NOTES: Since there were so many calculations - Ijust recalculate all the NRI by combining them into leases with 12.5%, 14% and 18.5% royalty percentage. Then I added together and they did come extra close to the division order of 0.00351826 2.964 mineral acres / 499.0429 acres spacing unit * 12.5% = 0.007425 0.1377 mineral acres / 499.0429 acres spacing unit * 14% = 0.000386 7.384 mineral acres / 499.0429 acres spacing unit * 18.5% = 0.0027373 0.007425 + 0.000386 + 0.0027373 = 0.0035184 Hello