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NADOA Model Form Division Order(Adopted 9/95)
Owner: WELD COUNTY COLORADO�^r O 5, 122- 37 3-72. Date: 10/20/2015
Description: BAILEY 5-26-8-60 J JEffective Date: 01/01/2014
Complete Property Description Listed Below
Production: X Oil X Gas Other:
Owner Name and Address RECEIVED
WELD COUNTY COLORADO Owner Number: 047962
ATTN:CLERK TO THE BOARD Type Interest: Royalty Interest 0CT 2 3 2015
PO BOX 758
GREELEY,CO 80632 Decimal Interest: 0.00037813 WELD COUNTY
Phone Number: 970-336-7204 FAX Number: 970-336-7233 COMMISSIONERS
Property Description
Property: 2918.01 Bailey 5-26-8-60
Operator: CARRIZO OIL&GAS,INC. Location: Weld,CO
Map Reference Information
Weld,CO US Township:008-N Range:060-W Section:26 Lot: QtrlQtr:
The undersigned certifies the ownership of the decimal interest in production proceeds as described payable by(Payor):
Carrizo(Niobrara)LLC
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$100.00,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.
, - n FEB o82016
SIGNATURE: D I lA�� spy Q E� x
BOARD OF Weil:BU dv `�C�iONK'S,C��,a�"
ATTEST. G/ r��v 'y . Lb
CLER r�E BOA DBY: I1/42
DEPUTY CLERK • THE BOAR
Weld County Government
1150"0"Street
Greeley,CO 80634
Phone:970-336-7204
I Fax:970-336-7233
Tax ID:84-6000-813
Owner Name and Address / - 2016-05816)
Federal Law requires you to furnish your Social Security or axpayer Identification Number. ` LE-02.34-1
Failure to comply will result in 28%tax withholding and will not be refundable by Payor.
Ca,'v Apatt, _8_i' a r LE02 34- 2
.-.41110=
-.4 C A R a / Z O
NADOA Model Form Division Order(Adopted 9/95)
Owner: WELD COUNTY COLORADO �� _ �� 12 Date: 10/20/2015
pi 0 Description: BAILEY 6-26-8-60 Effective Date: 01/01/2014
Complete Property Description Listed Below
Production: X Oil _X Gas Other:
Owner Name and Address
WELD COUNTY COLORADO Owner Number: 047962
ATTN:CLERK TO THE BOARD Type Interest: Royalty Interest
PO BOX 758
GREELEY,CO 80632 Decimal Interest: 0.00037813
Phone Number. 970-336-7204 FAX Number: 970-336-7233
Property Description
Property: 2919.01 Bailey 6-26-8-60
Operator: CARRIZO OIL&GAS,INC. Location: Weld,CO
Map Reference information
Weld,CO US
Weld,CO US Township:008-N Range:060-W Section:26 Lot: QtrIQtr.
The undersigned certifies the ownership of the decimal interest in production proceeds as described payable by(Payor):
Camzo(Niobrara)LLC
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$100.00,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.
,� , FEB o 8 2016
SIGNATURE: 0 1 .
BOARD OF C NTY4eN2MQNfRS,CHAI J �`
ATTEST:
ar
CLERK O`T E BOA
BY:
DEPUTY CLERK THE BOARD ( ''`
Weld County Government
1150"0"Street
Greeley,CO 80634
Phone:970-336-7204
Fax:970-336-7233
Tax ID:84-6000-813 / )
Federal Law requires you to furnish your Social Security or Taxpayer Identification Number. " D���`'/
Failure to comply will result in 28%tax withholding and will not be refundable by Payor.
. CARRIZO O
NADOA Model Form Division Order(Adopted 9/95)
Owner: WELD COUNTY COLORADO Date: 10/20/2015
/W'I 05-123-311/3
Description: BAILEY 7-26-8-60 Effective Date: 01/01/2014
Complete Property Description Listed Below
Production: X Oil X Gas Other:
Owner Name and Address
WELD COUNTY COLORADO Owner Number: 047962
ATTN:CLERK TO THE BOARD Type Interest: Royalty Interest
PO BOX 758
GREELEY,CO 80632 Decimal Interest: 0.00037813
Phone Number. 970-336-7204 FAX Number: 970-336-7233
Property Description
Property: 2920.01 Bailey 7-26-8-60
Operator. CARRIZO OIL&GAS,INC. Location: WeId,CO
Map Reference Information
Weld,CO US
Weld,CO US Township:008-N Range:060-W Section:26 Lot: QtdQtr:
The undersigned certifies the ownership of the decimal interest in production proceeds as described payable by(Payor):
Carrizo(Niobrara)LLC
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$100.00,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.
._ FEB_ 0 62016
SIGNATURE:1.1144:1/111./--- x
BOARD OF E ' COUNTY •MMI ION RS, CHAIR
ATTES ii. •
CLER T E BOA :D
BY: ..a
DEPUTY CLERK 0 T E BOAR! / fit6t .O
�(
Weld County Government
1150"O"Street
Greeley,CO 80634 ``a•rtar•t�,
Phone:970-336-7204
Fax:970-336-7233
Tax ID:84-6000-813
/(p
/
Federal Law requires you to furnish your Social Security or Taxpayer Identification Number. ,40.E-i6/
Failure to comply will result in 28%tax withholding and will not be refundable by Payor.
• C 1 R R I Z O
NADOA Model Form Division Order(Adopted 9/95)OwnerWED COUNTY COLORADO
10/20/2015
D scrip t on:L BAILEY 8-26-8-60 pp' 65- Date:1a Effective Date: 01/01/2014
P
Complete Property Description Listed Below
Production: X Oil X Gas Other:
Owner Name and Address
WELD COUNTY COLORADO Owner Number: 047962
ATTN:CLERK TO THE BOARD Type Interest: Royalty Interest
PO BOX 758
GREELEY,CO 80632 Decimal Interest: 0.00037813
Phone Number: 970-336-7204 FAX Number. 970-336-7233
Property Description
Property: 2921.01 Bailey 8-26-8-60
Operator: CARRIZO OIL&GAS,INC. Location: Weld,CO
Map Reference Information
Weld,Co US
Weld,Co US Township:008-N Range:060-W Section:26 Lot: QtdQtr.
The undersigned certifies the ownership of the decimal interest in production proceeds as described payable by(Payor):
Carrizo(Niobrara)LLC
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$100.00,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.
FEB 0 8 2016
SIGNATURE: rl t t&.4i-''- x
BOARD OF W ' CO NTY aMMIS ONES,CH
ATTEST: se,eI IS La
CLERK O 'E BO; , �
DEPUTY CLERK(0TH BOARD
Weld County Government
1150"O"Street
Greeley,CO 80634
Phone:970-336-7204
Fax:970-336-7233
Tax ID:84-6000-813
Federal Law requires you to furnish your Social Security or Taxpayer Identification Number. 0.715
/4'—1)4 r7( i )
Failure to comply will result in 28%tax withholding and will not be refundable by Payor.
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BEATTY & WOZNIAK, P.C.
ATTORNEYS AT LAW
216 SIXTEENTH STREET,SUITE.1 100 CASPER
DENVER,COLORADO 80202-5115
TELEPHONE(303)407-4499 CIE3Y6YNL'
FACSIMILE(303)407-4494 D ---
www.bwcnergylaw.cam DENVER
RYAN MCKEE
SALT LAKE CITY
direct: (303)407-4449
E-ATAIL: RJICI:EE4POWENERGYLAW.COM SANTA FE
April 17,2012
Carrizo Oil & Gas, Inc.
1000 Louisiana Street, Suite 1500
Houston, TX 77002
Attn: Craig E. Wiest, CPL
Re: Drilling and Division Order Title Opinion
DDOTO 8N-60W-26
Weld County, Colorado
Our File No. 7520-0027
Dear Mr. Wiest:
Pursuant to your request, we have examined the materials listed below and based upon
that information we submit this Drilling and Division Order Title Opinion covering the following
described lands:
LANDS COVERED BY OPINION
Township 8 North,Range 60 West, 6th P.M.
Section 26: All
Weld County, Colorado
Containing 640.00 acres, more or less
MATERIALS EXAMINED
1. Personal examination of Abstract of Documents prepared by lronhorse Resources,
LLC, based upon the records of the Weld County Clerk and Recorder's Office, containing
photocopies of documents numbered I through 447, and covering All of subject Section 26, from
inception of records to January 12, 2012.
2. The below listed instruments provided by Curt Simmons of lronhorse Resources,
LLC in an e-mail dated January 30, 2012.
BEATTY&WOZNIAK,P.C.
Carrizo Oil&Gas,Inc.
DDOTO 8N-60W-26,7520-0027
April 17,2012
Page 5 of 57
TRACTS
For purposes of identification and convenience we have divided the subject lands of this
Opinion into five Tracts as follows:
Tract 1 The NE/4 of Section 26, Township 8 North, Range 60 West, 6th P.M., Weld
County, Colorado, less a 1.21 acre tract of land included in the below
description of Tract 5,containing 158.79 acres, more or less.
Tract 2 The NW/4 of Section 26, Township 8 North, Range 60 West, 6th P.M., Weld
County, Colorado, less a 1.21 acre tract of land included in the below
description of Tract 5, containing 158.79 acres, more or less.
Tract 3 The SW/4 of Section 26, Township 8 North, Range 60 West, 6th P.M., Weld
County, Colorado, containing 160.00 acres, more or less.
Tract 4 The SE/4 of Section 26, Township 8 North, Range 60 West, 6th P.M., Weld
County, Colorado, containing 160.00 acres, more or less.
Tract 51 An approximately 2.42 acre portion of the N/2 of Section 26, Township 8 North,
Range 60 West, 6th P.M., Weld County, Colorado, containing the two below
specifically described tracts:
ri �� approximately 2640 feet
es\ \0'..k% A strip of laud 20 feet wide adjacent and South of the present highway hwa rig ht- f-
'LCf/ way, extending Westward line
rom the East boundary i
of Section 26, to the North and South center line of sad Section, Township 8
North, Range 60 West of the 6th P.M., containing approximately 1.21 acres.
ALA strip of land 20 feet wide adjacent and South of the present highway right-of-
4,A.�,\O way, extending Westward approximately 2640 feet from the North and South
On center line of Section 26, to the West Boundary line of said Section, Township 8
North, Range 60 West of the 6th P.M.,containing approximately 1.21 acres.
OWNERSHIP
Based upon the Materials Examined and subject to the Comments and Requirements set
forth herein, we find title to the subject lands and leases, as of January 12, 2012, to be owned and
encumbered as follows:
For the purposes of identifying surface owners,we have included an additional tract,Tract 5A.The instrument in
which Tract SA was created, Reception No. 1731868, only purported to convey a surface interest in the lands
described.Tract 5A is located in the N/2N/2 of Section 26 and is comprised of an additional 3.145 acres,more or
less.A complete legal description of Tract 5A is given in Footnote 2.
BEATTY& WOZNIAK,P.C.
Carrizo Oil&Gas,Inc.
DDOTO 8N-60W-26,7520-0027
April 17,2012
Page 11 of 57
Tract 5
O_
Interest
Board of County Commissioners of Weld County, Colorado15 100.000000%
TOTAL:
100.000000%
OIL AND GAS LEASEHOLD (excluding existing wellbores)
Tract 1
Working Net Revenue
Owner Interest Interest Type Lease No.
George E. Stockstill'6 20.000000% 20.000000% MI Unleased
(20.00%Unleased Mineral Interest)
Estate of Richard S. Miller" 6.818182% 6.818182% MI Unleased
(6.818182%Unleased Mineral Interest)
LHB Ventures,LLC 6.818182% 6.818182% MI Unleased
(6.818182%Unleased Mineral Interest)
Estate of Edith M. Spurlock18 6.818182% 6.818182% MI Unleased
(6.818182%Unleased Mineral Interest)
Genevieve E. Duell 3.409091% 3.409091% MI Unleased
(3.409091%Unleased Mineral Interest)
J and M Redman Trust, dated March 5, 199619 2.500000% 2.500000% MI Unleased
(2.50%Unleased Mineral Interest)
Jerald Hergenreder 0.833333% 0.833333% MI Unleased
(0.833333%Unleased Mineral Interest)
15 See Comment and Requirement No.3
16 See Comment and Requirement No. 12
" See Comment and Requirement No. 8
IS See Comment and Requirement No. 9
19 Sec Comment and Requirement No. 14
BEATTY&WOZNIAK,P.C.
Carrizo Oil&Gas,Inc.
DDOTO 8N-60W-26,7520-0027
April 17,2012
Page 17 of 57
Tract 5
Owner Working Net Revenue
Interest Interest Typc Lease No.
Board of County Commissioners of Weld
County,Colorado28 MI Unleased
(100.000000%Unleased Mineral Interest) 100.000000% 100.000000% ,j
TOTAL:
100.0 0000 0/ 100.000000% z�'t 3 -70,18
Zv l 3 -/U cf y
DIVISION OF INTEREST
The total proceeds of production from the subject spacing unit have been apportioned in
our Division of Interest according to each Tract's participation factor("PF"), as follows:
Tract 1: 0.24810938 (158.79 acres/640.00 acres)
Tract 2: 0.24810938 (158.79 acres/640.00 acres)
Tract 3: 0.25
(160.00 acres/640.00 acres)
Tract 4: 0.25 (160.00 acres/640.00 acres)
Tr. 0.00378125 (2.42 acres/640.00 acres)
DIVISION OF INTEREST AND DISTRIBUTION OF THE PROCEEDS
PRODUCTION FROM THE A WELL LOCATED IN THE SPACING UNIT
COMPRISED OF ALL OF SECTION 26 TOWNSHIP 8 NORTH RANGE 60 WEST
6TH P.M. AS OF JANUARY 19 2012.
Interest Owner Working Net Revenue Lease
Interest
Interest TyL No
Wesley A. Taylor�9
(1.00 UT\41 x 0,248(0938 pp) 0.24810938 0.24810938 MI Unleased
,9 See Comment and Requirement No.3
See Comment and Requirement No. 11
BEATTY&WOZNIAK,P.C.
Carrizo Oil&Gas,Inc.
DDOTO 8N-60W-26,7520-0027
April 17,2012
Page 18 of 57
Working Net Revenue Lease
Interest Owner Interest Interest Tyne No.
George E. Stockstill30 0.06524687 0.06524687 MI Unleased
(0.20 UMI x 0.24810938 PF)+
(0.0625 UMI x 0.25 PF)
Estate of Richard S. Miller31 0.03822337 0.03822337 MI Unleased
(0.06818182 UMI x 0.24810938 PF)+
(0.08522728 UMI x 0.25 PF)
LHB Ventures, LLC 0.03822337 0.03822337 MI Unleased
(0.06818182 UIvII x 0.24810938 PF)+
(0.08522728 UMI x 0.25 PF)
Estate of Edith M. Spurlock32 0.03822337 0.03822337 MI Unleased
(0.06818182 UMI x 0.24810938 PF)+
(0.08522728 UMI x 0.25 PF)
Genevieve E.Duell 0.01911168 0.01911168 MI Unleased
(0.03409091 UMi x 0.24810938 PF)+
(0.04261364 UMI x 0.25 PF)
J and M Redman Trust,dated March 5, 199633 0.00620273 0.00620273 MI Unleased
(0.02500000 UMI x 0.24810938 PF)
/ Board of County Commissioners of Weld County,0.00378125 0.00378125 MI Unleased
Colorado34
(1.00 UMI x 0.00378125 PF)
Jerald Hergenreder35 0.00206758 0.00206758 Mi Unleased
(0.00833333 UMI x 0.24810938 PF)
t e a Cci = M X R(.) x j F
N\t- = 1DOD
Tr-
3o See Comment and Requirement No. 12
J1 See Comment and Requirement No. 8
32 See Comment and Requirement No.9
J3 See Comment and Requirement No. 14
11 See Comment and Requirement No.3 C ��.�h ( € e S
35 See Comment and Requirement No. 10
Hemberber/Bailey Production Unit
Section 26, Town 8 North - Range 60 West
Weld County, Colorado
Legend Legend
1 J Carrizo Leases
Well_Path
Carrizo_Niobrara_Wel Is
Status
!r AL
O PROPOSED
• PRODUCING
• PERMITTED
WAITING ON COMPL
Weld County i
Weld County Lease#2013-1048
Lease#2013-1049
-T---
• • • • •
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COGIS - WELL Information Page 1 of 1
COGIS - WELL Information
Scout h C Related CA, Insp. MIT •GIS D. Doc la COA it Wellbore )4.Orders
Card
Surface Location Data for API # 05-123-37372 Status:
PR 4/14/2014
Well Name/No: Bailey#5-26-8-60 (click well name for production)
Operator: CARRIZO NIOBRARA LLC-10439
Status Date: 4/14/2014 Federal or State Lease#:
County: WELD#123 Location: SWSW 26 8N 60W 6 PM
Field: WILDCAT -#99999 Elevation: 4,876 ft.
Planned Location 340 FSL 1304 FWL Lat/Long:40.62703/-104.0638 Lat/Long Source: Field Measured
Job
Frac Focus Date: 1/17/2014 Reported: 1/31/2014 Days to report: 13
Chemical Disclosure Registry Job End
Date: 1/18/2014
Wellbore Data for Sidetrack#00 Status:
PR 4/14/2014
Spud Date: 9/4/2013 Spud Date is: ACTUAL
Wellbore Permit HORIZONTAL
Permit#: Expiration Date: 5/17/2015 10:53:06 AM
Prop Depth/Form: 8825 Surface Mineral Owner Same: Y
Mineral Owner: FEE Surface Owner: FEE
Unit: Unit Number:
Formation and Spacing: Code: NBRR, Formation: NIOBRARA, Order: 535-294, Unit Acreage:640, Drill Unit:ALL
Casing: String Type: CONDUCTOR, Hole Size: 16, Size: 15.25, Top: 0, Depth:60,Weight:65
Cement: Sacks:6, Top: 0, Bottom: 60, Method Grade:
Casing: String Type: SURF, Hole Size: 12.25, Size: 9.625, Top: 0, Depth: 1400,Weight:36
Cement: Sacks: 534, Top: 60, Bottom: 1400, Method Grade:
Casing: String Type: 1ST, Hole Size: 8.75, Size: 7, Top: 0, Depth: 6471,Weight: 23
Cement: Sacks: 552, Top: 1400, Bottom:6471, Method Grade:
Casing: String Type: 1ST LINER, Hole Size:6.25, Size:4.5, Top: 5683, Depth: 10672,Weight: 11.6
Cement: Sacks: , Top: , Bottom: , Method Grade:
Wellbore Completed
Completion Date: N/A
Measured TD: Measured PB depth:
True Vertical TD: True Vertical PB depth:
Top PZ Location: Sec: 26 Twp: 8N 60W Footage: 600 FSL 600 FWL Depth
Bottom Hole Location: Sec:26 Twp: 8N 60W Footages: 600 FNL 600 FWL Depth
Formation Log Top Log Bottom Cored DSTs
Completed information for formation N-COM Status: PR 4/14/2014
1st Production Date: N/A Choke Size:
Status Date: 4/14/2014 Open Hole Completion:
Commingled: Production Method:
Formation Name: NOT COMPLETED Status: PR
Tubing Size: Tubing Setting Depth:
Tubing Packer Depth: Tubing Multiple Packer:
Open Hole Top: Open Hole Bottom:
No Initial Test Data was found for formation
N-COM.
No Perforation Data was found for formation
N-COM .
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12337372&type=WELL 1/29/2016
COGIS - WELL Information Page 1 of 1
COGIS - WELL Information
Scout Related Os Insp.O ID GIS a Doc D.COA If Wellbore "W Orders
Card MIT
Surface Location Data for API # 05-123-37812 Status:
PR 4/14/2014
Well Name/No: Bailey#6-26-8-60 (click well name for production)
Operator: CARRIZO NIOBRARA LLC-10439
Status Date: 4/14/2014 Federal or State Lease#:
County: WELD#123 Location: SWSW 26 8N 60W 6 PM
Field: WILDCAT -#99999 Elevation: 4,876 ft.
Planned Location 337 FSL 1319 FWL Lat/Long:40.62702/-104.06375 Lat/Long Source: Field Measured
Job
F ac Focus Date. 1/16/2014 Reported: 1/31/2014 Days to report: 14
Chemical Disclosure Registry Job End
Date: 1/17/2014
Wellbore Data for Sidetrack #00 Status:
PR 4/14/2014
Spud Date: 8/24/2013 Spud Date is: ACTUAL
Wellbore Permit HORIZONTAL
Permit#: Expiration Date: 8/12/2015 7:42:04 AM
Prop Depth/Form: 10691 Surface Mineral Owner Same: Y
Mineral Owner: FEE Surface Owner: FEE
Unit: Unit Number:
Formation and Spacing: Code: NBRR , Formation: NIOBRARA, Order: 535-362, Unit Acreage: 640, Drill Unit:ALL
Casing: String Type: CONDUCTOR, Hole Size: 16, Size: 15.25,Top: 0, Depth: 60,Weight:65
Cement: Sacks: 6, Top: 0, Bottom: 60, Method Grade:
Casing: String Type: SURF , Hole Size: 12.25, Size: 9.625,Top: 0, Depth: 1443,Weight: 36
Cement: Sacks: 534, Top:0, Bottom: 1443, Method Grade:
Casing: String Type: 1ST, Hole Size: 8.75, Size: 7, Top: 0, Depth:6388,Weight: 23
Cement: Sacks: 546, Top:0, Bottom:6388, Method Grade:
Casing: String Type: 1ST LINER, Hole Size:6.25, Size: 4.5, Top: 5653, Depth: 10691,Weight: 11.6
Cement: Sacks: , Top: , Bottom: , Method Grade:
Wellbore Completed
Completion Date: N/A
Measured TD: Measured PB depth:
True Vertical TD: True Vertical PB depth:
Top PZ Location: Sec: 26 Twp: 8N 60W Footage:600 FSL 1058 FFWLL Depth
Bottom Hole Location: Sec: 26 Twp: 8N 60W Footages: 600 FNL 1058 FFWLL Depth
Formation Log Top Log Bottom Cored DSTs
Completed information for formation N-COM Status: PR 4/14/2014
1st Production Date: N/A Choke Size:
Status Date: 4/14/2014 Open Hole Completion:
Commingled: Production Method:
Formation Name: NOT COMPLETED Status: PR
Tubing Size: Tubing Setting Depth:
Tubing Packer Depth: Tubing Multiple Packer:
Open Hole Top: Open Hole Bottom:
No Initial Test Data was found for formation
N-COM.
No Perforation Data was found for formation
N-COM.
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12337812&type=WELL 1/29/2016
COGIS - WELL Information Page 1 of 1
COGIS - WELL Information
Scout h Related O4 Insp. ED GIS la Doc a COA Wellbore Orders
Card MIT
Surface Location Data for API # 05-123-37813 Status:
PR 4/14/2014
Well Name/No: Bailey#7-26-8-60 (click well name for production)
Operator: CARRIZO NIOBRARA LLC- 10439
Status Date: 4/14/2014 Federal or State Lease#:
County: WELD#123 Location: SESW 26 8N 60W 6 PM
Field: WILDCAT -#99999 Elevation: 4,875 ft.
Planned Location 334 FSL 1333 FWL Lat/Long:40.62701/-104.06369 Lat/Long Source: Field Measured
Job
Frac Focus Date: 1/14/2014 Reported: 1/31/2014 Days to report: 16
Chemical Disclosure Registry Job End
Date: 1/15/2014
Wellbore Data for Sidetrack #00 Status:
PR 4/14/2014
Spud Date: 8/15/2013 Spud Date is: ACTUAL
Wellbore Permit HORIZONTAL
Permit#: Expiration Date: 8/12/2015 7:42:04 AM
Prop Depth/Form: 10687 Surface Mineral Owner Same: Y
Mineral Owner: FEE Surface Owner: FEE
Unit: Unit Number:
Formation and Spacing: Code: NBRR, Formation: NIOBRARA, Order: 535-362, Unit Acreage:640, Drill Unit:ALL
Casing: String Type: CONDUCTOR, Hole Size: 16, Size: 15.25, Top: 0, Depth:60,Weight: 65
Cement: Sacks: 6, Top: 0, Bottom:60, Method Grade:
Casing: String Type: SURF , Hole Size: 12.25, Size:9.625, Top: 0, Depth: 1442,Weight: 36
Cement: Sacks: 534, Top: 0, Bottom: 1442, Method Grade:
Casing: String Type: 1ST, Hole Size: 8.75, Size: 7, Top: 0, Depth: 6384,Weight:23
Cement: Sacks: 546, Top: 0, Bottom:6384, Method Grade:
Casing: String Type: 1ST LINER, Hole Size:6.25, Size:4.5,Top: 5652, Depth: 10687,Weight: 11.6
Cement: Sacks: , Top: , Bottom: , Method Grade:
Wellbore Completed
Completion Date: N/A
Measured TD: Measured PB depth:
True Vertical TD: True Vertical PB depth:
Top PZ Location: Sec: 26 Twp: 8N 60W Footage: 600 FSL 1516 FFWLL Depth
Bottom Hole Location: Sec: 26 Twp: 8N 60W Footages: 600 FNL 1516 FFWLL Depth
Formation Log Top Log Bottom Cored DSTs
Completed information for formation N-COM Status: PR 4/14/2014
1st Production Date: N/A Choke Size:
Status Date: 4/14/2014 Open Hole Completion:
Commingled: Production Method:
Formation Name: NOT COMPLETED Status: PR
Tubing Size: Tubing Setting Depth:
Tubing Packer Depth: Tubing Multiple Packer:
Open Hole Top: Open Hole Bottom:
No Initial Test Data was found for formation
N-COM.
No Perforation Data was found for formation
N-COM.
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12337813&type=WELL 1/29/2016
COGIS - WELL Information Page 1 of 1
COGIS - WELL Information
Scout Related Ck InSP.Q, ®GIS a Doc at COA 1f=Wellbore Orders
Card MIT
Surface Location Data for API # 05-123-37373 Status:
PR 4/14/2014
Well Name/No: Bailey#8-26-8-60 (click well name for production)
Operator: CARRIZO NIOBRARA LLC-10439
Status Date: 4/14/2014 Federal or State Lease#:
County: WELD#123 Location: SESW 26 8N 60W 6 PM
Field: WILDCAT -#99999 Elevation: 4,875 ft.
Planned Location 330 FSL 1348 FWL Lat/Long:40.627/-104.06364 Lat/Long Source: Field Measured
Job
Frac Fact Date: 1/15/2014 Reported: 1/31/2014 Days to report: 15
Chemical Disclosure Registry Job End
Date: 1/16/2014
Wellbore Data for Sidetrack#00 Status:
PR 4/14/2014
Spud Date: 8/6/2013 Spud Date is: ACTUAL
Wellbore Permit HORIZONTAL
Permit#: Expiration Date: 5/17/2015 10:53:06 AM
Prop Depth/Form: 10880 Surface Mineral Owner Same: Y
Mineral Owner: FEE Surface Owner: FEE
Unit: Unit Number:
Formation and Spacing: Code: NBRR, Formation: NIOBRARA, Order: 535-294, Unit Acreage: 640, Drill Unit:ALL
Casing: String Type: CONDUCTOR , Hole Size: 16, Size: 15.25,Top: 0, Depth: 60,Weight:65
Cement: Sacks: 6, Top: 0, Bottom: 60, Method Grade:
Casing: String Type: SURF , Hole Size: 12.25, Size:9.625, Top: 0, Depth: 1447,Weight: 36
Cement: Sacks: 534,Top: 60, Bottom: 1447, Method Grade:
Casing: String Type: 1ST, Hole Size: 8.75, Size: 7,Top: 0, Depth:6412,Weight:23
Cement: Sacks: 547,Top: 1447, Bottom:6412, Method Grade:
Casing: String Type: 1ST LINER, Hole Size: 6.25, Size:4.5, Top: 5683, Depth: 10714,Weight: 11.6
Cement: Sacks: , Top: , Bottom: , Method Grade:
Wellbore Completed
Completion Date: N/A
Measured TD: Measured PB depth:
True Vertical TD: True Vertical PB depth:
Top PZ Location: Sec: 26 Twp: 8N 60W Footage:600 FSL 1974 FWL Depth
Bottom Hole Location: Sec: 26 Twp: 8N 60W Footages: 600 FNL 1974 FWL Depth
Formation Log Top Log Bottom Cored DSTs
Completed information for formation N-COM Status: PR 4/14/2014
1st Production Date: N/A Choke Size:
Status Date: 4/14/2014 Open Hole Completion:
Commingled: Production Method:
Formation Name: NOT COMPLETED Status: PR
Tubing Size: Tubing Setting Depth:
Tubing Packer Depth: Tubing Multiple Packer:
Open Hole Top: Open Hole Bottom:
No Initial Test Data was found for formation
N-COM .
No Perforation Data was found for formation
N-COM .
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12337373&type=WELL 1/29/2016
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): Bailey 5-26-8-60 File Location(s): LE0234-1
Bailey 6-26-8-60 LE0234-2
Bailey 7-26-8-60
Bailey 8-26-8-60
gY: DATE: ( 1 (
Bruce Barker - County Attorney
NOTES: 1.21 mineral acres/ 640 acres spacing unit * 20% =0.00037813 MATCH
Jbraci5ha viippci1/45 , aim
Carrizo Oil & Gas, Inc.
500 Dallas Street, Suite 2300
Houston, Texas 77002
Attn : Division Order Department
Phone Number : 877-341-2699
Fax : 713-328- 1035
Email: LandOwnerRelationsAcrzo.net
DIVISION ORDER INSTRUCTIONS FOR EXECUTION
Please return one executed original (Division Order) Instrument in accordance with the instructions set
forth below retaining one copy for your records.
Do NOT alter this document unless the proper documentation is provided supporting the alterations contained
therein . Said documentation must be filed of record in the county/parish(s) where the well is located .
SIGNATURE :
• Sign your name exactly as shown on Division Order. If your signature is different, legal documentation
supporting the name change is required. If this interest is owned jointly by two or more individuals, ALL
signatures are required unless documentation is provided verifying authorization of one individual to sign
on behalf of all parties .
• Signatures by Agents, Attorneys-in-Fact, Guardians, or Trustees must be verified by attaching a copy of
the recorded legal documentation evidencing of the rights vested in the signatory party.
• In the event of multiple trustees and/or executors, ALL signatures are required unless documentation is
provided verifying authorization of one individual to sign on behalf of all parties .
• Signatures for companies, corporations or partnerships must be executed by an authorized officer with the
name and title of the signatory party printed beneath the signature.
ADDRESS :
• If your address for revenue payments is different from that reflected on the enclosed documentation,
please note the correct revenue payment address on the Division Order by crossing through your old
address and writing in the new one.
TAXPAYER IDENTIFICATION OR SOCIAL SECURITY NUMBER:
• To avoid a 28% withholding tax penalty, as mandated by the Internal Revenue Code, a Taxpayer
Identification Number or Social security Number is REQUIRED .
INTEREST TOTAL :
• If you acquired interest from more than one owner, please note that the last page will reflect your grand
total interest and not the interest you received from that specific owner as the first page did .
SEE THE BACK OF THIS DOCUMENT FOR FREQUENTLY
ASKED QUESTIONS
FREQUENTLY ASKED QUESTIONS
What is a Division Order?
A Division Order is a directive signed by the royalty owner verifying the purchaser or operator of a well and the decimal
interest of production owned by the royalty owner. Also, it provides the owner' s address and tax identification number
(TN) .
How do I transfer my interest in a property?
Interest may be transferred by a deed or, when appropriate, an assignment. The deed or assignment must be recorded in
the county where the property is located. Carrizo must receive a recorded copy of the deed or assignment before
changing our records and issuing Division Orders . You may want to have an attorney prepare these documents.
What happens if I change address or marital status?
Address changes must be received in writing. Please send changes to Carrizo Oil & Gas, Inc. , Attn: Division Order
Department, 500 Dallas Street, Suite 2300, Houston, Texas 77002 . Please include your name, old address, new address,
social security number and signature, and if you have been receiving revenue payments your six digit owner number
reflected at the bottom left hand corner of your check detail. Please send a copy of your marriage certificate to update
your name as a result of marriage or a divorce decree if your last name changed due to divorce.
What happens when the interest owner of a property dies ?
After Carrizo is notified the deceased owner' s revenue will be held in suspense pending receipt of the proper probate
documents and/or affidavit of death and heirship . Upon notifying Carrizo you will be sent a letter describing what must
be received to transfer the interest of the deceased owner to the appropriate parties and an Affidavit of Death and Heirship
form if necessary.
When are royalty payments suspended?
For your protection, payments are suspended upon a title dispute, assignment of interest, notice of death; transfer of
property, or in the event of no known address . Keeping your information current can prevent this inconvenience.
When will I be paid?
Payments will be made monthly to all owners with cumulative balances of $ 100 or more at the end of each month.
Balances less than $ 100.00 will be released in November of each year.
What do I do if my check is lost, stolen, or becomes outdated?
Please allow ( 10) business days for your check to arrive in the mail . If your check is lost, stolen or becomes outdated,
please call us at 877-341 -2699 .
Where can I research unclaimed funds ?
Each state makes an effort to locate rightful owners of production revenues through publication, holding the funds until
the owner is found. To locate and collect unclaimed funds, please visit the National Association of Unclaimed Property
Administrators ("NAUPA") website at www .unclaimed .org.
What type of annual statements will I receive from your company?
Royalty interest owners receiving more than $ 10 . 00 annually will receive an IRS form 1099 . This summarizes
your total payments and tax withholdings for the previous year.
What state regulatory agency can I contact regarding my property?
TEXAS — Texas Railroad Commission Phone: 512-463 -7200 website: www.RRC . state.tx.us
LOUISIANA — Louisiana Office of Conservation Phone: 225 -342-4500 website: www.DNR. state. la .us
COLORADO- Colorado Oil and Gas Conservation Commission Phone: 303 -894-2100 website www .cogcc.state.co .us
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