HomeMy WebLinkAbout20151681.tiff NADOA Model Form Division Order(Adopted 9/95)
DIVISION ORDER
To: Bonanza Creek Energy,Inc. Date: April30,2015
410 17'"Street,Suite 1400
Denver,CO 80202
Attn: John McLoughlin
Property Number: CO001154 Effective Date: September 14,2014
Property Name: PRONGHORN 13-43-9HNB
Operator: BONANZA CREEK ENERGY INC RECEIVED
County and State: Weld, Colorado
Property Township 5 North_Ranaeb 1 West MAY 0 6 2015
Description: Section?: ALL
Pi 05- I 3 - 3 cin 8 WELD COUNTY
COMMISSIONERS
Production: X Oil X Gas X Other: all products —
Owner Name OWNER NUMBER: 1041
and Address:
WELD COUNTY BOARD OF COMMISSIONERS Type of Interest: RI
P O BOX 758 Decimal Interest: 0.03125000
GREELEY,CO 80632-0758 Interest Calculation:
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$100.00,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.
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.Unless otherwise required by law,Payor shall not be required to pay interest on
payments withheld due to a title dispute or adverse claim.
Special Clauses: (None or See Attached Exhibit)
Owner(s) Signature(s): Barbara Kirkmeyer, Chair /4101,1-4(„C
WELD COUNTY BOARD OF
Owner Daytime Telephone 970-336-7206 JUN 0 $ 2015
2015-1681 `I)
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
1M Retain this
sccopy
'for your records
ro-s-r5 �.9 . LEo213
NADOA Model Form Division Order(Adopted 9/95)
DIVISION ORDER
To: Bonanza Creek Energy,Inc. Date: April 30,2015
410 17'h Street,Suite 1400
Denver,CO 80202
Attn: John McLoughlin
Property Number: CO001161 Effective Date: September 14,2014
Property Name: PRONGHORN C-W-9HNB
Operator: BONANZA CREEK ENERGY INC
County and State: Weld, Colorado c �7 p
Property Township 5 North.Ranee 61 West API 05 - is 3 39 Ql O
Description: Section 9:ALL
Production: X Oil X Gas X Other: all products —
Owner Name OWNER NUMBER: 1041
and Address:
WELD COUNTY BOARD OF COMMISSIONERS Type of Interest: RI
P O BOX 758 Decimal Interest: 0.03125000
GREELEY,CO 80632-0758 Interest Calculation:
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 rust 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$100.00,or pay yearly whichever occurs first,or as required by applicable
state statute.
This Division Order does not amend any lease or operating agreement between the undersigned and the lessee or operator or any other
contracts for the purchase of oil or gas.
In addition to the terms and conditions of this Division Order,the undersigned and Payor may have certain statutory
rights under the laws of the state in which the property is located.
Payor is authorized to withhold payment pending resolution of a title dispute or adverse claim asserted regarding the interest in
production claimed herein by the undersigned.The undersigned agrees to indemnify and reimburse Payor any amount attributable to
an interest to which the undersigned is not entitled.Unless otherwise required by law,Payor shall not be required to pay interest on
payments withheld due to a title dispute or adverse claim.
Special Clauses: (None or See Attached Exhibit) •
Owner(s)Signature(s): Barbara Kirkmeyer, Chair
WELD COUNTY BOARD OF
Owner Daytime Telephone 970-336-7204 JUN 1 g 2015
Federal Law requires you to furnish your Social Security or Taxpayer Identification Number.
Failure to comply will result in 31 %tax withholding and will not be refundable by Payor
iM Retain this copy for your records
oZo/5-,ar(4
LE0213
NADOA Model Form Division Order(Adopted 9/95)
DIVISION ORDER
To: Bonanza Creek Energy,Inc. Date: April 30,2015
410 17th Street, Suite 1400
Denver,CO 80202
Attn:John McLoughlin
Property Number: CO001163 Effective Date: September 17,2014
Property Name: P$ONGHORN D-X-9HNB
Operator: BONANZA CREEK ENERGY INC
County and State: Weld, Colorado An l b5 ' 3 392
9 2 gl"
Property Township 5 North,
5 Nh,Range 61 West �j
Description: Section 9:ALL
Production: X Oil X Gas X Other: all products —
Owner Name OWNER NUMBER: 1041
and Address:
WELD COUNTY BOARD OF COMMISSIONERS Type of Interest: RI
P O BOX 758 Decimal Interest: 0.03125000
GREELEY,CO 80632-0758 Interest Calculation:
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$100.00,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.
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. Unless otherwise required by law,Payor shall not be required to pay interest on
payments withheld due to a title dispute or adverse claim.
Special Clauses: (None or See Attached Exhibit)
Owner(s) Signature(s): Barbara Kirkmeyera Chair ✓Cc
WELD COUNTY BOARD OF
Owner Daytime Telephone 970-336-7204 JUN 0 8 2015
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
1M Retain this copy for your records
JD/5- /lob/03)
LE0213
NADOA Model Form Division Order(Adopted 9/95)
DIVISION ORDER
To: Bonanza Creek Energy,Inc. Date: April 30,2015
410 17"Street,Suite 1400
Denver,CO 80202
Attn:John McLoughlin
Property Number: CO001157 Effective Date: September 14,2014
Property Name: PRONGHORN 14-44-9HNB
Operator: BONANZA CREEK ENERGY INC
County and State: Weld, Colorado 1 J�G� �] p/] Q
Property Iownshiv 5 North,Range 61 West API 0 ✓-12 3 -3 t A t�
Description: Section 9: ALL
Production: X Oil X Gas X Other: all products
Owner Name OWNER NUMBER: 1041
and Address:
WELD COUNTY BOARD OF COMMISSIONERS Type of Interest: RI
P O BOX 758 Decimal Interest: 0.03125000
GREELEY,CO 80632-0758 Interest Calculation:
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$100.00,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.
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.Unless otherwise required by law,Payor shall not be required to pay interest on
payments withheld due to a title dispute or adverse claim.
Special Clauses: (None or See Attached Exhibit)
Owner(s)Signature(s): Barbara Kirkmeyer, Chair
WELD COUNTY BOARD OF
Owner Daytime Telephone 970-336-7204
JUN OS 1015
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
JM Retain this copy for your records 1
c>20/5"76 11(j)
LEO 213
PRONGHORN 13-43-9HNB
05-123-39288
PRONGHORN C-W-9HNB
05-123-39287
PRONGHORN D-X-9HNB
05-123-39286
PRONGHORN 14-44-9HNB
05-123-39289
SPUD: 6/22/2014
STATUS: DG
C] Nif FE Y
LAW ! RNA PILI
Curran Trick
curran.trcke,hoveylatirm.com
Bonanza Creek Energy, Inc. January 20, 2014
410 17 Street, Suite 1500
Denver, CO 80202
Attn: Caroline Hawing
RE: Drilling & Division Order Title Opinion
Pronghorn #13-43-9HNB,-9HNB, #14-44-9HNB,
#C-W-9HNB, and #D-X-9HNB
Attorney File # 2118
LANDS COVERED BY OPINION:
Township 5 North_ Range 61 West. 6th P_111.
Section 9: ALL
Weld County, Colorado
containing 640.00 acres, more or less
"Captioned Lands"
O11-1ERSHIP INTERESTS IN TRACTS 3. 4. 5, ‘C: 6
(.1F W/4 Section 9)
MINERALS INTERESTS ROYALTY: (OIL, GAS, & ASSOCIATED HYDROCARBONS ONLY)
Mineral Royalty
Owner Interest Interest Lease
Weld County, State of Colorado ` 8, 9
100.000000% 12.500000% B
PART I : DISTRIBUTION OF PRODUCTION PROCEEDS
LANDOWNER ROYALTY t"LOR") Tract Lease Rey LA-Mt Lease Rrjs airs Tram Unit Rounded TOTA1.
3linerat Asir. Acres Tract UNIT
Inierest LOR LOR FOR
OWNLR
' literal Interest x Lease Re\any x t`Trae: 1
loses nitAcre.i I — —.
Weld County. Colorado 3. 4. 5 & 6 B 8 100.000000% I 12.500000% 1160.0000 1640.0000 10.03125000 10.03125000 I
I<Il C Si Jl '}/F'YORS 650 E GARDEN DR WINDSOR, CO 80"50
WELL LOCATION CERTIFICATE
PRONGHORN 1343-9HNB SECTION.
TOartNSMlP: 5lV
THIS MAP COES NO1 REPRCSEt1 A BOUNDARY SURVEY RANGE: 6 I W
H 6if4G'tog t 5292AD` — — _ _ _
...lk _ _ _ ---�-� ---—1 .. ,— P1► 'ADus i4tk r t T tticf t>
7"ftCY.OrJS lileitllrtl[g1T 1*051 lttftY MARC 4/ 5' 1 Kit. ROAD
D +/—s° UtaOER O tt tttt+4C1 SET ;n R fR 1913.25' ALUM CAP
t SE t 406 NE 8 */3 25' ALLY a CAP SIMIPED ANPED 't S381 O5, : t 3' :
STAMPED 1,S38106. 201.1' Al LtlC*11Clf Cr BUM flOMMEtiT ii
AT tOCATIGN Er Mot tielitA ENT z tA"[.4R42299N
i AT«.4{!422iD7 tl 2 1ONOa104.20467w
L tGe104;1t3'. riN $ I
_. .... _ _._,.,._ et _ _ ..-----........141.-- _
I I Ev i
zI
� I I ILA
S I I I
t+; I I I I tl
NI
•
* �.. _—__.. N 0W 16-47' C 24711.04' r�
!3 B9'18'47' £ 2574.118' (sp/ aEnyy A) �y ,�gr i
1 1 air er: ile r:&v., seem 1
" f 1 1 I DOTTosi D.I N89'35'151 1 KUTatt+v^CT i I r 4:166` 1
rr lt21'20' 7't I " 1.-— •-• e. s — — � '� ..- w.+n .2.1-16.1
�y(�r.�i/. t 7'70 i
Ie, rY} tCCIN --Sill I
—�......... '••�•••--..•ra•n.*c.f.�-6 Mw4%,lump*,..Ka .—.e.....13'43—AWNS I kiCWWW WT t
19x50' 1654. I
12/3' i 1
I I
I r
I I
FG*jte is REtf,OR .. S 8932434" W 54T2.8$ t'AtatvD 1 trti3aA -
w/ " ALUM CAP w/t.5' ALUM CAP
STAMPED '157242• JCO STAMPED "L5f3495, 1996'
LAT..40,#004511 IAT..4O.40027N
IDNC”1434.28387 Lt iGov104-20424'1e
tn =treaties a1tz a rewest from RANDY FM CI with B(jj ,CR ,F+ttptY, a ICIvi Simms:vs has aslsrn+hed the
eu.here t000tlen of Pp&C4ms •.4-43••+ 133 to be 1273" froet. the SOUTH line and 2.0' tram trio *IST lino Ind the
Dottcm Dote to tee ,Wit fins the rjLUTM Rne acrd 470' Vern the EAST lb., us measured at richt tacks- from the unction
' wtee or g*s 1 . Tawnshto 5 kart. g LSgsl et the Seth Principal Mtrtav+, County of Nktd. State of Cc:Sa►edn.
I heretby state that this tteit location Certificate not prepped by ins. oft under try OW suprn4elon. WA the tin4laartr
yes Catrolend On 12-D'a+-2013, fee old on behwt et ockpaugernmagn J$ that his is not a Land Ser►ey P141 or
D 6,003 as h tovernsnt Survey Not. and that it is net to be relied veal for sstc�thement of tern. bv1eftrq. ar other future
6nDragtement Pets
i=r1===4 ct fro t tcA fir% JA90E T
1'-tom' WITUDE 40.4i194N tATt1UDEt 40.413901
NOTES. i 1L - 104.2.22111V LONGITUDE: too 22176'W
I) Dear nqe short try Grid DeariAela at the Catered* Stale Floret Caardnatt Systtni POOP: 1.0 1/4,T/4, tYTI/a S*1/4
North Zane, !lurk Aryerlcars Datum 1943 The Read dtmraeetons as eenteimed herein EWA 4537'
ere Doted upea the `13.5 Survey Pest.' 1/4,1/4: SW1/4 S7r./4
2) Grommet e %ltsvolw ire hexed an en ot:served CAPS tnev4Ih n 4NAND 1998 DATUM)
.3) P4PROVEUENTSz. See I Or,432,1 t RAtalIJF ter at Mirble improvements wahtt% 500` at LATITUDE: eu.41.MI1Tr
the 41stobt4 arts. k' Le tr ttUUDT': t04,24360WW
4) SURFACE USE: PRA#tE./PASTURE it ` ra�ys� !/4,1/4f iJCt/4 Wt/4
0 1bt5TRUUtN1 Yt4ATCR TON tnANS
6) NEAREST CULTURAL ITEUS "'"
6idit7itt'& s2ffiD`♦ FOttttp �T MOWS", ' �. •
euwmo U>4iT: D2tt4'+ AS DESCRIa BED s: �; v ,.y
FfiwH OCCUPANCY DIALOING UNIT: 54"ti0't O - CALCULATED POSITIu i q: ' , "�'
DESIGNATED OUTDOOR ACTIWTY MIA. 52&0`+ Art
Piste ROAD. 224' VEST owrvte r ' ;pe. t > e j ttb>� titlr0yots5
A.@0L'E CROJItO UUUUTY: 5280'+ - St~T At3 `inT AttN4tii ATT Colorcdo °` d PrO&eS'31ot s Stine t 33642
Rhti:R{tAB: 52t�3'a '. A5 t7t.ZCftf9 It ba �'• » . SW :
PROPERTY UNE: 240' WEST ,N0., 4 •" fOT_t 2011
Karla Ford
From: John McLoughlin [JMcLoughlin@bonanzacrk.com]
Sent: Thursday, May 07, 2015 7:33 AM
To: Karla Ford
Subject: RE: Additional Weld County Division Orders - Pronghorn
Attachments: PRONGHORN 9s TABS. pdf
Here is the tabulation for the Pronghorn 9 pad. All 4 were the same spacing so calculations are the same.
From: Karla Ford [mailto:kford@co.weld.co.us]
Sent: Wednesday, May 06, 2015 12:30 PM
To: John McLoughlin
Cc: Karla Ford
Subject: Additional Weld County Division Orders - Pronghorn
Could you send me the same for the following DO' s I just received today?
Pronghorn 13-43-9HNB
Pronghorn C-W-9HNB
Pronghorn D-X-9HNB
Pronghorn 14-44-91- NB
Karla Ford-
Deputy Clerk to the Board
1150 O Street/P. O. Box 758
Greeley, CO 80632
tel: (970)336- 7215 X4228
1
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 ) : Pronghorn 13 - 43 - 9HNB File Location (s ) : LEO213
Pronghorn C -W- 9HNB
Pronghorn D -X- 9HNB
Pronghorn 14 - 44 - 9HNB
BY: DATE : \kk � 2iijS
Brad YatabAssistant County Attorney
NOTES: 160 mineral acres/ 640 acres spacing unit * 12.5% = 03125 MATCH
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