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Home My WebLink About20153430.tiff NADOA Model Form Division Order (Adopted 9/95) DIVISION ORDER To: Great Western Oil & Gas Company, LLC Date: September 2, 2015 1801 Broadway,Suite 500 Denver, CO 80202 Attn: Caitlin McEwen Property Number: W12700 ®'Effective Date: January 1, 2015 IKE Property Name: P UNIT4611/6,5-1025O" Operator: TITAN OIL & GAS LLC County and State: Weld, Colorado Property Township 8 North, Range 66 West Description: Section : 23 SWSW, 26 NWNW, and 27 NWSE, NESW Production: X Oil X Gas X Other: all products OWNER NAME AND ADDRESS: OWNER NUMBER: 1382 WELD COUNTY BOARD OF COMMISSIONERS TYPE OF INTEREST: RI 915-10TH ST DECIMAL INTEREST: 0.001 17290 GREELEY, CO 80631 The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by Great Western Oil & Gas Company, LLC (Payor). 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 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. Special Clauses: (None or See Attached Exhibit) / -,, �. r /,► 015 Weld County Government SIGNATUR ;C�c. ,.,,' ` �t LJ �` 1150"o"Street BOARD OF ,�� UN, -' �y R H',f Greeley,CO 80634 W%1// "v''." �e ��►� p�, Phone:970-336-7204 ATTES : Fax:970-336-7233 CLE T'a/HE BO•R► t '�i7i��` • Tax ID:84-6000-813 � l BY DEPUTY CLE TO BO 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 CJM Retain this copy for your records 2015-3430O/ commt Apidcu / 10-A10-1 4 LSU01 Great Western Great Western Operating Company, LLC OIL 1, GAS COMPANY Phone: 303.398.0546 1801 Broadway,Suite 500 Facsimile: 866.742.1784 Denver,CO 80202 Email:OwnerRelations@gwogco.com www.gwogco.com June 18, 2015 RE: Pierce Unit: Pierce Lyons Unit Jennings 1 Pierce Unit 2 Pierce Unit Kennedy 3 T8N R66W T8N R66W T8N R66W Sec. 27: NWSE Sec. 23: SWSW Sec. 27: NESW Weld County, CO Weld County, CO Weld County, CO UPRR Pierce Townsite 1 RECEIVED T8N R66W Sec. 26: NWNW JUN 2 3 2015 Weld County, CO WELD COUNTY Ladies and Gentlemen: COMMISSIONERS Titan Oil & Gas, LLC (Titan) is pleased to announce it acquired the working interest of Stelbar Oil Corporation (Stelbar) under the captioned wells. Titan took over as operator effective January 1, 2015, however, as this acquisition closed in June 2, 2015, Titan will begin distributing 100% of the production proceeds from the well effective with July 2015 production. The enclosed Division Order(s) are based on the ownership deck Stelbar was using prior to their divestiture of interest. Enclosed please find copies of the Division Order(s) that pertain to your individual interest. Please sign the documents where indicated and complete the pertinent information before returning one (1) copy of the Division Order. The duplicate copy may be retained for your records. Upon receipt of your executed Division Order, Great Western will place your interest in a pay status. Royalty checks are processed every month and mailed mid-month. * Please note that we have a $100.00 minimum suspense requirement; until such time your interest accrues $100.00 or more, the system will not generate a check for payment. If you have any questions or concerns regarding the enclosed documents, please do not hesitate to contact me. Best Regards, GREAT WESTERN OPERATING COMPANY LLC Caitlin McEwen Division Order Analyst Enc INSTRUCTIONS TO ALL INTEREST OWNERS Dear Interest Owner, Great Western Oil and Gas Company, LLC has enclosed a Division Order/Transfer Order for your execution. 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/Transfer Order. 2. If your name has changed due to marriage or divorce, execute the Division Order/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. Your correct mailing address should be noted in the space provided to insure prompt receipt of production proceeds. 7. The "Sign and Return Copy" of the Division Order/Transfer Order should be returned to: Great Western Oil and Gas Company, LLC 1801 Broadway, Suite 500 Denver, CO 80202 Attn; Caitlin McEwen 8. Should you have any further questions regarding the enclosed Division Order/Transfer Order, please contact Caitlin McEwen at 303-398-0546. 9. Please DO NOT DETACH the exhibit from the Division Order/Transfer Order if one is included. Karla Ford From: Caitlin McEwen <cmcewen@gwogco.com> Sent: Tuesday, June 30, 2015 2:00 PM To: Karla Ford Subject: RE: Pierce Unit Division Order Attachments: Weld County Reception 1175140.pdf;Weld County Reception 1190305.pdf Here are the plats. I don't have Title pages. We didn't receive Title in the files we got from Stelbar. The calculations are as follows: # of acres Lease Royalty Spacing Unit Size 9.76 * .125 I 1040 = 0.00117290. Please let me know if you need anything else. Thank you, Rfzej //-751240 g•1130-th Caitlin McEwen .ec q0366 6 Z- ac,n.�� (,rrat \\is.teni Division Order Analyst Great Western Operating Company, LLC 1801 Broadway, Suite 500 Denver, CO 80202 Direct: 303.398.0546 Fax: 866.742.1784 Privileged/Confidential information may be contained in this message. This information is intended solely for use by the individual entity named as the recipient. If you are not the intended recipient, be aware that any disclosure, copying, distribution, or use of the contents of this communication is prohibited. In such case, you should destroy this communication and notify the sender by reply email. 1 Karla Ford From: Caitlin McEwen <cmcewen@gwogco.com> Sent: Wednesday, July 22, 2015 11:45 AM To: Karla Ford Subject: RE: Pierce Unit Division Order Attachments: Weld County, Board of Commissioners - OGL Recorded.pdf;Titan &GWP Operating Agreement.pdf This lease has two reception numbers 1190305 and 1199273. I don't have anything that links California to Stalbar. I only have the assignment from Stelbar to Us. Attached is also the Titian& GWP Agreement. Thank you, Caitlin McEwen Great \\l rn Division Order Analyst Great Western Operating Company, LLC 1801 Broadway, Suite 500 Denver, CO 80202 Direct: 303.398.0546 Fax: 866.742.1784 Privileged/Confidential information may be contained in this message. This information is intended solely for use by the individual entity named as the recipient. If you are not the intended recipient, be aware that any disclosure, copying, distribution, or use of the contents of this communication is prohibited. In such case, you should destroy this communication and notify the sender by reply email. From: Karla Ford [mailto:kford@co.weld.co.us] Sent: Tuesday, July 21, 2015 10:31 AM To: Caitlin McEwen Cc: Karla Ford Subject: FW: Pierce Unit Division Order 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): Pierce Unit File Location(s): LE0075 BY: DATE: /O/ Bruce Barker - County Attorney NOTES: 9.76 mineral acres/ 1040 acres spacing unit * 12.5% = .0011729 MATCH Hello