HomeMy WebLinkAbout20141450.tiff ta NADOA Model Form Division Order(Adopted 9/95)
DIVISION ORDER
To: Bonanza Creek Energy, Inc. Date: April 22, 2014
410 17`"Street,Suite 1400
Denver,CO 80202
Attn: Andrew Haught
Property Number: CO001131 e V2�8 Effective Date: March 12, 2014
Property Name: PRONGHORN
Operator: BONANZA CREEK ENERGY INC A P I 05 I a 3- 37053
County and State: Weld, Colorado
Property Township 5 North, Range 61 West
Description: Section 28: 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: 0.10000000
GREELEY.CO 80632-0758
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.
Special Clauses: Zile or S ached Exhibit)
Owner(s)Signature(s): TiQD QQ2LMo Douglas Rademacher, Chair,. -
WELD COU Y BOARD OF
/!
Owner(s)Tax I.D. Number(s): 84-6000-813 AtteEztz�/+ t) z
Owner Daytime Telephone 970-336-7204 Clerk to the Board ttl
Nvro �
Owner FAX Telephone#: 970-336-7233 B - *O
Deputy Cler to the Bo vita"
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
AH
Retain this copy for your records
to A /pig, 7i aim,- 2014-1450
/q /�) is—�s� UG�� LEval1
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INSTRUCTIONS TO ALL INTEREST OWNERS
Dear Interest Owner,
Bonanza Creek Energy, Inc. has enclosed a Division 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.
2. 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 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 top copy or the"Original"of the Division Order should be returned to:
Bonanza Creek Energy,Inc
410 17`h Street,Suite 1400
Denver,CO 80202
Attn: Andrew Haught
8. Should you have any further questions regarding the enclosed Division Order, please contact Andrew Haught at 720-225-
6658.
9. Please DO NOT DETACH the exhibit from the Division Order or Transfer Order if one is included.
12
JACKSONIKI.ATTORNEYS AT LAW LY
1099 18^'STREET•SUITE 2150•DENVER,COLORADO 80202*TELEPHONE 303-390-0003•TELECOPIER 303-390-0(77
www.jacksonkeTly.cam
December 6, 2013
Ms. Caroline Heuring
Bonanza Creek Energy, Inc.
410 17th Street, Suite 1400
Denver, CO 80202
Re: Drilling and Division Order Title Opinion
Pronghorn 11-41-28HNB
Pronghorn B-V-28HNB
Pronghorn 12-42-28HNB ("Subject Wells")
T5N, R61 W, Section 28: All
Weld County, Colorado
DRILLING AND DIVISION ORDER TITLE OPINION
covering
Township 5 North, Range 61 West, 6th P.M.
Section 28: All
Weld County, Colorado
Containing 640.00 acres',±
Referred herein as the "Subject Lands"
The Subject Lands are comprised of the following ownership tracts:
Tract 1 a: NW/4NW/4 of Section 28, containing 40.00 acres, +
Tract 1b: SW/4NW/4 of Section 28, containing 40.00 acres, +
Tract 1c: NE/4NW/4 of Section 28, containing 40.00 acres, +
Tract 1 d: SE/4NW/4 of Section 28, containing 40.00 acres, +
Tract 2a: NW4SW/4 of Section 28, containing 40.00 acres, +
' See Comment and Requirement.titled Acreage Allocation.
{D0878476.11 Page 1 of 32
Tract 2b: SW/4SW/4 of Section 28, containing 40.00 acres, +
Tract 2c: NE/4SW/4 of Section 28, containing 40.00 acres, +
Tract 2d: SE/4SW/4 of Section 28, containing 40.00 acres, +
Tract 3a: NW/4NE/4 of Section 28, containing 40.00 acres, +
Tract 3b: SW/4NE/4 of Section 28, containing 40.00 acres, +
Tract 3c: NE/4NE/4 of Section 28, containing 40.00 acres, +
Tract 3d: SE/4NE/4 of Section 28, containing 40.00 acres, +
Tract 4a: NW/4SE/4 of Section 28, containing 40.00 acres, +
Tract 4b: SW/4SE/4 of Section 28, containing 40.00 acres, +
Tract 4c: NE/4SE/4 of Section 28, containing 40.00 acres, +
Tract 4d: SE/4SE/4 of Section 28, containing 40.00 acres, +
Tract Nos 3a-4d
Weld County, State of Colorado
100.000000%
Tract Nos. 3a-4d
Name WI NRI Lease
Bonanza Creek Operating Company 100.000000% 80.000000% WI 6
Weld County, State of Colorado 20.000000% LOR 6
Total 100.000000% 100.000000%
{D0878476.1} Page 2 of 32
DIVISION OF INTEREST
OWNERSHIP I
Township 5 North Range 61 west 6w P M
Section 28: All
Conining 640.00 acres, +
spaced as a 640.00 drilling and spacing unit comprising all of Section 28
Limited to production from the Pronghorn B-V-28HNB Well
Name
WI NRI Lease Tract
Weld County, State of Colorado
10.000000% (LOR) 6 3a-4d
OWNERSHIP II
Township 5 North, Range 61 West, 6'"P.M.
Section 28: All
Containing 640.00 acres, +
Spaced as a 640.00 drilling and spacing unit comprising all of Section 28
Limited to production from the Pronghorn 11-41-28HNB Well
Name WI NRI Lease Tract
Weld County, State of Colorado 10.000000% (LOR) 6 3a-4d
OWNERSHIP III
Township 5 North.Range 61 West, 6`" P.M.
Section 28: All
Containing 640.00 acres,±
SpacLda t d6o0P eduction fromthe'Pr nghorn 12-42 28HNB Welil n 28
WINRI Lease Tract
Name
10.000000% (LOR) 6 3a-4d
Weld County, State of Colorado
Subject Lease 6
Date: May 4, 2011
Recorded: Reception No. 3770905 on May 27, 2011
Lessor(s): Weld County, Colorado, a political subdivision of the State of Colorado,
acting by and through the Board of County Commissioners of the County
of Weld
Lessee(s): Conquest Land Company, L.L.C.
Royalty: 20%for oil and gas
Coverage: 100.00% MI in Tract Nos. 3a-4d of this Opinion
{D0878476.1} Page 13 of 32
COGIS -WELL Information Page I of 1
COGIS - WELL Information
Scout Card am* Related Q Insp. Q MIT •GIS EA Doc 'If Wellbore , Orders
Surface Location Data for API # 05-123-37655 Status: DG
Well Name/No: Pronghorn#B-V-28HNB (click well name for production)
Operator. BONANZA CREEK ENERGY OPERATING COMPANY LLC-8960 •
Status Date: 1/32014 4:00:00 PM Federal or State Lease#:
County: WELD#123 Location: SWNW 28 5N 61W 6 PM
Field: RIVERSIDE -#73800 Elevation: 4,617 ft.
Planned Location 1411 FNL 390 FWL Lat/Long: 40.37528/-104.22222 LaULong Source: Field Measured
Wellbore Data for Sidetrack #00 Status: DG 1/3/2014
Spud Date: 1/3/2014 Spud Date is: NOTICE
Wellbore Permit HORIZONTAL
Permit#: Expiration Date: 7/2/2015 2:23:38 PM
Prop Depth/Form: 10698 Surface Mineral Owner Same: N
Mineral Owner FEE Surface Owner: FEE
Unit: Unit Number
Formation and Spacing: Code: NBRR , Formation: NIOBRARA , Order: 535-4 , Unit Acreage: 640, Drill Unit: Section 28 All
Casing: String Type: SURF , Hole Size: 13.5, Size: 9.625, Top: 0, Depth: 750, Weight: 36.00
Cement: Sacks: 366, Top: 0, Bottom: 450, Method Grade:
Casing: String Type: 1ST, Hole Size: 8.75, Size: 7, Top: 0, Depth: 6490, Weight: 26.00
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Cement Sacks: 500, Top: 2500, Bottom: 6490, Method Grade:
Casing: String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 6390, Depth: 10698, Weight: 11.60
Cement: Sacks: , Top: , Bottom: , Method Grade:
Completion data is confidential
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http://cogcc.state.co.us/cogis/FacilityDetaiLasp?facid=12337655&type=WELL 4/27/2014
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 12-42-28HNC File Location(s): LE0217
Pronghorn 11-41-28HBN
Pronghorn B-V28HNB
BY: 4144.x...eec__ DATE: 5---1.7 -1T
Stephanie Arries
Assistant County Attorney
NOTES: 320 mineral acres/ 640 acres spacing unit 20% = .1000000 MATCH
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