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Home My WebLink About20141270.tiff CARRIZO NADOA Model Form Division Order (Adopted 9/95) Owner: WELD COUNTY Date: 04/30/2014 12:00:00 AM Description: Speaker 1-2716-8-61 Effective Date: 01/01/2014 Complete Property Description Listed Below Production: _X Oil _X Gas _ Other: RP ' 05- 1'3- 31..350 Owner Name and Address WELD COUNTY Owner Number: 047962 PUBLIC WORKS DEPT Type Interest: Royalty Interest PO Box 758 GREELEY,CO 80632 Decimal Interest: 0.00075625 Phone Number: 9703564000X4200 FAX Number: 9703520242 Property Description Property: 2952.01 Speaker 1-27-11-8-61 Operator: CARRIZO OIL & GAS, INC. Location: Weld,CO Map Reference Information Weld, CO US Township: 008-N Range: 061-W Section: 27 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. "" /��,, �1 Owner(s) Signature(s): wl (d4 CROCQt Wig atk- ' x Douglas Rademacher , Chair MAY 0 6 2014 � -6k Owner(s) Tax I.D.D. Number(s): 84-6000-813 At tP Rt • J Clerk ,to the Boa d Owner(s) Daytime Phone #: 970-336-7204 By : ilr o ("' a 1 L %Deputy Clekk to the Board Owner(s) FAX Number 970-336- 7223 6p c ir•firer. ., .:c. 11.1 NVIT n Federal Law requires you to furnish your Social Security or Taxpayer Identification Number. /'M a /1jati'1 L Failure to comply will result in 28% tax withholding and will not be refundable by Payor. )614 --I�/ __II /) � /�n /\! NADOA Model Form Division Order(Adopted 9/95) Owner: WELD COUNTY POLITICAL SUBDIVISION Date: 03/12/2014 12:00:00 AM Description:Speaker 1-27-114-61 BPO Effective Date: 01/01/2014 Complete Property Description Listed Below Production: _X Oil _X Gas Other: Owner Name and Address WELD COUNTY POLITICAL SUBDIVISION Owner Number: 071658 THE BOARD OF COUNTY COMMISSIONERS Type Interest: Royalty Interest PO BOX 758 GREELEY,CO 80632 Decimal Interest: 0.000756252 Phone Number: FAX Number: Property Description Property: p y 2952.01 Speaker 1-27-11-8-61 Operator: CARRIZO OIL&GAS, INC. Location: Weld,CO Map Reference Information - -—' Weld,CO US 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. Owner(s)Signature(s): x x Owner(s)Tax I.D.Number(s): Owner(s)Daytime Phone#: Owner(s)FAX Number: I Federal Law requires you to furnish your Social Security or Taxpayer Identification Number. Failure to comply will result in 28%tax withholding and will not be refundable by Payor. 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: LandOwnerRelationsQcrzo.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. SEE THE BACK OF THIS DOCUMENT FOR FREQUENTLY ASKED QUESTIONS L__ Karla Ford From: Sonia Callahan[Sonia.Callahan@crzo.net] Sent: Wednesday,April 02,2014 11:34 AM To: Karla Ford Subject: FW:Weld County Division Orders Attachments: O&G LEASE-WELD COUNTY CO-RECEPTION 3734219.pdf;ASSIGNMENT OF LEASES-ROBERT C JULANDER TO CRZO O&G-RECEPTION 3745669.pdf;SPEAKER WELLS-PLAT.pdf; SPEAKER WELLS-TITLE OPINION.pdf; WELD COUNTY POLITICAL SUBDIVISION-SPEAKER 3-27-11-8-61 -DO.pdf;WELD COUNTY POLITICAL SUBDIVISION-SPEAKER 2-27-11-8-61 -DO.pdf;WELD COUNTY POLITICAL SUBDIVISION-SPEAKER 1-27-11-8-61 -DO.pdf;WELD COUNTY POLITICAL SUBDIVISION-SPEAKER 2-27-31-8-61 -DO.pdf Importance: High Karla, Per your request attached to this email please find the following documents: • Copy of O&G lease (Reception#3734219) and Assignment of Leases with Reservation of Overriding Royalty Interest. (Reception #3745669). • Letter size copy of the plat reflecting the complete spacing unit with Weld County's mineral interest outline and highlighted related to the division order. • Title opinion pages that refer to Weld County's royalty interest. • Spud Dates and dates of First Production WELL NAME SPUD DATE 15T PRODUCTION SPEAKER 1-27-11-8-61 10/25/2013 1/13/2014 SPEAKER 2-27-11-8-61 11/3/2013 1/7/2014 SPEAKER 3-27-11-8-61 11/11/2013 1/6/2014 SPEAKER 2-27-31-8-61 7/22/2013 8/27/2013 • CALCULATIONS TRACT 3 Tract Factor(TF): 1.21/640=0.00189063 Weld County's Mineral Interest: 100% Royalty: 20% NRI: 1*.20=0.20000000 ROYALTY INTEREST: 0.20000000 NRI * 0.00189063 =0.000378126 TRACT 5 Tract Factor(TF): 1.21/640=0.00189063 Weld County's Mineral Interest: 100% Royalty: 20% NRI: 1*.20=0.20000000 ROYALTY INTEREST: 0.20000000 NRI * 0.00189063 = 0.000378126 WELD COUNTY,CO NRI =0.000756252 I am also attaching revised division orders reflecting Weld County's total mineral interest (0.000756252). Please discard the ones you received. Please let me know if you have any questions or need more information. 1 Thanks, Sonia From: Karla Ford [mailto:kford©co.weld.co.us] Sent: Wednesday, March 19, 2014 2:23 PM To: Janet Bradshaw Cc: Karla Ford Subject: Weld County Division Orders Importance: High To Whom It May Concern: I received the attached eight (8) division order(s). Our County Attorney requires more information to verify the royalty interest calculation. Can you please provide the following documents for each DO? Please be advised that as of January 15, 2013,the following information must accompany all division orders which are submit to Weld County Board of County Commissioners for approval. 1. Copy of applicable lease(s) or reception numbers, including all Exhibits, with Weld County together with any assignment thereof which documents Weld County's mineral interest, as well as forms the basis of the division order. 2. Letter sized copy of theplat reflecting the complete spacing unit with Weld County's mineral interest outlined P p and highlighted related to the division order. Also please provide all acreage labels necessary to support the calculations used to arrive at the County's royalty interest. 3. Detailed calculations illustrating how the County's royalty interest was derived. 4. Spud date and expected date of first production. 5. Title opinion pages that refer to Weld County's royalty interest. Karla Ford X Deputy Clerk to the Board 1150 O Street/P.O. Box 758 Greeley, CO 80632 tel: (970)336-7215 X4228 Confidentiality Notice:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged,confidential or otherwise protected from disclosure.If you have received this communication in error,please immediately notify sender by return e-mail and destroy the communication.Any disclosure,copying,distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. III 2 BEATTY& WOZNYAK,P.C. ATTORNEYS AT LAW 216 SIXTEENTH STREET,SUITE 1100 DENVER,COLORADO 80202-5115 CASPER TELEPHONE(303)407-4499 FACSIMILE 407-4494 CHEYENNE www.bwencrgylaw.com DENVER Kyle Allen Also Licensed in Texas SALT LAKE CITY SANTA FR DIRECT: (303)407.4457 - E-MAIL: KALLEN@UWENERGYLAW.COM June 7,20.12 Carrizo Oil&Gas,Inc. 500 Dallas St.,Suite 2499 Houston,Texas 77002 Attn: Mr.Craig Wiest, CPL Re: Division Order Title Opinion Speaker 27-34-8-61 Well Weld County,Colorado Our File No.7520-0008 Dear Mr.Wiest: Pursuant to your request, we have examined the materials listed below and based upon that information we submit this Division Order Title Opinion covering the following described lands: LANDS COVERED BY OPINION Township 8 North,Range 61 West,6th P.M. Section 27:'All Weld County,Colorado Containing 640.00 acres,more or less MATERIALS EXAMINED 1. Tract Index prepared by GFL&Associates,LLC containing 15 pages covering all of Section 27, Township 8 North, Range 61 West, 6th P.M., based upon a review of the records of Weld County,Colorado,from inception to May 25,2011, at 5:00 P.M. 2. Abstract of Title and,instrulnents of record prepared by GFL & Associates, LLC containing 168 instruments covering all of Section 27, Township 8 North, Range 61 West, 6th BEATTY&WOZNIAIC,P.C. Carrizo Oil&Gas,Inc. DOTO Speaker 27-34-8-61We1I,7520.0008 June 7,2012 Page 3 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 NE/4,N/2SE/4, SW/4SE/4, Section 27, Township 8 North, Range 61 West, 6th P.M., less Tract 3 (containing 278.79 acres,more or less) Tract 2 SE/4SE/4, Section 27, Township 8 North,Range 61 West, 6th P.M. (containing 40.00 acres,more or less) • Tract 3 A strip of land lying within the E/2, Section 27, Township 8 North, Range 61 West, 6th P.M., being a strip of land 20 feet wide adjacent and South of the present highway right-of-way extending eastward approximately 2640 feet from the North and South center line of said Section 27 to the East boundary line of j said section, as described in Final Ruling of Court of the District Court, Weld County, Colorado dated September 16, 1935, recorded September 17, 1935, in Book 983,Page 30,Reception No.721497 (containing 1.21 acres,more or less) Tract 4 W/2, Section 27, Township 8 North, Range 61 West, 6th P.M., less Tract 5 (containing 318.79 acres,more or less) Tract 5 A strip of land lying within the W/2, Section 27,Township 8 North, Range 61 West, 6th P.M., being a strip of land 20 feet wide adjacent and South of the present highway right-of-way extending westward approximately 2640 feet from the North and South center line of said Section 27 to the East boundary line of said section, as described in Final Ruling of Court of the District Court, Weld County, Colorado dated September 16, 1935, recorded September 17, 1935, in Book 983,Page 30,Reception No.721497 (containing 1.21 acres,more or less) OWNERSHIP Based upon the Materials Examined and subject to the Comments and Requirements set find title to the Subject Lands and Leases, as of April 19, 2012, at 8:00 A.M., to forth herein,we f j P be owned and encumbered as follows: SURFACE Tracts • 1,2 Owner 0 Interest • I See Comment and Requirement No.3 - BEATTY&WOZNIAI{,P.C. Carrizo Oil&Gas,Inc. DOTO Speaker 27-34-8-61 Well,7520.0008 June 7,2012 Page 4 of 57 Tracts 1.2 . Owner Interest ' I Gary L. Speaker 25.000000% Debra L. Speaker 25.000000% Guy L. Speaker 25.000000% Russell D. Speaker 25.000000% TOTAL: 100.000000% Tract 3 Owner Interest Weld County,Colorado • W100.000000% TOTAL: 100.000000% Tract 4 Owner Interest Gary L.Speaker 25.000000% Debra L.Speaker 25.000000% Guy L. Speaker 25.000000% Russell D. Speaker 25.000000% TOTAL: 100.000000% • BEATTY&WOZNIAK,P.C. Carrizo Oil&Gas,Inc. DOTO Speaker 27-34-8-61 Well,7520,0008 June 7,2012 Page 5 of 57 Tract 5 Owner Interest Weld County,Colorado 100.000000% TOTAL: 100.000000% OIL AND GAS OWNERSHIP 2 Tracts 1,2 Owner Interest Doris C.Henrickson 50.000000% Gary L.Speaker 12.500000% Debra L. Speaker 12.500000% Guy L.Speaker 12.500000% Russell D. Speaker 12.500000% TOTAL: 100.000000% • Tract 3 Owner Interest Weld County,Colorado 100.000000% • TOTAL: 100.000000% 2 See Comment and Requirement No.2 1-27-11-8-61 Speaker \ � 2-27-11-8-61 Speaker • 3-27-11-8-61 Speaker \ r \ N 4-27-11-8-61 Speaker p m \ o \ � u \ o 0 o cri \ o w 1 v m 2-27-3' 6-61 Speaker n.) 0 0 0 1-27-31-8-61 Speaker * W /11 1 n 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): Speaker 1-27-8-61 File Location(s): LEO276-2 Speaker 2-27-31-8-61 Speaker 2-27-11-61 Speaker 3-27-8-61 BY: DATE: V•:., / Stephanie Arries Assistant County Attorney NOTES: mineral acres/ acres spacing unit * % = 0,6-114a drak one � gcz v Hello