HomeMy WebLinkAbout908976(February2002). ,\; \,g,'l~!~)~(', UNITED STATES
. ,-1- a~" ~: ;" o.~-~.~ l,)i.l~,~ ~' ' ";" ~ DEPARTMENT OF THE INTERIOR
,),L'~';~¢'~Y'~'~ k~ BUREAU OF LAND MANAGEMENT
t~ $: ~SIGNMENT OF RECORD TITLE INTEREST IN A
~ ~ ~ "' LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES
~~r~'',''~';' ~ ~in~rai bCasing Act of1920 (30 U.S.~. 181 ¢ts~q.)
Geothermal Steam Act of 1970 (30 U.S.C. 1001-1025)
Department of the Interior Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6508)
FORM APPROVED
OMB NO. 1004-0034
Expires: October 31, 2004
Lease Serial No.
WYW-155029
Lease Effective Date
(Anniversary Date)
Feb 1, 2002
New Serial No.
Type or print plainly in ink and sign in ink.
PART A: ASSIGNMENT
Assignee* $ W E P I L . P .
Street P. 0, B o X 5 7 6
City, State, ZIP Code H o u s t o n , T e x a s 7 7 0 0 1
*If more than one assignee, check here['-] and list the name(s) and address(es) of all additional assignees on the reverse of this form or on a
separate attached sheet of paper.
This record title assignment is for: (Check one) [] Oil and Gas Lease, or [] Geothermal Lease
Interest conveyed: (Check one or both, as appropriate) [] Record Title, [] Overriding Royalty, payment out of production or other similar
interests or payments
2. This assignment conveys the following interest:
Land D escription Percent of Interest Percent of
Overriding Royalty
Additional space on reverse, il' needed. Do not submit documents or agreements other than Owned Conveyed Retained Similar Interests
this form; such documents or agreements shall only be referenced herein.
Reserved Previously
reserved
or conveyed
a b c d e f
~Township 26 North, Range..I12 West, 6th P M. !001 I00% ~one 5% of ~one
kSection 12: Lots 1 and 2 8/8th-<
Containing 87 acres, more or less
Lincoln County, Wyoming
Subject to attached Reassignment Rider.
(.o RECEIVED 61612005 at ~ ~ :22 AM
RECEIVING # 908976
Z, BOOK: 587 PAGE: 305
JEANNE WAGNER
LIN(;OLN COUNTY CLERK, KEMMERER, WY
FOR BLM USE ONLY - DO NOT WRITE BELOW THIS LINE
UNITED STATES OF AMERICA
This assignment is approved solely for administrative purposes. Approval does not warra~nt that ether party, to. th s assignment holds legal or
uitable title to this lease. 5 . ,-: ~.~ :h'~ -',~;,~-~ ' !-~ .,?
)l Assignment approved for above described lands;
' ssignment approved effective APR 0 12005
/SI Carmen E. Lovett
By
'!7' ;;'?[~ ~Assignrhe~i ~¢pr0ved for attacfied la,d: di~scription
~ Assignment approved for land descr}ptiofi}indicated on reverse
of this form. ~-';~ .: .'}{
LAW EXAMINER UAY g 0 2005
(Authorized Officer) (Tide) (Date)
rContinued on reverse)
FOR ASSIGNEE
The overriding royalty reserved hereunder shall be calculated and paid on at least as favorable a basis as royalty
paid to the United States on federal oil and gas leases.
REASSIGNMENT RIDER
In the event Assignee desires to "relinquish" the herein described lease as to all or any part of the acreage covered
thereby, Assignee shall notify Assignor sixty (60) days prior to the next accruing rental date under s'~dd oil and gas
lease of Assignee's desire to relinquish said oil and gas lease. Assignor shall then have the right for a period of
fifteen (15) days after the receipt of such notification in which to request to Assignee that said oil and gas lease be
reassigned to Assignor, and Assignee shall then execute an assignment of said oil and gas lease to Assignor.
However, Assignee shall not be liable, in damages or otherwise, for failure to give such notice due to clerical error,
mistake or oversight except liability not to exceed the amount that was paid for this Assignment. Clerical error shall
include, but not be limited to, reinstatement of a federal oil and gas lease pursuant to the Code of Federal
Regulations, Title 43, Subsection 3108.2-2. Any reassignment under the terms of this paragraph shall be free and
clear of al! burdens, encumbrances, or outstanding interests other than those existing on the date hereof and
Assignee agrees not to create any reassignment obligations on the herein described lease superior to this
reassignment obligation.
As used herein, the term "relinquish" shall not inhibit Assignee's (SWEPI's) ability to sell, assign, or farmout its
interest in said lease(s). The above provision shall burden Assignee (SWEPI), its successors and assigns.
Nota"-'~ Public
My Commission Expires 04/13/2007
My commission expires:
STATE OF COLORADO )
) ss
· COUNTY OF DENVER )
The foregoing instrument was acknOwledged before me by Joe Freeman as Partner for Freeman
Investments, this 13th day of January, 2005.
WITNESS my hand and official seal.
Executed this
v-,,-,----,~-~*~,--~mt,'r*[c7, arru'-correcr-ro [ne-b-e~t-6t my~r~-6~l-~dge and belief and are made in good faith.
13th dayof January 2005 Executed this ~1~,,~ I~f~day oi" F~'t~/~42~ 20 0~e'''.
Name of Assignor/~hown~,rrent lease F r e e m a n I n v e s t m e n t S
Attorney-in-tact-'
(Signature)
3415 S. Clayton Blvd.
(Assignor's Address)
En_ql ewood,
(City)
CO 80113-7611
(State) (Zip Code)
SWEPI L. P.
Public reporting burden for this form is estimated to average 30 minutes per response including the time for reviewing instructions, gathering and maintaining data. and
completing and reviewing the form. Direct commeuts regarding the burden estimate or any other aspect of this form to [J S. Department of thc Interior. Bureat~ of [.and
Management (1004-0034). Bureau Clearance Officer, (WO-630), Mail Stop 401 LS. 1849 C Street, N W.. Washington. [)C 20240.
Title 18 U.S.C. Sec. 1001 makes it a crime tbr auy person knowingly and will frilly to make to any Department or agency of thc United States any false, lictitiotts or t'rauduleut
statements or representations as to any matter within its .jurisdiction.