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Home My WebLink About929112 F.orrn 300J~ 3 (October 1992) UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT 000073 'ft FORM APPROVED OMB NO. 1004-0034 Expires: July 31, 1995 ASSIGNMENT OF RECORD TITLE INTEREST IN A LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES Lease Serial No. WYW173635 Mineral Leasing Act of 1920 (30 D.S.C. 181 et seq.) Act for Acquired Lands of 1947 (30 D.S.C. 351-359) Geothermal Steam Act of 1970 (30 V.S.C. 1001-1025 Department of the Interior Appropriations Act, Fiscal Year 1981 (42 V.S.C. 6508) Lease Effective Date (Anniversary Date) December 1, 2006 New Serial No. Tvee or erint elainlv in ink and sian in ink. 1. Assignee* Street City, State, ZIP Code PYR Energy Corporation 1675 Broadway, Suite 2450 Denver, CO 80202 PART A: ASSIGNMENT *If more than one assignee, check here 0 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 assigmnent is for: (Check one) IXI Oil and Gas Lease, or 0 Geothermal Lease Interest conveyed: (Check one or both. as appropriate) œJ' Record Title, 0 Overriding Royalty, payment out of production or other similar interests or payments 2. Th's a si nt con e tì n'n r t: Additional space on reverse, if needed. Do not submit documents or agreements other than this form; such documents or agreements shall only be referenced herein. Owned Conveyed Retained Percent of Overriding Royalty or Similar Interests Reserved Previously reserved or conveyed 100% 100% -0,00%- -0,00% -0,00%- TownshiD 21 North. Ranoe 117 West. 6th P. M. Section 26: All Section 28: All Section 34: NEYoNEYo, SYzNYz, SYZ 1800.00 acres, more or less Lincoln, County, Wyoming RECEIVED 5/7/2007 at 3:19 PM RECEIVING # 929112 BOOK: 657 PAGE: 73 JEANNE WAGNER LINCOLN 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 warrant that either party to this assignment holds legal or equitable title to this lease. o Assigmnent approved effective for above described lands; Assigmnent approved effective o Assigmnent approved for attached land description o Assigmnent approved for land desc~Jtf~t{jhðita'~c:J~on reverse of this form. By (Authorized Officer) ITitle ) (Date) Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional assignees in Item No. I, if needed, or for Land Description in Item No.2. if needed. O~ZS11Z 000074 PART B: CERTIFICATION AND REQUEST FOR APPROVAL 1. The Assignor certifies as owner of an interest in the above designated lease that he/she hereby assigns to the above assignee(s) the rights specified above. 2. Assignee certifies as follows: (a) Assignee is a citizen of the United States; an association of such citizens; a municipality; or a corporation organized under the laws of the United States or of any State or territory thereof. For the assignment of NPR-A leases, assignee is a citizen, national, or resident alien of the United States or associations of such citizens, nationals, resident aliens or private, public or municipal corporations, (b) Assignee is not considered a minor under the laws of the State in which the lands covered by this assignment are located; (c) Assignee's chargeable interests, direct and indirect, in each public domain and acquired lands separately in the same State, do not exceed 246,080 acres in oil and gas leases (of which up to 200,000 acres may be in oil and gas options), or 300,000 acres in leases in each leasing District in Alaska of which up to 200,000 acres may be in options, if this is an oil and gas lease issued in accordance with the Mineral Leasing Act of 1920 or 51,200 acres in anyone State if this is a geothermal lease; and (d) All parties holding an interest in the assignment are otherwise in compliance with the regulations (43 CPR Group 3100 or 32(0) and the authorizing Acts; (e) Assignee is in compliance with reclamation requirements for all Federal oil and gas lease holdings as required by sec. 17(g) of the Mineral Leasing Act; and (t) Assignee is not in violation of sec. 41 of the Mineral Leasing Act. 3. Assignee's signature to this assignment constitutes acceptance of all applicable terms, conditions, stipulations and restrictions pertaining to the lease described herein. For geothermal transfers, an overriding royalty may not be less than one-fourth (\4) of one percent of the value of output, nor greater than 50 percent of the rate of royalty due to the United States when this transfer is added to all previously created overriding royalties (43 CPR 3241). I certify that the statements made herein by me are true, complete. and correct to the best of my knowledge and belief and are made in good faith. 9f Atterney in faet (Signature) POBox 577 - Executed this 20th day of April , 20 07 Executed this Antelope Energy Company, LLC. a Colorado Limited Liability Company, doing business as Antelope Land Services Name of Assignor as shown on curre~nt Ie, ase, . , ~ pase$fle or prmt Assignor /' ~~ . ~~"""r-f./ (Signature) ed Ilmore, Manager l¡:; ~ ./~//, ..' \,\' """""1.1\1"'" (Assignor's Address) Kimball, NE 69145-0577 (City) (State) (Zip Code) 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 comments regarding the burden estimate or any other aspect of this form to U.S. Department of the Interior, Bureau ,of Land Management, (Alternate) Bureau Clearance Officer, (WO-771), 1849 C Street, N.W., Washington, D.C. 20240, and the Office of Management and Budget, Paperwork Reduction Project (1004-0034), Washington, D.C. 20503. Title 18 U .S.C. Sec. 1001 makes it a crime for any person knowingly and willfully to make to any Department or agency of the Unites States any false, fictitious or fraudulent stat"ments or representations as to any matter within its jurisdiction. '~ .~ ':;, ;. I·~.'~~ '\. :~1 . ,'0,1 \. ,1 1992·774-017/87022 STATE OF NEBRASKA ) )ss ) t{)~2911.2 000075 COUNTY OF KIMBALL On this 20th day of April , 2007, before me appeared Reed Gilmore, to me personally known, a Manager of Antelope Energy Comp~~~ Jt'C, a Colorado Limited Liability Company, doing business as Antelope Land Services, , ho is known to me to be the identical person whose name is affixed to the above instrument as Member/Manager of said Limited Liability Company, and acknowledged the instrument to be his free and voluntary act and deed and the free and voluntary act and deed of said Limited Liability Company. Witness my hand and official seal the day and year last above written. My Commission Expires: r AO¡ ,J,Oli . ...... --... "..... irJ -IrU Â& IIOHAC ......--_...am Jb-~i1tLJ J _~tU!-J NOTARY PUBLIC . '.~