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Home My WebLink About873737 ".... "-" :. nEC[\\lED I 1 ~,\ (' r\ l ;'J COl,) Nl'YCL t.R~< \--.0 ll~ ,.,) \,-" ~,- I . I ;<J.c, . Ilo-L'~ r ""'J. """1 "lJ~~ .. Form 3008 j.J, \:) ,j ". (January 1996), " ,.." . '\ ),.' . - j" I'.' ('1 ~ '::' I: fit \111\1) ,.-] (,i> ::.i" "U ... i 0..""." ~ .. WNI,TEP,SlAlES t'~~~~~~~Bt~~~~~T FORM APPROVED OMB NO, 1004-0034 Expires: September 30, 1998 ASSIGNMENT OF RECORD TITLE INTEREST IN A lEASE FOR Oil AND GAS OR GEOTHERMAL RESOURCES BOOK 4~_1!PR PAGE (} 9 'j -- Mineral leasing Act of 1920 (30 U,S.C. 181 et seq.) Act for Acquired lands of 1947 (30 U.S.C. 351-359) 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) lease Serial No. WYW.130257 lease Effective Date (Anniversary Date) September 1, 1993 New Serial No. Type or print plainly in ink and siQn in ink, PART A: ASSIGNMENT Intrepid Oil & Gas, L.L.C, 1801 Broadway, Suite 800 Denver, CO 80202 1. Assignee* Street City, State, ZIP Code *If more than one assignee, check here attached sheet of paper. o and list the name(s) and addressees) of all additional assignees on the reverse of this form or on a separate This record title assignment is for. (Check One) IZI Oil and Gas Lease, or Interest conveyed: (Check one or both, as appmpdale) [8J Record Title, o Geothermal Lease o OVerriding ROyalty, payment out of production or other similar interests or payments 2, This assianment convevs t e ollowlng interest Land Description Percent of Interest Percent of Additional space on reverse, if needed. Do not submit documents or agreements Owned Conveyed Retained Overriding Royalty other than this form; such documents or agreements shall only be referenced or Similar Interests herein. Reserved Previously reserved or conveyed a b c d e f Townshio 23 North, Ranoe 114 West. 6m P,M, 100.00% All None * * Of Record Section 15: All Section 22: W1/2E1/2, W1/2 Section 23: S1/2SE1I4 Section 27: N1/2NE1/4, W1/2 Containing 1,600.00 acres, more or less Lincoln Counly, Wyoming * * It is the intent of this assignment that The Wolf Haven Corporation will deliver unto Intrepid Oil & Gas, L.L.C. an 84,00% net revenue interest in this lease, retaining an overriding royalty interest equal to the difference between 16.00% and all presently existing and outstanding lease burdens which shall include lessor's royalty and all overriding royalties or similar Interests burdening the leasehold. Subject to the terms and conditions of that certain letter Agreement dated April 20, 2001, by and between The Wolf Haven Corporation and Intrepid Oil & Gas, L.L.C, h ~ 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 Assignment approved for above described lands; Assignment approved effective o Assignment approved for attached land description o Assignment approved for land description indicated on reverse of this form. By (Authorized Officer) (Date) (Title) . , ,',"[if{t':<: :' ..;J'J'i .. ';{i:~-:-> . ::)/:'~;'~~:~'~:"'.;' . I :'-::'~";.::". :. <:ii~~U~..\<: '.-~ ,; -'-'.',. .. ..:~:..".:/(.:' ,."." .:".::j:" '.' ,:....g(~.;:........-:::,' ~ "f :.~.;/.~..-. '".,.:,,:, . - .,..:-{tit~.::-: .:.:,>:~~:~~:<. . ,':-:""":'"-" , ".x~;1~:.;."; ".=":.". .')~:i~~~:'~r~,< .~., ... -" - U~J7;:r737 - - 098 Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional assignees in Item No, 1, if needed, or for Land Description in Item No, 2, If needed. ' STATE OF WYOMING 55. COUNTY OF LARAMIE , On this 24th day of April, A.D. 2001, before me personally appeared MARC RANDAL 5TRAHN, President of The Wolf Haven Corporation, to me personally known, who, being by me duly sworn, did say that he is the President of The Wolf Haven Corporation and that the seal affixed to said instrument is the corporate seal of said corporation and that said instrument was signed and sealed on behalf of said corporation by authority of its Board of Directors, and said President acknowledged said instrument to be the free act and deed of said corporation. Witness my hand and seal this 24th day of April, A,D, 2001. \h &----yz,'7/---t( n1' O~ d/-l---nJl--t2fJ Notary Public ' My Commission Expires: Address: Cheyenne, Wyoming vM. ,~,~~~I.:-. DUNNi\M.O~~"':"~ COUNTY OF STATE OF LARAMIE WYOMING MY COMMmSl,~~~,~e:~~s JUl. 16, 2003 "r~-\,' 'v"~.' "0" '. .......<"_:-'0,;;......"";,.00.. 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 Stale or territory thereof. For the assignment of NPR-A leases, assignee is a citizen, national, or resident alien of the United States or association of such citizens, nationals, resident aliens ur private, public or municipal corporatlons, (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 interest, direct or Indirect, in each public domain and acquired lands separately in the same State, do not exceed 246,080 aaes 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 aaes 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; (d) All parties holding an interest in the assignment are othelWise in compliance with the regulations (43 CFR Group 3100 or 3200) and the authorizing Acts; (e) Assignee is in compliance with redamatlon requirements for all Federal 011 and gas lease holdings as required by sec. 17 (g) of the Mineral Leasing Act; and (f) 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 assignments, an overriding royalty may not be less than one-fourth (1/4) 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 assignment is added to all previously created overriding royalties (43 CFR 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. Executed this 24th day of April ,20 01 Executed this day of ,20 01 - Assignor or Attorney-in-fact Intrepid Oil & Gas, L.L.C, President No Attest Required Assignee or Attorney-In-Fact P,O. Box 2480 (Assignor's Addn'lSS) , ,~ ./ f .. .......... ;;"';> '''"./ ...:..... ~ ......04 ,....' ... ,;," .' :~ / { !~ . .. , \ , ' ' ',.1111\\ - o~.r7:J?37 - - 099 ACKNOWLEDGEMENT STATE OF COLORADO ) CITY AND COUNTY OF DENVER) On the 30th day of April, 2001, personally appeared before me Robert P. Jornayvaz III who being by me duly sworn did say that he is the Attorney-in-Fact for Intrepid Oil & Gas, LLC, and is authorized to execute this assignment. Witness my hand and official seal. My Commission Expires: 9/28/01 ,,~\\\\\l1II1I11l111!1 III ..'*'\\ J P I/,t!, ~ .....:e. ' O'() ''0 ~ ;..,v,.',...'." 0'0 ~.:~,." ", 'l'~ ,,;: ,~, iA ,'.... ~ P ~/ \~O 11 j' ",~ % ~~-:(: _"0".p... :*~ -- . . - ;;; ~, ..0;:: %~'" /JUBt,\<':J "'Q~ ~-r '." .... ~~ ~ l'~ '",' ",',' 0 <<:~ ~h OF CO\.: ~~ '" WIIIII/III1I\1\\\\\\\\~ ~ Q.;(\i~(Pcl~ N ary Public , ' Address: 1801 Broadway, Suite 800 Denver, CO 80202