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Home My WebLink About873738 r () 7 "J " ~' In, OJvJvQ. ,\" E- r' C i \ I ,'- c', ( ~. '.,," 1- I 'i :-- I) Lltle,''.1 'I '-,n ~, '; ,\) .,", LUUNTY CLEm< rA) ; O! ,JUr:,~ ~ 7 ."~ 0, ')"1 UNlTEb'StATES ,~J :~~/tlER~lJY!1;rl'l \9E~JHE INTERIOR ,.,L;SUeE8.tJ. /'i\lJil -', ~ir"'MANAGEMENT - VI i j!~J1I1~Q FORM APPROVED OMB NO.1 004-0034 Expires: September 30, 1998 Form aOOO-3 : (January:1996) J, lL.'~. }- I" .; ASSIGNMENT OF RECORD TITLE INTEREST IN A - LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES BOOK~66PRPAGE!OO Mineral leasing Act of 1920 (30 U.S.C. 181 at 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-129168 lease Effective Date (Anniversary Date) June 1, 1993 New Serial No. 1. Assignee* Street City, State, ZIP Code Type or print plainly in ink and sign in ink. PART A: ASSIGNMENT Intrepid Oil & Gas, L.L.C. 1801 Broadway, Suite 800 Denver, CO 80202 *If more than one assignee, check here attached sheet of paper. o and list the name(s) and address(es) of 1I1111ddilional a55ignee5 on the reve~e of this form or on a separate This record title a55ignment Is for: (Check One) I2J Oil and Gas Lease. or o Geothermall.ease Interest conveyed: (Check one or both, as appropriate) rzI Record Tille, o Overriding Royalty. payment out of production or other similar interests or payments 2. This assignment conveys the followina interest: Land Description Percent of Interest Percent of Additional space on reverse, if needed. Do not submit documents or agreements ONned Conveyed Retained Overriding Royally other than this form; $uch documen15 or agreements 5hall only be referenced or Similar Interests herein. Reserved Previously reserved or conveyed a b c d e f Townshio 23 North. Ranoa 114 West. 6th P.M. 100.00% All None * * Of Record Section 25: W1/2, SE1/4 Section 26: E1/2 Section 35: All Containing 1,440.00 acres, more or less Lincoln County, 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. 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 Offiwr) (Title) (Date) - - - - - - o ~ri' ~j';r as 100.4 Pari 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 ~~ ' STATE OF WYOMING COUNTY OF LARAMIE SS. On this 24th day of April, A.D. 2001, before me personally appeared MARC RANDAL STRAHN, President of The Wolf Ha Corporation, to me personally known, who, being by me duly sworn, did say that he is the President of The Wolf Haven Corporation that the seal affixed to said instrument is the corporate seal of said corporation and that said instrument was signed and sealed on be of said corporation by authority of its Board of Directors. and said President acknowledged said instrument to be the free act and dee said corporation. ' Witness my hand and seal this 24th day of April. A.D. 2001. \[J 6j'l--7h'f J}J. OJ;) r7'-- ~ Notary Public ' My Commission Expires: Address: Cheyenne, Wyoming ~''t;g~1fr'%''~~i~~~ 'l - COUNTY Of LARAMIE STATE Of WVOMING MV COMIIIISSIOM lOXPIRES JUL 16, 2003 w,~..;'~!.k:~"::~,'j...,~ 1. The Assignor certifies as owner of an interest in the above designated lease that he/she hereby assigns to the above asslgnee(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 association 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 interest, direct or 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, ifthis 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 otherwise in compliance with the regulations (43 CFR Group 3100 or 3200) 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 (f) Assignee is not in violation of sec. 41 of the Minerall.easlng 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 greaterthsn 50 percent ofthe rate of royalty due to the United States when this assignment is added to all previously created overriding royalties (43 CFR 3241). 1 certify that the statements made herein by me are true, complete, and corred 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 Name of Assignor as ~~n ,on current lease Assignor ,/ PiAW ( ~ or President Attorney-In-fact No Attest ReqUired P.O. Box 2480 Intrepid Oil & Gas, L.L.C. Assignee or Attorney-in-Fact (Assignor'S Address) (Zip Code) " ........ ,20 ---.- .... --. ven and half d of d 67022 01 ,...- -U~f73'138 .101 ACKNOWLEDGEME~ STATE OF COLORADO ) CITY AND COUNTY OF DENVER) On the 30th day of April, 2001, personally appeared before me Robert P. Jomayvaz 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 /-,\\\\\1\11\ /I fill! IlIllll, ~,,*,'I: ~ 1 ,1:",,,,. <,l'l, ......... .- 1. ~ I' I' ...-1......,1 ~ ~cJ ,-....... "',,) "i'-A', j:..~'S~..-_.; ....J.~=.~~~~{~~~{~.:r .,'d.~' ,0 T A /,., .( -..- f-~~/' :b '"~:- ,>~, ~ '. .. :Of?i ~(Jl.l." PSiS' \-v :^ ~ ~". { ,:".,. .:'-';::5 ;:::::: '"9'. .' '<i("~ ~)-~"":: .:.....'O<<-..~ ~h OJ- cO\.: '*'~ ''. '1/1111//11/1111\\\\\\\\'1: ~ . (2; '.....of' 'lll. Ut..../C:f5'v" ()~U "-k'" No ary Public ' Address: 1801 Broadway, Suite 800 Denver, CO 80202 My Commission Expires: 9/28/01 - - -