HomeMy WebLinkAbout939739
Form 3000-3
(January 1999)
,,·:uNITED·STATES,
DEPARTMENJ: OF THE INTERIOR
BUREj\JJ',¡BF'LAND,MANAG;EMENT
FORM APPROVED
OMB NO. 1004-0034
Expires:, December'31 ,:'2001
ASSIQN,MENT.:OF RECORD TITLE INTEREST INA
LEASE'FOR,OIL.,;AN:D:·:GAS OR GEOTHERMAL RESOURCES
Lease Serial No.
W '05929 (A)
(:,o;;Ϗ
Mineral Leasíng.Act of 1920(30 D.S.C. 181etseq.)
Act for Aéqtili:ed Lands of 1947 (30 D.S.C:. 351-359)
,. -.QeothermalSteam,Act ofl970(30;U~S.C.l00l-1025)
Departtnent'of:~tI1e'Jnter¡:drAppropriations Act,OiPiso31Year 1981(42' D:S~C. 6508),
Lease Effective Date
(Anniversary Date)
06/01/51
:NêW SerlaLNo.
Type orprlnt;:þO!:alnlylnlnk:;<antLslgn "In Ink.
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p~RrA~ 'ASSIGNMENT
1. Assignee* Bryan A. Mau
S~t 7437 Dallas Drive
City, State, ZIP Code. Austin, TX 78729
*If more thair onc assignee, check here U and'list'the nämè(S)ä.rid'address(es)'~or:älr'adpìtiöna1aSsi~son the:rev~Isë~df thisf~rm orona
separate attachedsheètofpaper: .' , "", ;".', '", : "
Tlùs record title aSsignment is for: (Check one)6a Oil: and 'Gas Leasejor 0 Geothermal,Lease
'Interest conveyed: (Check one or both, as appr;pri¡j~ej' 'l*rR~orä"I'itJ.i:,G:a':bV~rtidingRoYalty,paYment out of'productio~ or other similar ,
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, Land~Ðescii ' tii:)Q';' '.;::: -, ,:" "",;/ :,::,æe,,~ënt:;:of"iIhte];est~ 1>'> ".,,-,f': :",\w;~~:~'i:!P.&tfênfìrð~~' ".;,"""," " '"
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,reserved
, ,or1conveyed
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a
,b
c
d
e
Township 19 North, Range 112 West, 6th P.M.
Section 22: All
Sweetwater (E 1/2) and Lincoln (W 1/i)
Counties, Wyoming
Containing 640 acres, more or less
.2500.2500
None
n,..
RECEIVED 6/13/2008 at 10:10 AM
RECEIVING # 939739
BOOK: 697 PAGE: 20
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
:F:OR\:a£iM':US'E?ON,~\Y--;Ð9t.~A.;¡;:WRI,1\E;BELOW THIS LINE
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This assignment is approved soJely.foradministratlveporpoSes. Approval'does not warrant that either party ~o this assignment holds legal or
equitable title to this ,lease.
'0 Assignment,approved for above described'Iands; 0 Assignmerit'approved for attached land description
Assignment approved effective
o Assignment appro~ for land description indicated on reverse
of this form.
By
(Authorized Officer)
(Title)
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Tear PART C: ØSNERAL INSTRUCTIONS Tear
1. Assignorl Assìgnee(s). must complete ,Psrts Al.1IDd iA,2,and,Part B. A]l,parties-to So, If any,¡pa,ymcnt'ou~.ofproductìon' or sími1ar intcrclitS, ammgemcnts or payments
assignment must:sign:as, follows~:The,assignor(s) ,mustlIla111J@y..siW);,orjginal" "have¡.previouslyd)Cenfcreated>iOut>:of.,:tbedi1terest.,bein~'assìgned~ .or.j.f,,1iD.Y r.such
copies and the assìgnec(3)"must manually.sign,atleast l'of'the'3 "origmaJ.:copies. ,pa~.œ'~,IIIC~!'Y.¢'under;.this;asstg¡µuent¡"includc.a1-_gìving
File three, (3)comp]etcdcopies',of.this,,fonndn,thepropcr.,BLM.,offi,.c,c,.for; C!lch fulldctåîlsu to'8II1OUIIt"met11ddnfpaymcnt, and'otbel"pcrtin~t tcmu; lIB provided
assignment 'of recorcÏtitle. For a transfèr ot:overridiIÎg'roYá1iyili~~paymcntunder-43;C~,,3106",3-l35.;,;or.i3241.
out of productìon or otbci similar .interest or,paymcp.t,AiJc:·;onc Cl)IDanually, signed 6. Thoi]éasC IICcount<ml1lit';IiJc·"iíf¡good..staî1'ding~before"this",8.Šllìgnmcntlcan' be ap-
copy of this.form. The ~.fi1ing .fee" (nonrei'unpablè;)imust.accqmpany:~the>.;proved"as',provided~under 4S',CFR:3106»lUld"324L
nss~gnmcnt. Pile, assignment withfu nìncty.(90), day.s af'tcr,date" of .execution,ofr 7. Assignment. if approved, ',takes' effect on the first-day ;of the month following the
assIgnor. ,dat'c'-öti'filingiÌÌ.tlWPr¥t'JBC~roffii:e'.·If'a-bOnd is ~1 ,it,,~~þc fur-
2. Sepan¡w form must be used for each lease being affcctedby thiussignment and;lûshèdiþriOr.'tò;'iiPPrò~åFotthe..;lûISÌþíinêtit. " .. " '<'"
for each, type of intçt'estconveyed. .. , ' , 8. ,Apw:qv~,of lISI!ignmcnt"qfIeÇ.oßi¡,tìtle:to l~% o(~:.portionof;tbe:},~srt!'Iands
3., InJtcm No.2of 'Part, A, describc,Iands"affecttd (SecA3' CFRi:3'¡;06;<~'l35:~;.or "crcâtè'à;~1eases'öf'lIæretii~'andthe'8:ssij~I)êd;~1:bUt'~;!~i~e
3241). Fotcol\UD]) ;b, c" d,..and :'e,C1itcr>the~interest''CiprcsSè:éf;aS.a;pè'rcentagethê'tëÍíiiš :aûd'éonditions'òf th'ëJi:åSeaniiiver5ár'YdàtC': for'purpoSes ofþayiDent
of total·intercst·in the.1Case;,e,g.",if.;assignor:a.ssigns one-:quarter' ofa 20% in- of~qa.I"rental.." ... ,
tcrest"enter 20%Ü1,columnh, 5 % ,in column 'c. andTS % in column d. 9~ÖVe'rri¡fu¡g:royaiti~payin.èntout'ofpÌöduction or othersiDii]¡ir~'of transfers
4_ If assign:mcnt:isto more, than 'one'.assignec",cnter each.assigneë's'l1BIDeacross ,mUlitbc.fi1cd;with BLM, but will bcacccptcd for record purposes'olÙY: No offi-
, coI\UD]) d,.e,andfncxt~the ~ve,intercstbeing~c~~v:>,ed.~ list ~ciäJ. apptoval' will be given.
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AUTH.O~.ïi¡;~:Ç:3_0};Íl:'S::E .18i\et,,$eq; 30U :S.c....Ux.).J;.~~~;·,:42.:{tS.<R:~~6~Ä~;
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P~~iL::~~~F::;~¥~~Qn:isto;be:,~s~;¡.O'~p;~~~s.;~~~~:~~~:~ ,'::;tige~·asSigDIDent:may.!Ilobbe,.pproved. 'See"reguIations at
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P Al'ERWORKRED \.CJ',S:rATE~NT
1. This·jDform~tÌon is, be.¡¡¡g\coliected pursuant'tmthe law.
2. This,~nformation·wilf be:used.to create and, IIUÚlItain,a,recordof'oiLand:
g!l:ìlgcQt,herma11ease.activity. '
3.;R~P.~µ:¡:~tQ¡iÑs're.q~est.is: required to.;obtain ,benefit, , 't:·· <'·.:¡T{!~ ';:"
BLMI.WQ'uId:like'you~t9l>knolw thal\ YOu' ,do not'have'to'respond to:tßišibtimlyfôthe?
Fede¡;a:J;:b.g~ncY' spQUSore¢informatÍoß.' collection; unless' it,display&~a;currentlì;
vali~:Q~ì(<:?n~l-.numi?,e~..
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NOTICE-
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The:~V:~PX:':-~~i9,f;"~W~'an,91t\1~.re.~1a.ti"Qn.~&~.,c;~~.48(\,!),;~,vjq,I;iiff.I!¥..y,,9UR~
~fie4~~J:~p"9.'J'I.~~.~pn.m.coJ1nec;ü9.n;¡w,¡dl'lOf~~tion~~:~d.:~7y:>\thi$'
oiltand:,~~,~~~~IJWa.¡;~1~e.;.~c;~rd"title-, .asS¡gnme.nt.aPI?li,ç¡rtíQn..;,¡ ',;, ;'<,': "",!,;":~,,
'R.O~,.USES:,
\..0'\)021
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·(Q,~C:~1!lli.u~c;p.tion of dle assignc:e'srights to the land 01" resourœs.
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. (',?#" '~~ÒJ1¿or,PlJblicinfo~tio~ in suP.port of notati.oDS,made onJand.:statu.s
,;~ ,'." i:}í§c:;;.manag,ement, dispo!ilÙ, and use of public lands and,rc:sourœs.
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, ~,:,:;!(¡~iìätel1edcral age.ncies when concurrence is req~ prior to
'''''!ffiirt'''·.. 'k
t. ' ~Þu.I)~:1ands·i01" re5OW'CCS.
;(~~~Infotwatioll¡\f1i9mïthe~ordandlor.':the'record will be transfcm:d to appropri-
!af!:?:&:éde.talf¡'S~~lQ¡;¡illor;fo1'CÏgn'agencies"when·relevant to'civiI, criminat 01"regu1a-
~~qti'Prosecutions.
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Part A (~ontinued):· .. ADDmONAL SPACE for Names and addresses' of:additionaLas$ignees',.in,Item No.1, if needed, or for Land Description in Item No.2, if
needed.
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PARTB: CERTIFICA:r:lON AND BEQUEST FOR APPROVAL
. .
2.,
1. The A~~:ígnor certifies.as owner .,( a~ ¡nlerest in.t~e above d:~¡~natcd.leasc; Ihath,~/sbc; hereby assi.g,n$ 10 Ihe above as~i,gnee.(s) the rights specified above.
Þ/ssign,e.e certifies as follow.s~ (a),As.~ignee· is a citizen ofthe.UnitedStates;, an assoe¡iation o( sucb,cilizcns¡ a mun icípality; or a corporation orgaøized ul1dèr th~
làws' o f..th e' United s.ta,tes.or.,of any'Stale ,or,lerrito,iythereof. ',for Ihe"a,ssignmen t of:NPR-A leases,.,a$Signee is a cilizen, national, or 'f.esideot alien, oCtheUnited
S~ates'or'associ;l'lio,n,'Qf:such:,cl.lizens, nalio.nal$,.r.c$ident al.i.ens:,o,r privale"public ocmunicipal c-oT;poralions, (b) A$$ignee is not,co,nsidered a minol",l1llder the
laws:oÜhe.Statejn:wh:j,c:Mhe)ands:c~vercd bY:.this,ass,!.&!I.n:l,~p.,,~:):ue located; -(c:) Assignee's chargeable interests, ,direct and indirect"ÌI¡ each public domain and
a~qu:ire~,lands se¡:iarate1ÿ,in"the'same.;Stàte;',do'·nol¡:cx~.e!7_d~< :6;O:,8,O:~cres. in:o,il.and.,ga$ leases,(çf whkh up,·to 200~OOO aC,res may be ìn oil :&ad gas 'opliol1s), or
3þO,OOqï-'acre.s"Jn '.¡'eàses'.Ìn eachleasJng·District.,i,n)~Jâsl!~:'.of;¡W:¡¡TCb.·:~¡i'!020'O;·000'acres \l\ay' be ia,:options, ifthi$ is an oil ani! gas leasdssl1edoinaccordal1ce
wÏlhthe;MïlierarLeas.iil,gAct.o.t::¡'92,Q,..or·Sl,;20:0:'a~r.es;¡n allfõ,lle Slite iLiilis is, a g.~other.mal.le&'Se,(d)'AIl· parties holding all interest ill "the assigl1mell'! are
o.th,e¡w,i;;e~,in'c:omp,üa'llce·>w,ith"the,regu'¡:l:Hons',G43'·OF-R:-'Gro'u'p'31 00"01' 3200) 'a nd''.\h'e autho riztng Acts; '(e) Assignee iSln COlD pliaåce with recla matioo'
·rçq.Q¡ieh{~~,I;;~Jor,a:J.I:;¡::e:iic[:it"¡il'and:.gas,leasc':h,o.1d.ings,auc.q.uJred by sec.' 17.(g) of,lhc.Mineral' Leasing Act;.and (f) Assignee is not iu violation of sec. 41 of the
MiJle JAct. "',
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1 S:,;åsiii:g'ii irié ift;co ns i I.
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êèè:PWikc.ei6.f~a~Itj;,iiP.U,¿à.í;.J:e'le'nns:'~òn1Jiiions, sÜpùiä1ions and restrictions, pertaining to the (ease described
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For geo.¡herma,!..~¿ši~,.nmel1ts, all ov,evidi ng ,royalty' ma~ not be less than'one-fo·urtb.(1/4) of ouè percent of the value of OQtput; nor grca,ler. than 50 percent of the rale of
roy ally'þue;IO, Ihe.Jan'fled :Sta,tes.whCII' Ihisa$sig,n men!. is added,to all::prev,¡ously..~r.e.atedo:vçrriding royaHies..,(43('FR 3241). ,
.. . ._~ . ..
I certif}L,that'the' $tatement¡¡ made hereÌl1 by' me are true, complete" and correct to !,he best of my knowledge and belief .md .are made in good faith.
Exec~~~~trj;i:~ D day of ~ ð~ ,Z!K 200 8 Executed this ,) day of 5 ~
·'·1;~ ~:.", .:~;~~~-.
Frank A.
Mau
Nameqf.A.ss~gnor.as$hown on ,c:urrent.lease
. ~ . Please type or 'prim
Assi&u~~"""~'~ .A'.-~ -----" , ' ',....
or '-'Frank A. Ma u (Signature) ,
AttorneY-~cfact
2~165
(Sig¡¡atUre),
preakness Drive
(Assignor's' Address) <',;.
Oaks RaI1ch-,.T:X; 78015
(City) ~~tate)·
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,(~i\~:~c;).,
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.~200~
~ BNlr- .
. Bryan A." Mau
or
,Attorney:-ÎD,fact
A- A----
(Signature)
(Signature)
t~/d~i,
I
,¡
Carol S Thompson
My Commission Expires
04/10/2010 .
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Public r~pc.rting bu;de1.l for this fönn i~estimat~d to avemge .30 minutes per ~ponse including the time for r~viewing 'instructions, gathering and maintainin <!at and
~mpletmg an(d revlewmg,_ the fonn. Dlt"ect conunents regarqmg ~e ,burden estimate or ,any other, aspec, Lof this form to, U.S. Department of,the:lnteri.or B ure~u of Land
anag~ment 1004:-0034), ,Bureau C1eamnceOfficer, (WO-63Q),ì!MairStop,AOLLS, 1849ìC:,Sb:èet;\~nW;, WaSlÌington, D.C. 20240. ' ,
Title ;18 '1lJ.;S,C:Sec,',lOO~ ~akes ita,crim.e·for any ,person knowingly. and willfully to;makcno.-any,IÐepartrn,ent or agency of the United States any false fictitious or ftaudulent
statements 'or representations as to: any matter within it¡¡ jurisdiction. ." ,
NOTARY ACKNOWLEDGMENT
\...O~022
The State of Wyoming )
: ss.
County of Sweetwater )
Frank A. Mau, as Assignor, and Bryan A. Mau, as Assignee, who proved to
me on the basis of satisfactory evidence to be the persons whose names are
subscribed to the attached instrument and further who acknowledged to me that
they executed the same on June 3, 2008.
Witness my hand and official seal.
My commission expires: August 1,2009
~~~~~~~~~~~~~,
THEDAA,PORTER-Në>TÃRŸìPušüC
COUNTY OF STATE OF
SWEETWATER WYOMING
MY COMMISSION EXPIRES AUGUST 1. 2009
...........~........~
tl~
Th' da A. Porter, Notary Public