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HomeMy WebLinkAbout952125V Land Description Percent of Interest Percent of Overriding Royalty Similar Interests Additional space on a e 2, if needed. Do not submit documents or agreements P P g g other than this form; such documents or agreements shall only be referenced herein. a Owned b Conveyed Y c Retained d Reserved e Previously reserved or conveyed f T23N R120W SECS 14,23,26 1,443.82 acs described as follows: Section 14 Lots 1, 4, 5, 8, 9, 12, 13, 16 and the N/2 Section 23 Lots 1, 4, N/2 and N/2 S/2 Section 26 Lots 3, 4, 9,10,13 and W/2 Lincoln County, Wyoming RECEIVED 2/11/2010 at 10:43 AM RECEIVING 952125 BOOK: 742 PAGE: 367 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY 100.00% 100.00% CHEYENNE Yo IN: 2010 JAN 94 AM 9: 00 0.00% pop RI M I IRF nNLY on NOT WRITE BELOW THIS LINE Form 3000 -3 (May 2006) By (Continued on page 2) UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT ASSIGNMENT OF RECORD TITLE INTEREST IN A LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES Mineral Leasing Act of 1920 (30 U.S.C. 181 et seq.) Act for Acquired Lands of 1947 (30 U.S.0 351 359) Geothermal Steam Act of 1970 (30 U.S.C. 1001 -1025) Department of the Interior Appropriations Act, Fiscal Year 1981 (42 U.S.0 Type or print plainly in ink and sign 1 Assignee* MRC ROCKIES COMPANY Street 5400 LBJ FREEWAY, ONE LINCOLN CENTRE, SUITE 1500 City, State, Zip Code DALLAS, TX 75240 1017 la. Assignor *If more than one assignee, check here El and list the name(s) and address(es) of all addtional assignees a separate attached sheet of paper. This record title assignment is for: (Check one) NI Oil and Gas Lease, or Geothermal Lease Interest conveyed: (Check one or both, as appropriate) ent conveys the following interest: Bureau of Land Management (BLM) PART A: ASSIGNMENT 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. Assignment approved for above described lands; 2010 Assignment approved for attached land description FEB 1 Assignment approved effective n Assignment approved for land description indicated on reverse of this form IS/ Judith R. Oldenburg LAND LAW EXAMINER (Title) Lease Serial No. WYW 174333 ,ease Effective Date Anniversary Date) 11/01/2008 New Serial No. 600367 FORM APPROVED OMB NO. 1004 -0034 Expires: April 30, 2009 Record Title, Overriding Royalty, payment out of production or other similar interests or payments JAN 222010 (Date) Part A (Contiln.,,..,........TIONAL SPACE for names and addresses of additic 1. The Assignor certifies as owner if 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 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 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 any one 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 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). 1 certify that the statements made de day of day herein by me are true, complete, and correct to the best of my knowledge and belief and are made in good faith. da DECEMBER 2 09 Executed this 3 da of DECEMBER 20 09 �t7L Executed this Name of Assignor as shown on current lease MEATH, LLC Assignor or Attorney -in -fact 2201 CABIN COURT GILLETTE (City) (Continued on page 3) PART B CERTIFICATION AND REQUEST FOR APPROVAL (Assignor's Address) WY 82718 5244 (State) (Zip Code) Oi 368 lees in Item No.l, if needed, or for Land Descrip t No. 2, if needed. (Please type or Assignee or Attorney -in -fact David E. Lancaster, Executive Vice President and CFO MRC ROCKIES COMPANY 5400 LBJ Freeway One Lincoln Centre, Suite 1500 Dallas, TX 75240 -1017 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 United States any false, fictitious, or fraudulent statements or representations as to any matter within its jurisdiction. (Form 3000 -3, page 2) STATE OF WYOMING ACKNOWLEDGMENTS p oi. :;369 COUNTY OF CAMPBELL The foregoing instrument was acknow 9ed before m a Notar Public in and for the State of Wyoming, by C as December, 2009. My Commission Expires: 03 -13 -2012 STATE OF TEXAS olvwp g YVONNE HOEVERS g ?r° Notary Public, 1 sa `P State of Texas b, yin 1 a°> Comm. Exx. 08 -20 -11 My Commission Expires: 08 -20 -2011 of Meath LL on this day of —'1 S* IM C) p Teri M. Storey rri c. C onne Hoevers f7r. 7 07 U/ 01 t/ COUNTY OF DALLAS The foregoing instrument was acknowledged before me, a Notary Public in and for the State of Texas, by David E. Lancaster, Eecutive Vice President and CFO of MRC Rockies Company, on behalf of said company, on this 3\ day of December, 2009.