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HomeMy WebLinkAbout952128Land Description Percent of Interest Percent of Overriding Royalty Similar Interests Additional space on page 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 T24N, R116W Sec 35 40.00 acs being the NE /4 NE /4 of Section 35 Lincoln County, Wyoming RECEIVED 2/11/2010 at 10:49 AM RECEIVING 952128 BOOK: 742 PAGE: 376 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY 100.00% 100.00% uuvuLti CHEYENNE WYOMINI3 2010 JAN I AM 9: 00 ii5c,ElyED 0.00% FIR RUM LISE ONLY DO NOT WRITE BELOW THIS LINE Form 3000.3 (May 2006) 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.C. Type or print plainly in ink and sign in ink. 1. Assignee* MRC ROCKIES COMPANY Sheet 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 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) Oil and Gas Lease, or Geothermal Lease By Interest conveyed: (Check one or both, as appropriate) 2. This assignment conveys the following interest: (Continued on page 2) Bureau of Land Management (BLM) FA FEB 012 /SI Judith R. Oldenburg PART A: ASSIGNMENT FORM APPROVED OMB NO. 1004 -0034 Expires: April 30, 2009 Tease Serial No. JVYW 174825 ease Effective Date anniversary Date) 4/01/2008 New Serial No. Record Title, Overriding Royalty, payment our of production or other similar interests or payments 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 6 this lease. Assignment approved for above described lands; Assignment approved effective effective 0 Assignment approved for attached land description El Assignment approved for land description indicated on reverse of this form LAND LAW EXAMINER JAN 22 2010 (Title) (Date) P A (Continued): ADDITIONAL SPACE for names and addresses of additional assignees in Item No.1, if needed, or for Land Description in Item N o. 2, if needed. PART B CERTIFICATION AND REQUEST FOR APPROVAL 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 ofNPR -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). 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. 5 DECEMBER 20 09 Executed this '7, day of DECEMBER 2 0 09 Executed this day of Name of Assignor as show .n c rrent lease MEATH, u W e Assignor or Attorney T' act David E. Lancaster, ature) 2201 CABIN COURT 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. GILLETTE (City) (Continued on page 3) (Assignor's Address) WY (State) 82718 -5244 (Zip Code) (Please type or Assignee or Attorney -in -fact (Form 3000 -3, page 2) ti STATE OF WYOMING COUNTY OF CAMPBELL Wyoming, by December, 2009. TERI M STOREY NOTARY PUBLIC COUNTY OF STATE OF CAMPBELL WYOMING STATE OF TEXAS COUNTY OF DALLAS The foregoing instrument was a MYCOMMISSXNI EXP IRES My Commission Expires: 03 -13 -2012 YVONNE NOEVERS Notary Public, 4,'� -n t. s. State of Texas un Comm. Exp. 08 -20 -11 My Commission Expires: 08 -20 -2011 ACKNOWLEDGMENTS Teri M. Storey e oe vers y Public of Meth LLC, on thi for the State of as day of 0171 MA IOLA H The foregoing instrument was acknowledged before me, a Notary Public in and for the State of Texas, by David E. Lancaster, Executive Vice President and CFO of MRC Rockies Company, on behalf of said company, on this 31 S� day of December, 2009.