HomeMy WebLinkAbout952129Land Description
Percent of Interest
Percent of
Overriding Royalty
Similar Interests
Additional space on page 2, if needed. Do not submit documents or agreements
other than this form; such documents or agreements shall only be referenced herein.
a
Owned
b
Conveyed
c
Retained
d
Reserved
e r
Previously
reserved
or conveyed
f
T24N, R117W SECS 01,02,12,13,24,25 1,745.39 acs described as follows:
Section 01 Lots 5 -12
Section 02 Lots 6, 8, 9, 13, 16 -19,
Section 12 Lots 2, 3, SW /4 NE /4, SE /4 NW /4, E/2 SW /4, SE /4
Section 13 NE /4, SE /4 NW /4, E/2 SW /4, NE /4 SE /4, S/2 SE /4
Section 24 Lots 4, 7, NE /4, E/2 NW /4, NW /4 SE /4, Lot 5 of TR 48 and Lot
6 of TR 48
Section 25 Lots 5, 6
Lincoln County, Wyoming
RECEIVED 2/11/2010 at 10:51 AM
RECEIVING 952129
BOOK: 742 PAGE: 379
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
100.00%
100.00%
w_ -Inn
010 JAN 14 AM 9: OO
0
0
RECEIVED
0.00%
FOR RI M IISE ONLY 00 NOT WRITE BELOW THIS LINE
Arm 3000 -3'
(May 2006)
1. Assignee* MRC ROCKIES COMPANY
Street 5400 LBT 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 on page 2 of this fomi or on 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:
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
Assignment approved for attached land description
FEB 01 2010 LJ Assignment approved for land description indicated on reverse
/S/ Judith R. Oldenburg
title
this lease.
Assignment approved for above described lands;
Assignment approved effective
(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.C.
Bureau of Land Management (BLM)
Type or print plainly in ink and sign in Ink
PART A: ASSIGNMENT
FORM APPROVED
OMB NO. 1004 -0034
Expires: April 30, 2009
Lease Serial No.
JVYW 174826
.ease Effective Date
Anniversary Date)
4/01/2008
New Serial No.
Record Title, Overriding Royalty, payment out of production or other similar interests
or payments
of this form
LAND LAW EXAMINER JAN 2 2 2010
(Title) (Date)
Part ,4 Continuca): Ainit t IONAL SPACE for names and addresses of additioi._...__. es in Item No.1, if needed, or for Land Descripti No. 2, if needed.
PART B CERTIFICATION AND REQUEST FOR APPROVAL
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).
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.
DECEMBER 09 31 S da of DECEMBER 20 09
day of 20 Executed this Y
Executed this
Name of Assignor as shown on current lease MEATH, LLC
Assignor 1i ,1
7a:ure el
Attor
2201 CABIN COURT
GILLETTE
(City)
(Continued on page 3)
(Assignor's Address)
WY
82718 -5244
(State) (Zip Code)
(Please type o4nt
Assignee
or
Sig" atu
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
COUNTY OF CAMPBELL
The foregoing instrument was ackn ed be ore Notary blic in and for the State of
Wyoming, by g g e y
j as
ms's' of Meath LLC n this 1 day of
December, 2009.
TERI M STORE OTARY PU LI
COUNTY OF
CAMPBELL
MY COMMISSION EXPIRES
STATE OF
WYOMING
My Commission Expires: 03 -13 -2012
STATE OF TEXAS
ACKNOWLEDGMENTS
I ctA k 3
Teri M. Storey
COUNTY OF DALLAS
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 3l day of December, 2009.
My Commission Expires: 08 -20 -2011
Pe/737M itt/W
nne Hoevers