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HomeMy WebLinkAbout953810Land Description Percent of Interest Percent of ng Royalty ar Interests Additional space on reverse, if needed. Do not submit documents other than this form; such documents should only be referenced herein. a Owned b Conveyed c Retained d Overrid or Simi Reserved e Previously reserved or conveyed f Township 26 North, Range 111 West, 6th P.M. 25.025 25.025 made without express and provisions or to be recorded the county located, sucr, cy reference. -0 M`' it�b A:a`;ft .and f ��a B1 MI representations or implied, in where terms 4 >�!�,j5 0©00 4, Section 5: Lots 1,2, S /2NE /4, SE /4 from the surface of the earth to the stratigraphic equivalent of 9,805 feet as encountered in the Haun Federal 20 -5 well Section 8: E/2 from the surface of the ground to the stratigraphic equivalent of 9,747 feet as found in the Haun Federal 20 -8 well. Lincoln County, Wyoming This Assignment is warranties of any nature, subject to the terms assignment recorded the county clerk of covered hereby are being incorporated herein r� comparative e t5a'rcai records .'s cFL,,N of a the office the properties and provisions copy in file A 1 NAGEME1 or and is separate of li)ecember 1986) (formerly 3105 -14) 1. Transferee (Sublessee) Street City, State Zip Code Additional Transferees This transfer is for: (Check one) El OD and Gas Least., 2. This transfer (sublease) conveys the following interest: DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT 0'' +4"?': TRANSFER OF OPERATING RIGHTS (SUBLEASE) IN A LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES Mineral Leasing Act of 1920 (30 U.S.C. 181 et sea.) Act for Acquired Lands of 1947 (30 U.S.C. 351 -359) Geothermal Stearn Act of 1970 (30 U.S.C. 1001 -1025) Department of the Interior Appropriations Act, Fiscal Year 1981 (P.L. 96 514) Type or print plainly in ink and sign in ink. PART A: TRANSFER GENERAL ATLANTIC ENERGY CORPORATION 1 110 17th Street, Suite 1400 Denver, Colorado 80202 RECEIVED 6/4/2010 at 12:00 PM 80202 RECEIVING 953810 BOOK: 748 PAGE: 423 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY (Authorized Officer) FOR BLM USE ONLY SUPERVISORY LAND LAW EXAMINER FORM APPROVED OMB NO. 1004 -0034 Expires: August 31, 1989 Lease Serial No. t-. rn W -38503 c rq (A) CD JAN 2 9198? (Title) (Date) #%t,TriT737419 Interest conveyed: (Check one or both, as appropriate) (%I Operating Rights (sublease) Overriding Royalty, payment out of production or other similar interests or payments THE UNITED STATES OF AMERICA This Transfer is approved solely for administrative purposes. Approval does not warrant that either party to this transfer holds legal or equitable title to this lease. FEB 1 1988 Transfer Approved Effective T cart A It_ontinuedl: ADDITIONAL SPACE for Land Description in Item Nct, -.it- needed. PART B: CERTIFICATION AND REQUEST FOR APPROVAL 04 A 1 The transferor certifies as owner of an interest in the above designated lease that he/she hereby transfer.. to the above transferee(s) the rights specified above. 2 Transferee certifies as follows: la) Transferee 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 transfer of NPR -A leases. transferee is a citizen. nation, or resident alien of the 1 ,lied States or associations of such citizens. nationals, resident aliens or private, public or municipal corporations, (b) Transferee is not considered a minor under the laws of the State in which the ;ands covered by this transfer are located. (c) Transferee•s chargeable interests. direct and indirect. in either public domain or acquired lands. do not exceed 200.000 acres in oil and gas options or 246,080 in oil and gas leases in the same State. or 300.000 acres in leases and 200,000 acres in options in each leasing District in Alaska, 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; and (d) All r :rties holding an interest in the transfer are otherwise in compliance with the regulations (43 CFR Group 3100 or 3200) and the authorizing Acts. 3 Transferees signature to this assignment constitutes acceptance of all applicable terms. conditions. stipulations and restrictions pertaining to the lease described herein. Applicable terms and conditions include, but are not limited to. an obligation to conduct all operations on the leasehold in accordance with the terms and conditions of the lease, to condition all wells for proper abandonment. to restore the leased lands upon completion of any operations as described in the lease. and to furnish and maintain such bond as may be required by the lessor pursuant to regulations 43 CFR 3104, 3134, or 3206. For oil and gas transfers, the obligation to pay overriding royalties. payment out of production, carried interests. net profit interests, or such similar payments or interests created herein. which. when added to overriding royalties or payments out of production or other similar interests or payments previously created, may be suspended by the Secretary at any time upon a determination that the excess constitutes a burden on lease operations in accordance with 43 CFR 3103. For geothermal transfers, an overriding royalty may not be less than one- fourth ('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 transfer 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 knowiedg and belief and are made in good faith.. 30th November 87 BIRD C Yla EV L T 1982, L.P. Executed this day of 19 r ert J nsc(iknature> as Agent and Attorney -in -Fact for the general partner 707 Westchester, 4th Floor A a an nd the partnership (Transferor's Address) GENERAL ATLANTIC EN nf Transferee White Plains, NY 10604 (City) (State) (Zip Code) or Executed this 2nd day of December 19 87 Attorney -in -fact Sam Winegrad (Signature) President. of-randd Title 18 U.S.C. Sec. 1001 makes it a crime for any person knowingly and willfully to make to any Department or agenr .lie United States any false, fictitious or fraudulent statements or representations as to any matter within -isdiction.