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HomeMy WebLinkAbout953817Form 3(w1O -3a (Juno 48) i u: LA 89 JUN 2 O 11't's 9: i L, C id 1 i i El i' i i G. Erie RECEIVED 6/4/2010 at 12:04 PM RECEIVING 953817 BOOK: 748 PAGE: 442 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, W *If more than one transferee, check here 0 and list the name(s) and address(es) of all additional transferees on the reverse of this form separate attached sheet of paper. 1. Transferee (Sublessee)* Street City, State, ZIP Code This transfer is for: (Check one) X Oil and Gas Lease, or Geothermal Lease Interest conveyed: (Check one or both, as appropriate) i Operating Rights (sublease) Overriding Royalty, payment out of production or other similar interests or payments 2. This transfer (sublease) conveys the following interest: Land Description Additional space on reverse, if needed. Do not submit documents or agreements other than this form; such documents or agreements shall only be referenced herein. 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 seq.) Act for Acquired Lands of 1947 (30 U.S.C. 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. 6508) Type or print plainly In Ink and s' U._...� STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT a PART A: TRANSFER Terra Resources, Inc. 1200 Seventeenth Street, Suite 2200 Denver, CO. 80202 Percent of Interest Owned b Conveyed c Retained d 64.3188 61.05856 3.26024 2.25 64.3188 61.05856 3.26024 Per Overrid or Simil Reserved e Township 25 North, Range 111 West, 6th P.H. Tract 1 Section 18: NE /4 Limited in depth from the surface to the stratigraphic equivalent of a depth of 8800 feet as penetrated in the Terra Anderson Canyon 3 -18 Well located in the NE /4 of said Section 18. Tract. 2 Section 17: NW /4 Limited in depth from the surface to the stratigraphic equivalent of a depth of 9075 feet as penetrated in the Terra Anderson Canyon 2 -17 Well located in the NW /4 of said Section 17. Lincoln County, Wyoming *Additional provisions on reverse side. FOR BLM USE ONLY —DO NOT WRITE BELOW THIS LINE B dthorized Officer) JUL 0 1 1959 SUPERVISORY LAND LAW EXAMINER (Title) FORM APPROVED OMB NO. 1004 -0034 Expires: Auguusz 31, 1989 Lease Serial No. W 63819 (Date) or on a ent of ng Royalty ar Interests Previously reserved or conveyed Ia 8.25 8.25 F t E iiTll�c!I'a cony cords on ft 1ANAGEMEN 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. QJ Transfer approves effective L 0 6 A (Continued): ADDITIONAL SPACE for Names and addresses of additional transferees in Item No. 1, if needed, or for Land Description in Item No. 2 if needed. DDITIONAL PROVISIONS (his Transfer of Operating Rights is subject to that certain Farmout Agreement dated March 25, 1988, as amended, by and between General Atlantic Energy Corporation and Terra Resources, Inc. Said agreement containing, among other )rovisions, certain rights of conversion after payout to Presidio Exploration, Inc. successor by merger with General Atlantic Energy Corporation. The transferor certifies as owner of an interest in the above designated lease that he /she hereby transfers to the above transferee(s) the rights specified above. Transferee certifies as follows: (a) 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, national, or resident alien of the United 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 lands 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 parties holding an interest in the transfer are otherwise in compliance with the regulations (43 CFR Group 3100 or 3200) and the authorizing Acts. (e) Transferee 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) Trans- feree is not in violation of sec. 41 of the Mineral Leasing Act. Transferee's 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. r geothermal transfers, an overriding royalty may not be less than one -fourth of one percent of the value of output, nor greater than 50 percent of the rate of royalty e to the United States when this transfer is added to all previously created overriding royalties (43 CFR 3241). ertify that th st Cements made herein by me are true. complete. and correct to the best of my knowledge and belief and are made in good faith. :t: e Secretary cecuted this k T Icl day of 19 'L Executed this 7 -a� day of etics Capital Limited Partnership BY: Presidio Exploration, Inc. Terra Resources, Inc ,e with General Atlantic Energy Corporation,successor rger with Ener k Please type or printlnc., Liquidating t�ltsManer) ssuci es, -.,1.Q. ttorney -in -fact wood, DTC Parkway, Suite 750 or Robert L_ Slit't (Signature) Executive Vice Presid (Signature) (Transferor's Address) Colorado 80111 -3035 (City) (State) PART B: CERTIFICATION AND REQUEST FOR APPROVAL (Zip Code) "T 44'3 Transferee or Attorney-in -fact tQ�'rFR t �IC i �NItTF3 Fifl'ORNES- IN-fc jT Authority to execute as Attorney -In -Fact on file under Serial Number W-56800 and is in full force and effect. tle 18 U.S.C. Sec. 1001 makes it a crime for any perso iwingly and willfully to make to any Department or age the United States any false, fictitious or fraudulent ttements or representations as to any matter within it tsdiction.