HomeMy WebLinkAbout955777Land 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 fonn; such documents or agreements shall only be referenced herein.
a
Owned
b
Conveyed
c
Retained
d
Reserved
e
Previously
reserved
or conveyed
f
Township 25 North, Range 111 West
Section 18: Lots 7 (NE /4NW /4), 8 (NW /4NW /4), 9 (SW /4NW /4),
10 (SE /4NW /4)
Limited from the surface to the stratigraphic equivalent of 8,919' being the
total depth drilled in the Anderson Canyon #2 -18 Well
Lincoln County, Wyoming
The Anderson Canyon #3 -18 paid out effective 10/1/2005 and pursuant to
the terms of that certain Farmout Agreement dated June 1, 1986, Encana
Oil Gas (USA), Inc. (predecessor to Crown Energy Partners, LLC)
elected to convert their 2.989549% retained override to a 28136934%
working interest in the subject lands.
100.00%
28.13693%
71.86307%
None
Of record
C iii. r T' :tC100
FOR'FAL1 1 1YigE' "NIIt( DO N WRITE BELOW THIS LINE
Form 3000 -3a
(January 2010)
UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
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, FiscalYear 1981(42 U.S.C. 6508)
1. Transferee (Sublessee)* Crown Energy Partners, LLC
Street 61 Inverness Drive East, Suite 220
City, State, Zip Code Englewood, CO 80112
Type or print plainly in ink and sign in ink.
*If more than one transferee, check here and list the name(s) and address(es) of all addtional transferees on page 2 of this form or on a
separate attached sheet of paper.
(Continued on page 2)
This transfer is for. (Check one) El Oil and Gas Lease, or Geothermal Lease
Interest conveyed: (Check one or both, as appropriate)
2. This transfer (sublease) conveys the following interest:
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.
Transfer approved effective
By
Bureau of Land Management (BLM)
PART A: TRANSFER
1 a. Transferor Whiting Oil Gas Corpor,atio
Operating Rights (sublease) Overriding Royalty, payment out of production or other
similar interests or payments
(Title)
FORM APPROVED
OMB NO. 1004 -0034
Expires: July 31, 2012
Lease Serial No.
W -63819
RECEIVED 9/30/2010 at 11:08 AM
RECEIVING 955777
BOOK: 754 PAGE: 737
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
(Date)
Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional transferees in Item No 1, if needed, or for Land Description in Item 2, if needed.
I I. t_
)t Nl 71 O[NM;'1:1<
1 =i,i (1R1' N11- if nndcr i, tied ',tot d;1i, 4'ttt,lic. ot, +Iii, 1,1' �I f .incxl I1a IV!. ,,‘c± Cllr
[ohm it ti) hl.' tits ner:. i AA Im titili:.uriI''ll the guilt,` the ,?7;11:c4 I °ll'UI It) thy; 1:1Pt',I II'unl.fnit.TO
ut�d ;tcl,itowlccl<<•d to !nu tittlt r'. cut ul thc :zuilc ,.s 111c 6 !id iced <il .',t!c11 -c 11)lu
Iinrput,e:. therein
Linder my htinci _uul
�s„ min i sst(11) -∎p
Name of Transferor as shown on current lea
Transferor
or
Attorney -in -fact v
1700 Broadway, Suite 2300
(Transferor's Address)
Denver Colorado
(City)
(Continued on page 3)
t1 r)l•ol q44 it Q
SCOTT.MCDANIEL
Notary Public
State of Colorado
PART B CERTIFICATION AND REQUEST FOR APPROVAL
hiting Oil Gas Corporation
Seery
1 }fit and
80290
(State) (Zip Code)
(Please type or prin
Transferee
or
Attorney -in -fact
C C {Y 38
Scr >tt M .li)l
l i78 ,l ,_.ire l
r, i Xft
1. The transferor certifies as owner if an interest in the above designated lease that he /she hereby transfers to the above assignee(s) the rights specified above.
2. 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 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 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) Transferee is not in violation of sec. 41 of the
Mineral Leasing Act.
3. 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.
For geothermal transfers, 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 herein by me are true, complete, and correct to the best of my knowledge and belief and are made in good faith.
Executed this 9th day of August 20 10 Executed this 9th day of August 20 10
(Signat
ature)
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 -3a, Page 2)
Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional transferees in Item No. 1, if needed, or for Land Description in Item 2, if needed.
STATE OF COLORADO
COUNTY OF DENVER
BEFORE ME. the undersigned authority. a Notary Public, on this day personally appeared David M. Seery to nee
known to be the identical person who subscribed the name of the maker thereof to the foregoing instrument as its Vice President Land.
and acknowledged to me that he executed the same as the flee and voluntary act and deed of such corporation. for the use and
purposes therein set forth.
Given under my hand and seal of office. this the G14k day of A!1 p s 201
My Commission Expires:
1. The transferor certifies as owner if an interest in the above designated lease that he /she hereby transfers to the above assignee(s) the rights specified above.
2. 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 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 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) Transferee is not in violation of sec. 41 of the
Mineral Leasing Act.
3. 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.
For geothermal transfers, 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.
Executed this 9th day of Au 20 10 Executed this 9th day of Aug 20 10
Name of Transferor as shown on current lea
Transferor
or e) Seery
Attorney -in -fact
1 l4 t IC:' te/fstejll� an
1700 Broadway, Suite 2300
Denver
(City)
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.
(Continued on page 3)
SCOTT.MCDANIEL
Notary Public
State of Colorado
PART B CERTIFICATION AND REQUEST FOR APPROVAL
(Transferor's Address)
Colorado
hiting Oil Gas Corporation
80290
(State) (Zip Code)
(Please type or print
Transferee
or
Attorney -in -fact
w x 939
;a
Notary ublic: Scott McDaniel
Address: 6168 W. Ken Caryl PI
Littleton. CO 80128
(Signat
(Si 'ature)
(Form 3000 -3a, Page 2)