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HomeMy WebLinkAbout964893Effective 11 -86 Form ML -2 (Revised 4 -96) Filing Fee $25.00 Non Refundable ASSIGNOR, with name and address at, Hoover Stacy, Inc. P.O. Box 2328 Cheyenne, WY 82003 1) ASSIGNEE, with name and address at: 2) ASSIGNEE, with name and address at: 3) ASSIGNEE, with name and address at: 4) ASSIGNEE, with name and address at: 5) ASSIGNEE, with name and address at: STATE OF WYOMING BOARD OF LAND COMMISSIONERS Return To OIL GAS LEASE INTEREST State Land Farm Loan Office ASSIGNMENT 122 West 25th Street Herschler Building, 3 West Cheyenne, WY 82002 -0600 Wyoming Oil Gas Lease Serial Number 12 -00210 Assignment Approval Date being the owner of 100.00 percent_Leasehold (Type Interest: Leasehold /Operating Rights /Overriding Royalty) interest in this lease, described in particular if less than the total leasehold as: Township 19 North, Range 113 West, 6 P.M. Section 16: All Containing 640.00 acres Lincoln County, Wyoming For good and valuable consideration, hereby assigns to:********************* Crown Energy Partners, LLC 3(:'/ Inverness Way South, Suite 125 Englewood, CO 80112 100.00 percent interest in the total leasehold, or as described in particular above: percent interest in the total leasehold, or as described in particular above. percent interest in the total leasehold, or as described in particular above. percent interest in the total leasehold, or as described in particular above. percent interest in the total leasehold, or as described in particular above. )142 And reserving unto ASSIGNOR,_None This assignment is subject to any existing overriding royalties previously reserved. Reservations of overriding interests must be approved by the Director, and any such approval is subject to the condition that overriding royalties may be cancelled by the Board of Land Commissioners if it finds that such overriding royalties create a burden on the lease which prevents or unreasonably interferes with its development. ASSIGNOR certifies by signature on reverse, that ASSIGNOR is the owner of the interest above herein transferred, and ASSIGNEE(S) certify(ies) by signing on the reverse that this assignment constitutes a binding acceptance of all the terms, conditions, stipulations, restrictions and statutes governing the lease described above, and of the Rules of the Board, at Chapter 6, Leasing of Subsurface Resources. This form may be duplicated. If space is needed for additional assignors or assignees submit copies of this form only. Page 1 of 2 of Lease #12 -00210 assignment effective April 3, 2012 RECEIVED 6/4/2012 at 10:37 AM RECEIVING 964893 BOOK: 787 PAGE: 142 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY SIGNED AS TO TRANSFER AND ACCEPTANCE this 10th day of May, 2012. ASSIGNOR Hoover Stacy, Inc. By ov-r Title Ice President Attest Not Required STATE OF WYOMING COUNTY OF LARAMIE On this 10th day of May, A.D. 2012, personally appeared Jason R. Hoover, Vice President of Hoover Stacy, Inc., to me personally known, who being by me duly sworn, did say that he is the Vice President of Hoover Stacy, Inc. and that the seal affixed to said instrument is the corporate seal of said corporation and that said instrument was signed and sealed on behalf of said corporation by authority of its Board of Directors, and said Vice President acknowledged said instrument to be the free act and deed of said corporation. Witness my hand and seal this 10th day of May, A.D. 2012. My Commission Expires: L4 701 40 t KARI BLAIR COUNTY OF LARAMIE NOTARY PUBLIC STATE OF WYOMING MY COMMISSION EXPIRES APR. 25, 2016 SS. Assignment Requirements ASSIGNEE (1) Crown Energy Partners, LLC By R /4E✓ r 4 R y Title Gk0 Attest otary Public Address: Cheyenne, Wyoming I43 Note: Assignments are not valid until approved by the Director, State Land and Farm Loan Office as per State Oil Gas Lease Terms, and approval is solely for administrative purposes and should not be interpreted as warranty that any party to this assignment holds legal or equitable interest in this lease. Assignments which do not meet the requirements listed below and those in the Lease and Rules will be returned unapproved. 1) This form must be completed and submitted for any assignment of State Oil Gas Lease leasehold interest, undivided or divided as to separate tracts, formations, zones or deposits, and for overriding royalty interest. 2) Assignments of less than a 100% leasehold interest, do not relieve the assignor of the obligations as a lessee under the terms of the lease regarding the interest conveyed unless the State first has in hand, a written agreement to be bound as lessee for all obligations under the lease for the assigned portion from the assignee. This requirement should not be construed in any way as a release or recision of the obligations of any surety bonding parties under the requirements of the State oil and gas lease, Board Rules or this assignment. (All lessees are ultimately responsible for the performance under the lease, and default subjects the entire lease to forfeiture not just the interest related to any performance obligation considered to be in default.) 3) A signed original and one copy of each assignment must be filed with the Wyoming State Land and Farm Loan Office. 4) Each assignment, if approved, is recognized by the State as effective as of the date of approval by the Director. Adequate bond must be furnished covering any and all productive zones prior to approval of any assignment of interest in an operating State oil and gas lease, whether wellbores exist on the leased lands or not, and in no case can drilling operations, including to prospectively productive zones under operating leases, begin without a bond first being in place. 5) If there is more than one party in interest to this assignment, then all such parties in interest must sign the document before assignment approval will be given. 6) The appropriate legal description of the conveyed lands interests must be given. 7) Assignments creating a separate (reissue) lease subject to the rules and regulations governing all State of Wyoming Oil Gas Lease do not change the terms and conditions of the original lease, the lease anniversary date, nor the obligations and anniversary date of the lease created therefrom being considered as if it had been issued on the effective date of the original lease. (See Board Rules, Chapter 6, Section A.) 8) Corporations, limited liability companies, and limited partnerships must be qualified with the Wyoming Secretary of State's Office, and general partnership papers are required to be filed with the State Land and Farm Loan Office prior to, and as a condition of Board approval of any assignment. 9) Assignments will not be considered for approval where assignor or any assignee currently has a delinquent (late) royalty or rental payment obligation(s) for any State subsurface resource lease.