HomeMy WebLinkAbout969031Land Description
Percent of Interest
Percent of
din Royalty
Simil
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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
Previously
reserved
or conveyed
f
*ASSIGNOR HEREBY CONVEYS ALL RIGHT, TITLE AND
INTEREST OWNED OF RECORD TO DENBURY ONSHORE, LLC
TOWNSHIP 26 NORTH, RANGE 111 WEST
SECTION 28: NW /4 NE /4, S/2 NE /4
SWEETWATER COUNTY, WYOMING
TOWNSHIP 26 NORTH, RANGE 111 WEST
SECTION 29: E/2
LINCOLN COUNTY, WYOMING
TOWNSHIP 26 NORTH, RANGE 111 WEST
SECTION 34: SW /4 SW /4
SWEETWATER COUNTY, WYOMING
CONTAINING 480.00 ACRES, M/I
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LAND M''
FOR BLM USE ONLY DO NOT WRITE BELOW THIS LINE
Form 3000 -3
(January 2010)
1. Assignee* Denbury Onshore, LLC
Street 5320 Legacy Drive
City, State, Zip Code Plano, Texas 75024
2. This assignment conveys the following interest:
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. 6508)
*If more than one assignee, check here and list the name(s) and address(es) of all addtional assignees on page 2 of this form or on a separate attached
sheet of paper.
This record title assignment is for: (Check one)
Bureau of Land Management (BLM)
Type or print plainly in ink and sign in ink.
0
Interest conveyed: (Check one or both, as appropriate)
PART A: ASSIGNMENT
la. Assignor
Oil and Gas Lease or Geothermal Lease
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
tit e to this lease.
Assignment approved for above described lands; El Assignment approved for attached land description
Assignment approved effective 0 Assignment approved for land description indicated on reverse
(Cotllixfued on page 2) RECEIVED 1/14/2013 at 3:06 PM
or payments
RECEIVING 969031
BOOK: 802 PAGE: 643
JEANNE WAGNER
1 rntrnl M t'nt IMTV rt CDt[ VCeeee:=or=D Inn/
FORM APPROVED
OMB NO. 1004 -0034
Expires: July 31, 2012
Lease Serial No.
WYW 173032
Lease Effective Date
(Anniversary Date)
08/01/2006
New Serial No.
Record Title, NI Overriding Royalty, payment out of production or other similar interests
of this form
Chief, Branch of Fluid Minerals Adjudication JUN 3 0 2011
(Title) (Date)
C1GINAL
0064
.4q/
Part A (Continued). ADDITIONAL SPACE for names and addresses of additional assignees in Item No.1, if needed, or for Land Description in Item No. 2, if needed.
R
ERTIFIED
Ue an corrrpa avve co
e offi ial records on fill
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 oii 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 .al 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.
Executed this 1st da of January 20 11 1st January 11
y Executed th day of 20
Name of Assignor as shown on c
Plano,
1i. Raymond Dub sson (Signature)
Or Vice President— Legal
5320 Legacy Drive
(Continued on page 3)
nt lease Encore Operating, LP
(Signature)
(Assignor's Address)
Texas 75024
(City) (State) (Zip Code)
(Please type or print)
tote
of
If'F LAND c ANAGEMENT
Assignor i„,...-----...__— Assignee .-.5v
Greg Dover l nature)
or Vice President drfh Region
Attorney -in -fact Attomey -in -fact
(Signature)
Title 18 U.S.C. Sec.1001 makes it a crime for any person Ienowingly 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)
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