HomeMy WebLinkAbout969032Land 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 form; such documents or agreements shall only be referenced herein.
a
Owned
b
Conveyed
ey
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 113 WEST
SECTION 32: S/2 NE /4, NW /4, N/2 SW /4, SW /4 SW /4, SE /4
SECTION 33: SW /4 NW /4, S/2
CONTAINING 880.00 ACRES, M/L
LINCOLN COUNTY, WYOMING
RECEIVED 1/14/2013 at 3:07 PM
RECEIVING 969032
BOOK: 802 PAGE: 645
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
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FOR BLM USE ONLY DO NOT WRITE BELOW THIS LINE
Fortn 3000 -3
(January 2010)
Assigtment approved effective
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)
1 Assignee* Denbury Onshore, LLC
Street 5320 Legacy Drive
City, State, Zip Code Plano, Texas 75024 la, Assignor
*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) 1191 Oil and Gas Lease, or n Geothermal Lease
Interest conveyed: (Check one or both, as appropriate)
2. This assignment conveys the following interest:
Type or print plainly in ink and sign in ink.
0
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 let this lease.
Assignment approved for above described lands; n Assignment approved for attached land description
JUN 012111
Bureau of Land Management (BLM)
(Co nued on page 2)
PART A: ASSIGNMENT
Record Title,
(Title)
FORM APPROVED
OMB NO. 1004 -0034
Expires: July 31, 2012
Lease Serial No.
WYW 173033
Lease Effective Date
(Anniversary Date)
02/01/2007
New Serial No.
Overriding Royalty, payment out of production or other similar interests
or payments
0 Assignment approved for land description indicated on reverse
of this form
006 1 1 5
(Date)
Y
Chief, Branch of Fluid Marais Adjudication
JUN 3 0 2011
0 ML
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.
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 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 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 day of January 20 11
Name of Assignor as shown on c
5320 Legacy Drive
Plano,
(City)
ent lease Encore Operating, LP
(Assignor's Address)
Texas 75024
(State) (Zip Code)
(Please type or print)
Executedt 1st day of January 2 0 11
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
fratidulent statements or representations as to any matter within its jurisdiction.
RTIFIED
to be a an comparative copy
of e o al records o
Assignor Y 1 Assignee
H. Raymond Du uson (Signature) Greg Dover ((SigQnature
or Vice President Legal o r Vice President _(Signature) Region
n
Attorney -in -fact Attorney -in -fact
(Signature) (Signature)
(Continued on page 3) (Form 3000-3, page 2)