HomeMy WebLinkAbout870971Form 3106 -1.4
(September 1982)
1. Assignee's Name
Address (include zip code)
1300 Main Street
Houston, Texas 77002
Donald
KITES'
ITR Petroleum, Inc.
0 P t l f:
TRANSFER, ASSIGNMENT, OR SUBLEASE
OF OPERATING RIGHTS IN OIL AND GAS LE-AS,E,
(Jul I 1 .3u
*Tract 1 52.731742%
*Tract II 55.552923%
Tract I
Tract II
UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT,
PART 1
TOWNSHIP 26 North, RANGE 111 WEST, 6th P.M.
Sectionl7: NW /4
Section17: E /2, SW /4
BOOK 458 PR PAGE 6 6 b
870971
3. Specify interest or percent of operating rights being conveyed to assignee
5. Specify overriding royally interest being reserved by assignor
MPANY
to ssignor's Signature)
L. Peterson, PresiMnt v/
Execut this a 1 S l day of
TICS OPERATIN
Y
Kalct=1 wicz, Secretary
zanneJ
Title 18 U.1C., Section :001, makes it a crime for any person
States any false, fictitious, fraudulent statements or represe
Assignment approved NOV 1 1 7
g pproveJ effective
Approval does not warrant that either party
tr, this transfer holds legal or equitable
tine to this lease.
WY -466 13020
ii
The undersigned, as owner of x percent of operating rights in the above-designated oil and gas lease, hereby transfers, assigns,
and /or subleases to the assignee shown above, the operating rights In such lease as specified below.
2. Describe the lands affected by this t,ensfer, assignment, and /or sublease (43 CFR 3101.2 -3 or 3101.1 -4)
Lease Serial No.
W -72845
!.ease effective date
October 1, 1981
Lincoln County, Naming
TIIIS ASSIGNMENT is made and shall in all respects be subject to those provisions on the
attached Rider.
RECEIVED
LINCOLN COUNTY CLERK
u 1
JP 1129 !U1 9:19
JEANNE WAGNER
KEMMERER, WYOMINGfract I Tract II
By
4. Specify interest or percent of operating rights being retained by assignor 44.5942678
Englewood
(City)
TIIE UNITED STATES OF AMERICA
46.7% of 17.425%
8,137475
NONE
FORM APPROVED
OMB NO. 1004 0034
Expires: August 31, 1985
6. Specify overriding royalty previously reserved or conveyed, if any 8.751953 8.625%
tritt‘coV—, l9 87,. but effective June 1, 1985.
7951 E. Maplewood Avenue, Suite 133
(Assignor's Address)
Colorado
(State)
r 4)
(Au o rized Officer)
46.78 of 19.9258
9 3049758
46.2479488
NONE
7. 11 any payments out of production have previously been created out of this interest, or if any such payments are being reserved under this
transfer, assignment, or sublease, attach statement giving full details as to amount, method of payment, and other pertinent terms as
provided under 43 CFR 3106.
It is agreed that the obligation to pay any overriding royalties or payments out of production of oil created herein, which, when added to
overriding royalties or payments out of production previously created and to the royalty payable to the United States, aggregate in excess of
17 1/2 percent, shall be suspended when the average production of oil per well per day averaged on the monthly basis is 15 barrels or less.
I CERTIFY That the statements made herein are true, complete, and correct to the best of my knowledge and belief and are made in good faith.
80111
(Zip Code)
owingly and willfully to make to any department or agency of the United
ations as to any matter within its jurisdiction.
SUFe tv'snfav LAND LAW E •:ni,”Is'Elli NOV 0 6 1981
(Title) (Date)
NOTE. This fort'. "thy be reproduced provided that copies nee exuet rep ro,lur ft un.s un one• s /eel of bolt .sides of this o /iriuf (OM in areord-
more with
f' r •l10 ns ■1/ d3 (:Pl■ 31(16. Q.R'i1f`mdP1tRt2
ASSIGNEE'S APPLICATION FOR APPROVAL OF TRANSFER
08 70071 OF OPERATING RIGHTS AND /n12 OPERATING AGREEMENT (SUBLEASE)
I'M PETROLEUM, INS r
Ry•
(Assignee's Signature)
SAM D. WINEGRAD
Vice President Land
I. USE OF FORM Ilse only for assignment of operating rights
((minding !corking interests) in oil and gas leases. If transfer
of operating rights is accompanied by an operating agreement,
a single copy of such agreement must be submitted with the
assignment. If more than one transfer of operating rights is
made out of a lease, a separate instrument of transfer is
required for each assignment. A separate instrument of assign.
nient shall be used for each lease out of which an assignment
is made.
2. FILING AND NUMBER OF COPIES File three (3) completed
PART II
INSTRUCTIONS
NOTICE
The Privacy Act of 1974 and the regulation in 43 CFR 2.48(d)
provide that you be furnished the following information in
connection with information required by this assignment and
request for approval.
AUTHORITY: 30 U.S.C. el. seq.
PRINCIPAL PURPOSE Toe information is to be used to
process the assignment and request for approval.
ROUTINE USES:
(1) The adjudication of the assignee's rights to the land or
resources.
(2) Documentation for public information in support of nota-
tions made on land status records for the management,
disposal, and use of public lands and resources.
(3) Transfer to appropriate Federal agencies when concur-
rence is required prior to granting a right in public
lands or resources.
(4)(5) Information from the record and /or the record will be
transferred to appropriate Federal, Stele, local or
foreign agencies, when relevant to civil, criminal or
regulatory investigations or prosecutions.
EFFECT OF NOT PROVIDING INFORMATION If all the In-
formation is not provided, the assignment may be rejected.
The Paperwork Reduction Act of 1980 (44 U.S.C. 3501 et seq.) requires us to inform you that:
This information is being collected pursuant to the law (43 CFR 31(16- 3(c)).
This informal inn wi 11 he used to creme a record of lease assignment.
R■sponse to this tinniest in tegnired to ohtp a benefit.
A. ASSIGN EE CE RT IF lI8 THAT the assignee and all other parties in interest (as defined in 43 CFR 3100.0 -5(b)) in this as
signment are:
1. Citizens of the United States or qualified alien stockholders in a domestic corporation; association of the United States;
or any Slate or Territory thereof; or municipalities.
2. Of the age of majority i the State where the lands to be assigned are located.
3. In compliance with t(e acreage limitation set forth in 43 CPR 3101.1 -5 and 3101.2 -4.
13. ASSIGNEE AGREES That, upon approval of this transfer of operating rights and /or operating agreement (sublease) by the
authorized officer of the 13ureau of Land Management, he will be bound by the terms and conditions of the lease described
herein Irs to the interests covered by this assignment, including, but not limited to, the 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 drilling operations as prescribed in the lease, and to furnish and maintain
such bond as may be required by the lessor pursuant to the regulations (43 CFR 3104.2).
C. IT Is ItEREf0Y CERTIFIED That the statements made herein are true, complete, and correct to the best of undersigned's
knowledge and belief and are made in good faith.
GENERAL ATLANTIC ENERGY CORPORATION (Formerly
Executed this 12th day of October 19 87
410 17th Street, Suite 1400
1300_Main. Street,_Si,ite_512-
(Assignee's Address)
Denver, Colorado 80202
Heuatea, Texas
(City) (State)
33082
(Zip Code)
Fllle 18 U.S.C., Section 1(1(11, !makes it a crime for any person knowingly and willfully to make to any department or agency of the United
;tones any Ease, fictitious, or fraudulent statements ur representations as to any nutter within its jurisdiction.
and manually signed copies in the appropriate BLM office. A
$25.00 nonrefundable filing feemust accompany this assignment.
File assignment within ninety (90) days alter date of final
execution.
3. EFFECTIVE DATE OF ASSIGNMENT The assignment, if
approved, takes effect on the first day of the month following
the date of filing of all required papers. If an operator's bona
is required, it rn be furnished prior to approval of the
assignment.
(SEAL)
My Commission expires
RIDER
1. Any and all reservations of overriding royalty interest and /or
net profits interest, be they recorded or unrecorded as of the
date of execution of this Assignment, the proportionate burdens
of which shall be assumed and borne by ASSIGNEE; an overriding
royalty due Energetics employees under certain royalty
participation plans, including Energetics Royalty Corporation,
which overriding royalty may or may not be of record as of the
date of execution of this Assignment; and any and all other
agreements which would affect the title to the leases tlegcrihed
on Exhibit "A
2. This Assignment is subject to the Plan of Reorganization filed
in the United States Bankruptcy Court, District of Colorado,
Case No. 84 -B -5326 and 04 -B -5325, entered and approved by the
Court and creditors effective June 20, 1905.
STATE OF COLORADO
COUNTY OF ARAPAHOE
Witness my hand and official seal.
My commission expires: vM4� 29 1984
The foregoing instrument was acknowledged before me this tea► 5 'day
of Sf} c mbt,r 1971, by Donald L. Peterson, as President, for ENE' ETICS
OPERATING COMPANY, a Colorado corporation.
Tom G. Griffith Notary Public
678 East 4th Ave.
Denver, C0_80202
State of ACKNOWLEDGMENT (For use by Corporation)
u.
County of
On this day of A. D. 19 before me personally
appear.d to me personally known, who. being by
me duly sworn. did say that he is the of
and that the seal affixed to said instrument is the corporate seal of said corpora.
tion and that said instrument was signed and sealed in behalf of said corporation by authority of its Board of Directors, and said
acknowledged said instrument to be the free act and deed of said corporation.
Witness my hand and seal this day of A. D. 19
Notary Public.
668
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