HomeMy WebLinkAbout970987Land 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
c
Retained
d
Reserved
e
Previously
reserved
or conveyed
f
Township 25 North, Range 111 West
Section 18: Lots 5 (NE/4NE /4), 6 (NW /4NE/4, 11 (SW /4NE/4),
12 (SE/4NE/4)
Limited from the surface to the stratigraphic equivalent of 8,792' being the
total depth drilled in the Anderson Canyon #3 -18 well
Lincoln County, Wyoming
The Anderson Canyon #3 -18 paid out effective June 1, 2011 and pursuant to
the terms of that certain Farmout Agreement dated June 1, 1986, Crown
Energy Partners, LLC elected to convert their 1.582703% retained override
to a 28.13693% working interest in the subject lands.
100.00%
28.13693%
71.86307%
None
tuVVK: Sii F /AU
JEANNE WAG
LINCOLN COUNTY CLERK,
Form 3000 -3a
(July 2012)
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, Fiscal Year 1981 (42 U.S.C. 6508)
Type or print plainly in ink and sign in ink.
PART A: TRANSFER
1. Transferee (Sublessee)* Crown Energy Partners, LLC
Street 304 Inverness Way South, Suite 125
City, State, Zip Code Englewood, Colorado 80112
*If more than one transferee, check here and list the name(s) and address(es) of all additional transferees on page 2 of this form or on a
separate attached sheet of paper.
This transfer is for: (Check one) 0 Oil and Gas Lease, or Geothermal Lease
2. This transfer (sublease) conveys the following interest:
By
Transfer approved effective
(Continued on page 2)
Bureau of Land Management (BLM)
l a. Transferor Whiting Oil and Gas Corporation
FORIVI ?PROVED
OMB NO. 1004 -0034
July 31, 2015
Lease Serial No.
819
Interest conveyed: (Check one or both, as appropriate) IS Operating Rights (sublease) Overriding Royalty, payment out of production
or other similar interests or payments
FOR BLM USE ONLY DO NOT WRITE BELOW THIS LINE
UNITED STATES OF 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.
(Title) (Date)
CD
V
O
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00
OZ:6 le £1.0Z/9 a3A139321
AM `H3631A1V113>i
Part A (Continued) ADDITIONAL SPACE for Names and addresses of additional transferees in Item No. 1, if needed, or for Land Descriptions in Item 2, if needed.
Attomey -in -fact
Denver
or
(Continued on page 3)
PART B CERTIFICATION AND REQUEST FOR APPROVAL
1. The transferor certifies as owner of an interest in the above designated lease that he/she hereby transfers to the above transferee(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 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 Minerals 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 7/(4 d of 4 ,PP/ C- 20 13
Name of Transferor as shown o current lease Whiting Oil and Gas Corporation
ir
Tran sferor -.111611111All.A
j i
1700 Broadway, Suite 2300
(City)
Vice
(Title)
(Signature)
(Transferor's Address)
Colorado
(State)
ident 4 Land
80290
(Zip Code)
Executed this ag
(Please type or print)
Transferee
or
Attorney -in -fact
day of
S
gnature)
20 13
Title 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)
STATE: COLORADO
COUNTY: DENVER
This instrument was acknowledged before me on this 24 day of April, 2013, by David M. Seery, as Vice President of Whiting
Oii and Gas Corporation.
Notary Seal:
My commission expires: 4/15/2016
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(Signature of Notarial Offic
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