HomeMy WebLinkAbout867373Effective 11 -86
Form HL -2
(revised 7 -92)
BOOK 44 PR PAGE 682
NOTE: ALL ASSIGNMENT MUST MEET THE REQUIREMENTS
OIL AND GAS LEASE SERIAL NUMBER 67 4689
described completely as follows:
Township 25 North, Range 112 West, 6th P.M.
Section 16: All
STATE OF WYOMING
BOARD OF LAND COMMISSIONERS
OIL AND GAS LEASE INTEREST ASSIGNMENT
County Lincoln
surface to the base of the Frontier Formation
interest in the lease:
interest in the lease:
with address at 555 17th St, Ste 1000, Denver, CO 80202 3910
.3706021 percent overriding
RETURN TO:
State Land and Farm Loan Office
Herachler Bldg., 3 West
Cheyenne, WY 82002 -0600
ON PAGE 4 OF THIS FORM
effectiv p A 19 67
1 Certify that this Is a True acrd
Comparative copy of the Off ogat
Record on Re In the o rs
65.:'.z9 Land C to
/3
D r"c:i r a': t bend uit
O;t 640.00
Total i t
ASSIGNOR, JOAN CHORNEY
being the owner of.3706021 percent overriding royalty
(undivided leasehold /divided leasehold /overriding royalty)
interest in this lease, described more particularly as:
SAME AS DESCRIBED ABOVE
RECEIVED
$67373 op AUG -7 i;; 9. '32
for good and valuable consideration, hereby assigns to:
JEAN E WAGNER
JEi
KEMMERER. WYOMING
(1) KEY PRODUCTION COMPANY. TNC. assignee, with address at:
1700 Lincoln Street, Suite 2050, Denver, CO 80203 -4520 -0- percent
royalty
assignee, with address at:
percent
percent overriding royalty
assignee, with address
at:
percent
interest in the lease: percent overriding royalty
(totaling percent of full leasehold interest), insofar as it covers the
following described land:
SAME AS ABOVE DESCRIBED
"IF ASSIGNEE IS ASSIGNED BOTH A WORKING INTEREST AND AN OVERRIDING ROYALTY INTEREST IN
THIS OIL AND GAS LEASE, EITHER PURSUANT TO THIS ASSIGNMENT OR TO ANY OTHER ASSIGNMENT,
THE PARTIES DO NOT INTEND THE INTERESTS TO MERGE AND SUCH INTERESTS SHALL REMAIN
SEPARATE INTERESTS OF ASSIGNEE."
containing 640.00 acres, more or less, and retaining -0- percent interest in
this lease and reserving unto assignor overriding royalty interest of: -0-
subject to:
This assignment is subject to any overriding royalty previously reserved or conveyed.
Reservations of cost -free interests must be approved by the Director or the Board, and any
such approval will.be subject to the condition that the overriding royalty may be cancelled
by the Board if it finds that it creates a burden on the lease which prevents or unreasonably
interferes with development.
(•p,zo3aa e0T ;o sip .io; pauteaa.: DT Ado0 euo ee 'eleoTTdnp uT 8073 ;0 ueo' way/
pus pug'I elvls o4 pepao io; eq pTnoye ewes ;o sapdo0 peu6Te 'auawu67ese aye uT pazeaodaooup
peaTsep ea;e ouzel. .za4 ;o 3I '00'SZS eT auawu6Tsee ;o w.zo; sTql 6uTpaloaa,z .z o; ea3)
SOi. z, 3 Nn`
.•V 6
47661
6T
$8073 ;0 ueo' w2s,3 pug pus? a4s4s 'a;oloaa;TQ aye dq panoadde auawu6Tsey
OTTgnd AxsgoN
•uoTaeaod.zoo pies ;o peep pus 40v sea; ayq aq oq quewn q euT pTes pa6p&TMounoe
pTee pus 'a .Zo43e.TQ ;o paeos 04T ;o A4 T2o4lne Aq uoTaeaodaoo
pigs ;o ;Tsyeq uT peu6Te gym quewna4BUT 6uTo6sao; 044 ley; pus
eye BT ay ;v44 iCee pTp 'U3oMB ATnp
sw Aq 6uTaq 'otM 'Moult dTTeuosarad aw 04
pea<eadde AT7suos.xed ew eao ;eq 6T ;o 'yep aTya u0
OT6C -Z0Z08 00 'aanuaa'
000T alS 'is Z14LT SSS
OTTgn13 da slou
.peep
pug 40v sea; spy ss ewes eq4 pe n0exe et; geyq peepaTMouxos ;uawnaasuT 6upoBeao; eq4 pe n0exe
oyM uooied eyg eq o4 uiwux aw oq
peagedde ATTsuos.zad ew eao ;eq '76 6t
eeeee'I a<ou6Te0y
(uoT4ea<odao0 Aq eon a;o,;) xuanoQ3'IMONxOV
TTx
(TunpTATpui Aq een xo3) ZN 3W3003'IMONN3Y
daeaaaoag
AMEND NVOF
'00
•99
;o i op 416Z
L66T TZ 6
sea .zTdxa uoleeTwwo3 AH
3 'asp 8744 Teae pug put Aw esau4TM
:saaTdxa uoTBeTwwo3 AH
eT4; T00e pue puey Aw BeaugTM
7 N2 MVOI
I ►.add ;0 etep eT41 u0
1IAN
OUNO I00
TTadV 3o Aep 416Z eTy4 peu6Te B7 quawna4DuT 0 741 '403113UM BS3HIIM HI
30 Aquno3
3 0 ale ;S
;o 1launo0
;o aaels
$SSQNZIM
6400 ;e TTn; tFTM ;oaseya nay( up pangep 80087 aan4T4egne so 0009[ enBBTex
Aur oa puoaxe 4uawubpeee s7y4 uT uoTpenaesea pus a ;uea6 au •eseaT Pigs ;o euo'T puoo
pug swiaa ay 404 40a(.gne 'eu6Tees pus saoeeesons sli 'aau6Tees o;un QZOg OZ CUM jwn OZ
C 9
,n
Assignee certifies that assignee is of required age to hold a State lease interest and is a
cit,izon of the United States. Assignee certifies that applicable filings with the Secretary
of State for Qualification to transact business in the State of Wyoming have been effected,
and approved by that office, Item 10, page 4.
Assignee is an Individual
General Partnership
Limited Partnership
KEY PRODUCTION COMPANY, INC.
Assignee's Signature Ase� n�e'_g SSgn• re
Monroe W. Robertson, Sr. Vice President Kevi tearlcw, ASS t. Sec.
1700 Tinrnln Street. Ste 2050, Denver, CO 80203 -4520
Assignee's Address Assignee's Address
Date
C L
Signature of all assignees is required
STATE OF WYOMING
BOARD OF LAND COMMISSIONERS
OIL AND OAS LEASE INTEREST ASSIGNMENT
CERTIFICATION AND AGREEMENT
Assignee, excepting overriding royalty interests, agrees that, upon approval of this
assignment by the State Land and Farm Loan Office, assignee will be bound by the terms and
conditions of the lease described herein as to the lands covered by this assignment,
including but not limited to, the obligation to pay all rentals and royalties due and
accruing to said lease, to properly abandon all wells, to restore the leased land upon
completion of any operations as prescribed in the lease, and to furnish and maintain such
bond as may be required by the lessor to assure compliance with the terms and conditions of
the lease and the applicable rules and regulations of the Board of Land Commissioners.
Undivided Interest Assignment: Party designated responsible for all lease rental payments,
royalty payments, and correspondence, Item 9, Page 4:
To be completed by Assignee
Name:
Address:
Telephone:
ATTEST:
Date
Date
LEASE SERIAL Me. 67 -4689
035 "3'73
XX Corporation
Other (Describe)
Assignee's Signature
Assignee's Address
Segregation Waiver: Agreed designated responsible party, including bond and royalties.
To be completed by Assignor
,684
Assigned Portion: Retained Portion:
Company: Company:
Addreee: Addreee:
Telephone: Telephone:
Accepted By: Accepted By:
914JUL28 P1 1 :33
�+Y OE L ND 8
FARM LOAN CE
•uoTgnoaxe ;o agep aql
30 sAep (06) XgauTu uTggTM Tenoadde ao; aogoaaTa aqq Aq panTaoaa aq lsnw sluawubTssy
°uoT4e6TTqo guawAed Teguaa ao AlTeAoa (a.geT) guanbuTTap
sett ATquaaano aoub /see aaagm Tenoadde ao; paaepTsuoo eq qou TTTM sluawu6Tssy
•9 ueoZ um/
pue pueZ agegs aqq ggTM PeTT; eq oq paalnbaa are saaded dTgsaaugaed Teaauao •aoT ;o
s,agegs ;o <tae4eaoas aqq ggTM paT ;TTenb aq ganw sdTgsaaugaed pagTwTT pue suoTleaodro0
.q aoTad pagsxuan; aq gsnw aoua uodsaaaoo •Tenoadde quawu6Tsse
eaaggo agq ;o ;/stag uo toe og wa pue quawned �CgTe�Coa auaw.ted /eluaa
qg 3o auo 6uTweu oaaaq E abed uo uoTgeu6Tsap
'asea
T paubTsse agq uT gsaaaguT TeTgaed ;o Geese/ auo uegg Glow sT aaagq uagm
•aou6Tsse aqa woe; pauTeggo aq Aew quawu6Tsse aTgg oq 6uTuTegaad saTdoo asea?
-aseaT TeuT5Tao aql ;o agep anTgoa ;a eta uo pangs/
uaaq peg 4T ;T se paaapTsuoo butaq woe ;aaagq pageaao aseaT age ;o agep AaesaanTuue
pue suoTgebTTqo aqq aou 'agep /aesaaATuue aseaT aqq 'aseaT TeuT6Tao aqq ;o suoTgTpuoo
pue swaaq agq abuego you op sasea/ sup pue TTo buTwoAM ;o ageqg TTe buTUaano6
suoTgeTnbaa pue saTna aqa oq goacgns aseaT (anssTaa) ageaedas a buTaeaao squawubTssV
•Tenoadde
4uawu6Tsse aao ;aq abed „quawaar6V pue uoTgeoT ;Tlaa3 aaubissy„ aqq u6Ts gsnw geaaaauT uT
se tons Tie uagq sTgq oq gsaaaquT uT Awed auo uegl aaow sT aaagq jr
-puoq a 6uTpTnoad lsaT; paooaa ;o
aassaT egg gnoggTM uT6aq suoTgeaado 6 uTTTT 2 p ueo aseo ou uT pue 'Tenoadde 4uawu6Tsse
aao ;eq pa4STuan; eq gsnw gT '/Caessaoeu sT puoq e ;T •aogoaaTa aqq /q Tenoadde ;o
agep agg ;o se anTgoa ;a se agegs aqq Aq pazTubooaa sT 'panoadde ;T 'quawu6Tsse goeg
•e3T330 ueoZ wie3 pue pue/ agegs 'uoTeTATa 4uawu6Tssy agg og pagoaaTp eq
p /nogg seTdo0 -wao; guawubisse Ova Auedw000e gsnw aa; buTTT; aTgepun ;aauou 00'SZS K
,..aoT ;;o ueoZ wae3 pue pue/ ageqg 6uTwodCM aqq ggTM paTT; aq gsnw 'abed „4uawaaa6v pue
'TleoT;Tgaa3 aaubTssV„ buTpnTouT 'quawubTsse goea ;o Adoo auo pue TeuTbTao pau6Ts y
f! Pt" 9M)
S3.N3H32fIn0aU IN3HUOISSV
ZT
TT
•0T
6
9
•L
•uanTb aq gsnw spuuT paAeAuoo agq ;o uoTldTaosep aleTadoadde agy •9
•s
E
.aseaT awes aqq ao; leaaaluT iVTeAoa buTpTaaano pue pTogaseaT
;o 4uawu6Tsse aqq uT saau6Tsse (E) aaagq 3o wnwTxew a ao; ATuo paen aq 1Cew wao; situ
(•gTne ;ap uT eq oq paaepTsuoa uoT4e6TTqo uoTgewao ;aad
1Cue oq pageTaa lsaraquT aqq gsnc qou eatme ;ao; oq aseaT e.2 ue agq sloaCgns
gTne ;ap pue 'aseaT aqq aapun eouewao ;aad ro; a /gTeuodsaa ATagewTgTn are saassaT
TTv) •quawubTsse sTgq ao aseaT sub pue TTo ageqg aqq ;o sauawaa /nbaa alp aapun
sapid buTpuoq Agaane ICue ;o suoTgebTTqo aqq ;o uoTuToaa ao asea /aa e_ se AeM Sue
uT panagsuoo aq qou pTnogs quawazTnbaa sTgy •aou6Tsse aqq woe; uoTgaod paubTsse
aqq ao; aseaT agq aapun suoTgebTTqo TTe ao; aassaT se punoq eq oq auewaaabe
uaggTam a 'pueq uT suq.gsaT; equ4s agg ssaTun paAeAuoo gsaaaquT aqq buTpaebaa
aseaT egg ;6 swaaa aqq aapun aassaT'e se suoTae6TTgo aqq ;o aoubTase aqq anaTTaa
qou op 'papTnTp ao papTATpun gsaaaguT pTogaseaT 1.00T uuga esaT ;o cauewu6Tsev •q
°aapunaaagq eaToodap ao sauoz esuoTgewao; pau6Tseuun Jue uT sag6Tr quawdoTanap
s,aoubTsse adwaaad qou op sguawu6Tese Lions ;oaaat E abed uo saanaru6Ts
aTatq Aq paouapTna ee 'ao ;aaata aTgTsuodsaa aae Aagq getq pue quawu6Tsse aqa Aq
u7Da 201 nn'leaao an snoTnefrTTao a]eardaa Heel aaabe aaubTese pue aou6Tsse gloq
ssaTun uoaaata suoTgebTTqo aseaT Hu ao; aTgTsuodsaa aassaT aqa buTwooaq eaubTsse
ago tITM ao ;aaata pones/ aq /Tim asea/ (anssTaa) ageaedas a pue 'gsaaaquT
pTogaseaT TeuT6Tao aqq woe; iaed getg aaubaabae aseaT agq ;o geed Aue uT eg1oodap
ao 'suoTgewao; 'sgoeag ageaedas uT asaaaauT pTogaseaT %00T 3o cquawu6Tssv •e
„gsaaaguT 6uTaeaado„ pue „gsaaaguT buTpaoM„ tgTM snowAuou.(s
.aaapTeuoo sT gsaaaquT pTogasea') •gsaaaquT AgTeAoa buTpTaaono pue 'agTsodap
t. a Gallo? 'euoTgewao; 'sgoeaq ageaedas oq BE papTnTp ao papTnTpun 'gsaaaguT pTogaseaT
assol se0 pue TTo agegs ;o quawu6Tsse Aue ao; paggTwqns pue pagaIdwoo aq gsnw wao; situ •T
Z
•ponoadduun paua nl WI TTTM so Intl puv 09ua9 oql uT asogl
puu Mo /oq polo// sluawaaznboa oqa loom lou op yoTgt sluawubTssV •esUDT sTgl UT lSuaolUT
®TqulTn•o ao Tu al smog luawu•Tusv 5Tgl of ingaud Auv lvgq AluvaauM 22 poaoadaaquT uq lou
PTnogs pue sosodand unTlval2TUTWpU ao; ATaj02 ST Tvnoadd% pus smaay 02207 220 pue TTo ulvls
aad sU soT; ;p ueoZ Wau3 puv pueZ slugs ow; Aq panoadde TTqun pTTvn qou eau squawubtssv 3100