HomeMy WebLinkAbout867375Effective 11 -86
Form ML -2
(revised 7 -92) BOOK PR PAGE G O
449
STATE OF WYOMING
BOARD OF LAND COMMISSIONERS
OIL AND GAS LEASE INTEREST ASSIGNMENT
NOTE: ALL ASSIGNMENT MUST MEET THE REQUIREMENTS ON PAGE 4 OF THIS FORM
OIL AND GAS LEASE SERIAL NUMBER 67 4689 effective May 2
desgribed completely as follows:
Township 25 North, Range 112 West, 6th P.M.
Section 16: All
County Lincoln
ASSIGNOR, LANCASTER CORPORATION
Total Acres
with address at P.O. Box 8439, Denver, CO 80201 -8439
SAME AS ABOVE DESCRIBED
SAME AS ABOVE DESCRIBED
subject to:
867375
RETURN TO:
State Land and Farm Loan Office
Herechler Bldg., 3 West
Cheyenne, WY 82002 -0600
RECEIVED
IN(;C?`
00 AUG -7 Ail
for good and valuable consideration, hereby assigns to:
19 67
CERTIFICATE
I C.ertlty that this fa a True and
Comoarative cry of the Utt!de!
Record on fie In the Wyoming
S Lt td OS
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Dat C:r 2.te Lan. s; O tt
640 Law s Mee
being the owner of 4.0 percent overriding royalty
(undivided leasehold /divided leasehold /overriding royalty)
interest in this lease, described more particularly as:
JEANNE (1) KEY PRODUCTION COMPANY, INC. KCIA �v'11 P� G
f th address at:
U
1700 Lincoln Street, Suite 2050, Denver, CO 80203 -4520 -0- percent
interest in the lease: 4.0 percent overriding royalty
(2) assignee, with address at:
percent
interest in the lease: 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:
"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-
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.
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Assignee certifies that assignee is of required age to hold a State lease interest and is a
citizen 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 XX Corporation
Date
STATE OF WYOMING
BOARD OF LAND COMMISSIONERS
OIL AND OAS LEASE INTEREST ASSIGNMENT
.General Partnership
Limited Partnership
KEY PRODUCTION COMPANY, INC.
Assignee's Signature �A esiq n e 'p S i
Monroe W. Robertson, Sr. Vice President Kevin bar
1700 Tinrnln Street. Ste 2050. Denver, CO 80203 -4520
Assignee'e Address Assignee's Address
04e c`�t7,
'Signature of all assignees is required
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:
Name:
Address:
Telephone:
ATTEST:
Date
Other (Describe)
Assignee's Signature
Assignee's Address
Date
LEASE SERIAL )e. 67 -4689
08+7371 692
tyre,
ASS t. Sec.
Segregation Waivers Agreed designated responsible party, including bond and royalties.
To be completed by Assignee To be completed by Assignor
Assigned Portion: Retained Portion:
Company: Company:
Address: Address:
Telephone: Telephone:
Accepted By: Accepted By:
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