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HomeMy WebLinkAbout977933977933 8/11/2014 4:08 PM LINCOLN COUNTY FEES: $100.00 PAGE 1 OF 26 BOOK: 837 PAGE: 591 AFFIDAVIT JEANNE WAGNER, LINCOLN COUNTY CLERK 111111111111111111111111111111111!111 11)111111111111111!1111 For: GEORGE BANDUCCI (Deceased) Well Number Name: 650091 FONT FED UNIT 11 -24, ET AL County, State: LINCOLN COUNTY, WYOMING residing at 6901 Courtside ,Circle, #32, (Name of Affiant) (Address) Christopher M. Dietrich Bakersfield, California 2. If related to decedent, state in what way. AFFIDAVIT OF HEIRSHIP (City) (State) says that the answers and other statements hereinafter set out are true and correct. 1. How long and how well were you acquainted with the decedent? I was his attorney from Nov. 2001 until his death. no relation 3. When and where did decedent die? Bakersfield, CA on January 31, 2010 4. Where was decedents permanent residence at the time of his /her death? 5. How many times was decedent married? three 6. Name and address of surviving spouse (if any). residing at Mina Banducci 5319 Silvergate Street, Bakersfield, CA 93313 1 XTO ENERGY INC. O# 79594 6/9/2014 being first duly sworn, on oath deposes and Bakersfield, CA Date of Marriage Name of Spouse Marriage Terminated by Death or Divorce Date of Termination Address if Living If dead, did such spouse leave a Will 1947 Maxine Wright Divorce 1967 Deceased No 1974 Katie Hughes Divorce 1974 Deceased No 1984 Mina Mitchell Death 2010 5319 Silvergate St., Bakersfield, CA David Banducci Maxine Banducci 1948 N/A William Banducci Maxine Banducci Name of Child Name of Child's Other Parent Birth Date Address Living or Dead If Dead, Give Date of Death Joel Banducci Maxine Banducci 1957 44 Holly Ln, El Sobrante, CA Living Jeffrey Banducci Maxine Banducci 1952 2901 Elmwood Ave, Bksfld, CA Living Dennis Banducci Maxine Banducci 1951 7007 Creemore St, Bksfld, CA Living Dead 2011 David Banducci Maxine Banducci 1948 N/A William Banducci Maxine Banducci 1949 N/A Dead 1997 7. If decedent was ever married, list in the following table each such marriage, indicating in each instance the date of marriage, the name of spouse, whether such marriage was terminated by death or divorce, the date of termination of the marriage, the address of each spouse now living, and if dead) whether or not such spouse left a will: 8. (a) When was the property described at the beginning of the affidavit acquired by decedent ?unknown (b) Was it acquired by gift, devise, inheritance or purchase? (State which) inheritance (c) If by purchase give the following information: (1) Where did decedent reside (the State in which decedent had his /her permanent residence will suffice) when property was acquired? (2) Was the decedent married when such property was acquired? If so, give the name of decedents husband or wife. If such husband or wife is now deceased, did such party leave a Will? 9. Did Decedent leave a Will? Yes (a) If yes, was the Will probated? No *If the will was admitted to probate, please provide copies of all probate documents. Decedent left a "pour- over" Will, which leaves everything not in his living trust to his living trust. Decedent's living trust left his farming property to his children and the residue (of which these mineral interests are a part) to his spouse, Mina Banducci. (b) If the will has not been probated, does the executor or administrator intend to probate the will? No 10. If decedent did not leave a Will, was any administration had on decedent's estate? If so, name the counties and states in which administration was had and give the name and address of the administrator. N/A 11. To your knowledge are there any debts or Federal estate or state inheritance taxes still owing by decedent's estate? If so, will decedents personal estate be sufficient, in your opinion, to pay such debts and taxes? What is the estimated net value of the entire estate? 12. List in the following table the name of all children born to or adopted by decedent, whether living or dead, giving all other information called for in the table below. Any adopted children should be designated as such if decedent had no children, so state. Susan Banducci Maxine Banducci 1955 N/A 2 No Dead 1956 93313 Name of Deceased Child Descendants Birth Date Address Living or Dead If Dead, Give Date of Death Susan Banducci None William Banducci Tresa Davis 1972 190 Newbury St, Hercules, CA Living William Banducci Lindsay Banducci 3979 1109 Devonwood, Hercules, CA Living Name of Deceased Brother or Sister Descendants Address Age Living or Dead if Dead, Give Date of Death Name of Deceased Brother or Sister Descendants Address Age Living or Dead If Dead, Give Date of Death 13. Give information called for in the following table concerning descendants of any deceased child of decedent whether natural or adopted). If no descendants, so state. Descendants of deceased child of decedent. If none, so state. 14. If decedent left no surviving child or descendant of a child, then list names of decedents parents and brothers and sisters and give information called for in the following tables. If half brother or sisters, state whether maternal or parental. Father Mother Brother Brother Sister Sister Name Address Descendants of deceased brothers and sister. If none so state. 3 Living or If Dead, Give Dead Date of Death Name Name Address Living or Dead If Dead, Give Date of Death Paternal Grandfather If Dead Give Date of Death Paternal Grandmother Maternal Grandfather Maternal Grandmother Name Uncle or Aunt Age Paternal or Maternal Address Living or Dead If Dead Give Date of Death Name of Deceased Uncle or Aunt Descendants Age Address Living or Dead If Dead Give Date of Death 15. If decedent left no children or their descendants, or father or mother, or brothers or sisters or their descendants, then give the information called for in the following tables: THE STATE OF 00- u COUNTY OF cum., v The tapregping 'nstrument was sutoscribed and sworn before me on this the by ,''e r, it. t�l� i NaLt. JEANIE CHIU 5 COMM. #1999469 C C °i NOTARY PUBLIC CALIFORNIA gry./ KERN COUNTY Comm. Exp. DEC. 23, 2016 4 ure of Affiant Notary ic, State of My Commission Expires: Printed Name of Notary: day of jt_ 1 20 1z1 lo; tU C4L l I EXHIP A" WELL /NAME: 65009 FONT FED UNIT 11 -24 SECTION 24 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65011 FONT FED UNIT 11 -36 SECTION 36 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65012 FONT FED UNIT 11 -04D SECTION 04 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65015 FONT FED UNIT 12 -01 SECTION 1 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65017 FONT FED UNIT 12 -11 SECTION 11 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL# /NAME: 65018 FONT FED UNIT 12 -19 SECTION 19 TOWNSHIP 26 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65019 FONT FED UNIT 12 -03 SECTION 03 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65020 FONT FED UNIT 12 -31 SECTION 31 TOWNSHIP 26 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65021 FONT FED UNIT 12 -33 SECTION 33 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING rEORGE BANDUCCI 79594 *The well description(s) shown on the Exhibit "A" cover this owner's mineral :nd /or royalty interest according to the records of XTO Energy, Inc. It is not .ntended to represent this owner's entire mineral and /or royalty estate. EXHIBIT "A" WELL# /NAME: 65022 FONT FED UNIT 12 -06 SECTION 6 TOWNSHIP 25 NORTH RANGE 111 WEST 1985' FNL 624'FWL LINCOLN COUNTY, WYOMING WELL /NAME: 65023 FONT FED UNIT 12 -07 SECTION 7 TOWNSHIP 25 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65024 FONT FED UNIT 13 -10 SECTION 10 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65025 FONT FED UNIT 13 -11 (INA) SECTION 11 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65026 FONT FED UNIT 13 -13 SECTION 13 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65027 FONT FED UNIT 13 -24 (FR) SECTION 24 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65028 FONT FED UNIT 13 -34 SECTION 34 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65031 FONT FED UNIT 14 -01 SECTION 01 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING *The well description(s) shown on the Exhibit "A" cover this owner's mineral ad /or royalty interest according to the records of XTO Energy, Inc. It is not ntended to represent this owner's entire mineral and /or royalty estate. EORGE BANDUCCI 79594 f EXHIL__ ]A" WELL /NAME: 65032 FONT FED UNIT 14 -02 SECTION 02 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL#/NAME: 65033 FONT FED UNIT 14 -23 (FR) SECTION 23 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65036 FONT FED UNIT 14 -27 SECTION 27 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL#/NAME: 65037 FONT FED UNIT 14 -03 SECTION 03 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL#/NAME: 65038 FONT FED UNIT 14 -30 SECTION 30 TOWNSHIP 26 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65039 FONT FED UNIT 14 -31A SECTION 31 TOWNSHIP 26 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65043 FONT FED UNIT 14 -04 SECTION 04 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL#/NAME: 65044 FONT FED UNIT 14 -06 SECTION 06 TOWNSHIP 25 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING *The well description(s) shown on the Exhibit "A" cover this owner's mineral Lnd /or royalty interest according to the records of XTO Energy, Inc. It is not .ntended to represent this owner's entire mineral and /or royalty estate. GEORGE BANDUCCI 79594 EXHIBIT "A" WELL /NAME: 65045 FONT FED UNIT 21 -01 SECTION 01 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65046 FONT FED UNIT 21 -10 SECTION 10 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65049 FONT FED UNIT 21 -31 SECTION 31 TOWNSHIP 26 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL# /NAME: 65053 FONT FED UNIT 22 -23 (FR) SECTION 23 TOWNSHIP 26 NORTH RANGE 112 WEST 2136' FNL 1825' FWL LINCOLN COUNTY, WYOMING WELL /NAME: 65054 FONT FED UNIT 22 -24D (FR) SECTION 24 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65055 FONT FED UNIT 22 -25 SECTION 25 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65056 FONT FED UNIT 22 -36 SECTION 36 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65057 FONT FED UNIT 22 -04 SECTION 04 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING *The well description(s) shown on the Exhibit "A" cover this owner's mineral ad /or royalty interest according to the records of XTO Energy, Inc. It is not atended to represent this owner's entire mineral and /or royalty estate. EORGE BANDUCCI 79594 EXHIE A" WELL# /NAME: 65060 FONT FED UNIT 23 -23 (FR) SECTION 23 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65061 FONT FED UNIT 23 -25 SECTION 25 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65062 FONT FED UNIT 23 -03 SECTION 36 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL# /NAME: 65063 FONT FED UNIT 23 -31PUD (65521) SECTION 31 TOWNSHIP 26 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65064 FONT FED UNIT 23 -33 SECTION 33 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65066 FONT FED UNIT 23 -04D SECTION 4 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65069 FONT FED UNIT 23 -07F SECTION 7 TOWNSHIP 25 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65074 FONT FED UNIT 31 -11 SECTION 11 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING *The well description(s) shown on the Exhibit "A" cover this owner's mineral .nd /or royalty interest according to the records of XTO Energy, Inc. It is not .ntended to represent this owner's entire mineral and /or royalty estate. GEORGE BANDUCCI 79594 EXHIBIT "A" WELL# /NAME: 65075 FONT FED UNIT 31 -12 SECTION 12 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65076 FONT FED UNIT 31 -13 SECTION 13 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65078 FONT FED UNIT 31 -04 SECTION 4 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65079 FONT FED UNIT 31 -05 SECTION 5 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65080 FONT FED UNIT 31 -06F SECTION 6 TOWNSHIP 25 NORTH RANGE 111.WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65081 FONT FED UNIT 31 -07 SECTION 7 TOWNSHIP 25 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65083 FONT FED UNIT 31 -09 SECTION 9 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65085 FONT FED UNIT 32 -10 SECTION 10 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING kThe well description(s) shown on the Exhibit "A" cover this owner's mineral 1d/or royalty interest according to the records of XTO Energy, Inc. It is not itended to represent this owner's entire mineral and /or royalty estate. FORGE BANDUCCI 79594 T7656L iponamva HOUGH •aq egsa AgTPAoa ao /pup TeaauTm aaTqua s,aauMO STLIq quasaadaa papuaqu qou sT qI 'au' 'JbaauH OJ.X go spaooaa atiq oq BuTpaopop gsaaaquT .gTpi.oa ao /pu TPaauTm s,aauMO sTqq. aaioa „y„ gTC[zuxH atop uo uMOus (s)uoT dTaosap 'Tam aLLi ONIWOAM ALNIIOZ N'IOONI'I ZSHM ZTT HONTdd HI EON SZ dIHSNMOS v0 NOI,LOHS HI70 EE IINII QH3 INO3 86059 :HWVN/ #'I'IHM ONIWOAM 'AINIlOO N'IOONI'I ZSHM ZTT HONK2i HL ON 9Z dIHSNMO,L T7Z NOIIOHS i.Z -EE ,LINn QH3 INO3 L6059 :HWKN /#'ITEM ONIWOAM AZNIIOO N'TOONI`I ZSHM ZTT HONK2I HIHON SZ dIHSNMOS ET NOIZOHS ET -EE ,LINLl QH3 INO3 56059 HWKN /#`I'IHM ONIWOAM XJ NL1O0 N'IODNI'I ZSHM ZTT HONVU HJ ON SZ dIHSNMOI ZT NOILD S' ZT EE IINA QHd SNO3 b6059 HWFz'N #'I'IHM ONIWOAM AJNIIOO N'IOONI'I ZSHM ZTT HONVII HIEON 5Z dIHSNMOS TO NOI,LDHS TO EE ZINn QH3 INOd E6059 :HWKN #'I`IHM ONINOAM XJ NL1O0 N'IODNI'I ZSHM ZTT HONK?I HIHON 9Z dIHSNMOL 9E NOIIDHS 9E ZE ,LINQ QH3 INO3 06059 :HWKN #'T'IHM ONIWOAM AZNLIOO NIOONIZ 'IM3 1 006T2"IS3 1 0S6Ta''IH3 l ZSZZYIS3 1 Z06T: fS ZSHM ZTT HONV1 HL ON 9Z dIHSNMOI T7Z NOILOHS (2i3) (15 ,LINLI Gad INO3 88059 :HWFiM #rI'IHM ONINOAM A,LNAOO N'IOOMI'I ,LSHM ZTT HONVI HI EON SZ dIHSNMOEL ZO NOI,LOHS Z0 ZE QH3 aNO3 L8059 :HWKN #'I'IHM nVr IHXH �1 EXHIBIT "A" WELL /NAME: 65099 FONT FED UNIT 33 -06 SECTION 06 TOWNSHIP 25 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL# /NAME: 65102 FONT FED UNIT 34 -23 (FR) SECTION 23 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65103 FONT FED UNIT 34 -25 SECTION 25 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65104 FONT FED UNIT 34 -28 SECTION 28 TOWNSHIP 26 NORTH RANGE 112 WEST 3355' FWL 660' FSL LINCOLN COUNTY, WYOMING WELL /NAME: 65105 FONT FED UNIT 34 -03 SECTION 03 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65106 FONT FED UNIT 34 -33 SECTION 33 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65108 FONT FED UNIT 34 -09 SECTION 09 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65109 FONT FED UNIT 41 -01 SECTION 01 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING *The well description(s) shown on the Exhibit "A" cover this owner's mineral ad /or royalty interest according to the records of XTO Energy, Inc. It is not atended to represent this owner's entire mineral and /or royalty estate. EORGE BANDUCCI 79594 4 •aTegs9 AgTfAoa ao /pup TpaauTiu aaTnua s,aaumo sTq quasaadaa papuaqu qou sT 4I au1 'AFaauH pyx go spaoaaa aqq SuTpaoaap gsaaaquT iCgrrioa ao /pu TpaauTW s,aaumo sTqq aanoa „w„ gTgTqxg aqq uo umoii5 (s)uoTndT TTam aqs 176 S 6 L IDDf1QNVH HO2IOH ONIWOAM 'AINflOD N'IODNI'I ISM ZIT HON VU HELTON 9Z dIHSNMOI NOIIDHS (213) 17Z ZT7 LINIl QHd INOd TZTS9 :HWKN #'I'IHM ONIWOAM 'AINIIOD NnIODNI'I ZSHM ZTT HONKd H,L2iON SZ dIHSNMOS 60 NOIIDHS 60 Ti7 IINfl QHd LNOd 6TT59 :HWFiN #'I'IHM ONIWOAM 'AINIIOD N'IODNI'I ISM ZIT HONFRI HI EON 9Z dIHSNMOI 9E NOILDHS 9E-V IINII QHd INO3 L T T 5 9 HWVN/ #'I`IHM ONIWOAM 'ALNflOD N'IODNI' ISM ZIT HONVI HIEON 9Z dIHSNMOI SE NOIJOHS SE -Tfi IIN0 QH3 INO3 QMS 9TTS9 :HWKN #'I'IHM ONIWOAM AINIIOD N'IODNI'I ZSHM ZTT HDNV 1 HJHON 9Z dIHSNMO,L EZ NOILDHS 9Z TT7 IINfl QHd INOd fi HWVN #'IrIHM ONIWOAM 'AJNIIOD N'IODNI'I ZSHM ZTT HMV HI EON 9Z dIHSNMO,L 17Z NOIIDHS HT7Z Tip IINfl QHd ILNOd ETTS9 HWKN ONIWOAM xItinoD N'IODNI'I LSHM ZTT HONK2I HIdON 9Z dIHSNMOL EZ NOILDHS (21d) EZ TT7 IINfl QHd INO3 ZTT59 :HWFIN #'IrIHM ONIWOAM AINOOD N'IODM= ZSHM ZTT HONK2i HJ ON SZ dIHSNMOI OT NOILDHS OT Tii ,LINfl QHd INO3 OTTS9 HWKN /#'Z'IHM H FI 3IHXa .J EXHIBIT "A" WELL# /NAME: 65124 FONT UNIT STATE 34 -36 SECTION 36 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65127 FONT FED UNIT 43 -22 SECTION 22 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65128 FONT FED UNIT 43 -25 SECTION 25 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65129 FONT FED UNIT 43 -32 SECTION 32 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65130 FONT FED UNIT 43 -36 SECTION 36 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65131 FONT FED UNIT 43 -05 SECTION 05 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65132 FONT FED UNIT 44 -13 SECTION 13 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65193 FONT FED UNIT 43 -23 (FR) SECTION 23 TOWNSHIP 26 NORTH RANGE 1'12 WEST SE /4 LINCOLN COUNTY, WYOMING *The well description(s) shown on the Exhibit "A" cover this owner's mineral ad/or royalty interest according to the records of XTO Energy, Inc. It is not ntended to represent this owner's entire mineral and /or royalty estate. EORGE BANDUCCI 79594 T76S6L IDMONVE HOdOH• a ATTEAoa 1O /pup T2.I9uzw GaTqua s aaumo szuf quasa.Ida.I oq papuaqu qou sT qI auI 'ABaGuH OJX Jo sp.IOaa.I auk oq BUTp.IOOaa gsaaaquT I TpAo.I .IO /pu TE.IauTU1 s aGumo sTuq .IaAOD mTuxH aum uo umous (s) uoT dz.Iasap TTam Gus* ONIWOAM AZNnOO =DM= ISHM ZTT HON'd2i =OM SZ dIHSNMO,L S NOIIOHS SO r7Tv LINO QH3 ZNO3 L0ZS9 :HWKN #'I'IHM ONIWOAM AINnOD N'IOONI'I ZSSM ZTT HONVII HJ1dON SZ dIHSNMO,L 8 NOIZOHS 80 Tv LINO QH3 Ji&O3 TOZ59 :HWVN #'I'ZHM ONINOAM AINn00 N'IOONI'I ZSHM ZTT HONVd H,LdON St dIHSNMOS EE NOIIOHS OE E T7 Z I INn QH3 INO3 0 0 Z S 9 HWKN #'I'IHM ONIWOAM AINnOO N`IOONI'I ZSHM ZTT HONVII HJIdON SZ dIHSNMOL 6 NOIZOHS Q60 ZZ ,LINO QH3 ZNO3 66159 :HW`dN #'I'IHM ONIWOAM 'AaNIIOO N'IODMI'I ZSHM ZT1 HONK21 HJ ON SZ dIHSNMOL 01 NOIZOHS OT -ZT ,LINO QH3 ZNO3 86TS9 :HiVN /#ZZHM ONIWOAM AZNnoD N'IOONI'I ZSHM ZTT HONki2i HL ION SZ dIHSMMO,L Z MOIIDHS CZO LINn (IRE ZNO3 L61S9 HWKN #'I'IHM ONIWOAM A.LNIIOD N'IOOMI'I ZSHM ZIT HOMVH HIdON 9Z dIHSNMOL SE NOIIDHS SE ZZ LINn QH3 IM03 96T59 HWVN #'I'IHM ONIWOAM 'AINIIOO N'IOOMI'I ZSHM Z1T HON fli H,LdON SZ dIHSNMOS ii MOIIDHS v0 ZE ,LINO QH3 INO3 I76TS9 :HWKN #'I'IHM EXHIBIT "A" WELL /NAME: 65208 FONT FED UNIT 24 -11 SECTION 11 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65210 FONT FED UNIT 32 -01 SECTION 1 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL# /NAME: 65211 FONT FED UNIT 41 -11 SECTION 11 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65212 FONT FED UNIT 23 -01 SECTION 1 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65214 FONT FED UNIT 42 -13 SECTION 13 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65215 FONT FED UNIT 21 -09R SECTION 9 TOWNSHIP 25 NORTH RANGE 112 WEST 428' FNL 1522' FWL LINCOLN COUNTY, WYOMING WELL /NAME: 65216 FONT FED UNIT 41 -04D SECTION 4 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL# /NAME: 65217 FONT FED UNIT 44 -04D SECTION 4 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING 'The well description(s) shown on the Exhibit "A" cover this owner's mineral ad/or royalty interest according to the records of XTO Energy, Inc. It is not tended to represent this owner's entire mineral and /or royalty estate. FORGE BANDUCCI 79594 i EXHIIL A" WELL /NAME: 65220 FONT FED UNIT 24 -13 SECTION 13 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL# /NAME: 65222 FONT FED UNIT 11 -12 SECTION 12 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65223 FONT FED UNIT 23 -06 SECTION 6 TOWNSHIP 25 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL# /NAME: 65224 FONT FED UNIT 44 -01 SECTION 1 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65225 FONT UNIT STATE 42 -36 SECTION 36 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65226 FONT FED UNIT 34 -02 SECTION 2 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65227 FONT FED UNIT 14- 25D(USE65248) SECTION 25 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65229 FONT FED UNIT 32 -23 (FR) SECTION 23 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING *The well description(s) shown on the Exhibit "A" cover this owner's mineral nd /or royalty interest according to the records of XTO Energy, Inc. It is not ntended to represent this owner's entire mineral and /or royalty estate. EORGE BANDUCCI 79594 EXHIBIT "A" WELL /NAME: 65230 FONT FED UNIT 21 -07 SECTION 7 TOWNSHIP 25 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65232 FONT FED UNIT 22 -12 SECTION 12 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65233 FONT FED 44 -07 SECTION 7 TOWNSHIP 25 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65239 FONT FED UNIT 44 -02D SECTION 2 TOWNSHIP 25 NORTH RANGE 112 WEST SW SE LINCOLN COUNTY, WYOMING WELL# /NAME: 65240 FONT UNIT STATE 33 -36 SECTION 36 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65243 FONT FED UNIT 14 -13 SECTION 13 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65244 FONT FED UNIT 42 -10 SECTION 10 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65245 FONT FED UNIT 32 -11 SECTION 11 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING *The well description(s) shown on the Exhibit "A" cover this owner's mineral nd /or royalty interest according to the records of XTO Energy, Inc. It is not ntended to represent this owner's entire mineral and /or royalty estate. EORGE BANDUCCI 79594 T76S6L IDDnaN. HOW *•azegsa IITT2JIoa .Io /pup TpaauTm aaTqua s,aauMO szuq. quasaadaa oq papuaqu qou ST qI *au' 'SSaaua OIX Jo spaoaaa atiq oq BuTpa000p gsaaaquT AgTpAoa ao /pu TpaauTm S,aauMO szuq. aaAoo „V„ qT Tqx auk uo uMOT4s (s)uozgdz.Iasap TTaM GqI DNINOAM AINnOD N'IODNI'I ZSHM ZTT HDN II HL ON SZ dIHSNMO,L TT NOIIDHS TT ZZ LINn GEE ,LNO3 ZLZS9 :HWKN/ #'ITEM DNIWOAM 'AZNIIOD N'IODNI'I ZSHM ZTT HDN�I HL ION SZ dIHSNMOS ZT NOILDHS ZT ZT ZINn GEE INO3 99ZS9 :HWVN/ DNIWOAM AINnOD N'IODNI'I ISM ZTT HDaFi2i HIUON 9Z dIHSNMOS fZ NOIIDHS t T7T7 GEE INO3 £9ZS9 :HWKN/ #'ITEM DNIWOAM 'AINIIOD N'IOONI'I ZSHM ZTT HDNKd HELTON SZ dIHSNMOL E NOI,LDHS £0 -Z£ LINn GEE INO3 Z9ZS9 :HW- N #TZHM DNIWOAM ALNIIOD N'IODNI'I ZSHM ZTT HDMVd1 HJIdON 9Z dIHSNMOJ T7Z NOIIDHS Qt'Z T7Z ZINn QH3 LNO3 8SZS9 :HWVN #TIHM DNIWOAM 'AZNnOD N'IODNI'I MN HN :'IHE !HS MS :MIS ZSHM ZIT HDNVII HLdON 9Z dIHSNMOI £Z NOIIDHS (U /XS) XQ9Z TZ IINn GEE LNO £SZS9 HW`dN /#I'IHM DNIWOAM 'AZNIIOD MOONI'T ZSHM ZTT HDM° d HI2ION 9Z dIHSNMO,L £Z NOILDHS (2I3) g£Z -TT IINn aaa INO3 6TTZS9 :ENVN #'T'THM DNIWOAM 'AINnOD NIODNI'I ZSHM ZTT HDNV2i HZNON 9Z dIHSNMOL SZ NOIIDHS QSZ T7T IINn GEE INO3 CMS 8T7ZS9 :HWKN/ #'ITEM uv; TIHXH EXHIBIT "A" WELL /NAME: 65276 FONT FED UNIT 34 -06 SECTION 6 TOWNSHIP 25 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65278 FONT FED UNIT 13 -07 SECTION 7 TOWNSHIP 25 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65280 FONT FED UNIT 21 -23 (FR) SECTION 23 TOWNSHIP 26 NORTH RANGE 112 WEST NE NW LINCOLN COUNTY, WYOMING WELL /NAME: 65281 FONT FED UNIT 42 -22 (FR) SECTION 22 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65282 FONT FED UNIT 13 -31 SECTION 31 TOWNSHIP 26 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65285 FONT FED UNIT 12 -24D (FR) SECTION 23 TOWNSHIP 26 NORTH RANGE 112 WEST BHL: 1600'FNL 100'FWL OF SEC 24(SW NW) LINCOLN COUNTY, WYOMING WELL /NAME: 65286 FONT FED UNIT 13 -23 (FR) SECTION 23 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65287 FONT FED UNIT 33 -02 SECTION 2 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING *The well description(s) shown on the Exhibit "A" cover this owner's mineral nd /or royalty interest according to the records of XTO Energy, Inc. It is not ntended to represent this owner's entire mineral and /or royalty estate. EORGE BANDUCCI 79594 EXHIE._ WELL /NAME: 65292 FONT FED UNIT 24 -06 SECTION 6 TOWNSHIP 25 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65294 FONT FED UNIT 44 -06 SECTION 6 TOWNSHIP 25 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65295 FONT FED UNIT 32 -22 (FR) SECTION 22 TOWNSHIP 25 SOUTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65298 FONT FED'UNIT 13 -03 SECTION 003 TOWNSHIP 25 NORTH RANGE 112 WEST SPOT SW NW SW LINCOLN COUNTY, WYOMING WELL /NAME: 65299 FONT FED UNIT 41 -12 SECTION 12 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65303 FONT FED UNIT 12 -24DX (FR) SECTION 24 TOWNSHIP 26 NORTH RANGE 112 WEST BHL: 1600'FNL 100'FWL LINCOLN COUNTY, WYOMING WELL /NAME: 65306 FONT FED UNIT 44 -23D (FR) SECTION 23 TOWNSHIP 26 NORTH RANGE 112 WEST S: 2224' FSL &1251'FEL,B:1100'FSL &400'FEL LINCOLN COUNTY, WYOMING WELL /NAME: 65308 FONT FED UNIT 34 -05 SECTION 5 TOWNSHIP 25 NORTH RANGE 112 WEST 300'FSL 1800'FEL LINCOLN COUNTY, WYOMING *The well description(s) shown on the Exhibit "A" cover this owner's mineral .nd /or royalty interest according to the records of XTO Energy, Inc. It is not ntended to represent this owner's entire mineral and /or royalty estate. GEORGE BANDUCCI 79594 EXHIBIT "A" WELL /NAME: 65311 FONT FED UNIT 12 -09D SECTION 9 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65313 FONT FED UNIT 33 -07D SECTION 7 TOWNSHIP 25 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65314 FONT FED UNIT 33 -23D (FR) SECTION 23 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65316 FONT FED UNIT 24 -34 SECTION 34 TOWNSHIP 26 NORTH RANGE 112 WEST 678'FSL 2057'FWL LINCOLN COUNTY, WYOMING WELL /NAME: 65317 FONT FED UNIT 21 -06D SECTION 6 TOWNSHIP 25 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65318 FONT FED UNIT 42 -35 SECTION 35 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65321 FONT FED UNIT 43 -03D SECTION 3 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65335 FONT FED UNIT 44 -22 (UNDRLD) SECTION 22 TOWNSHIP 26 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING *The well description(s) shown on the Exhibit "A" cover this owner's mineral nd /or royalty interest according to the records of XTO Energy, Inc. It is not ntended to represent this owner's entire mineral and /or royalty estate. EORGE BANDUCCI 79594 iv 6 S 6 L IDDnaNva 3023031 •agPgsa AgTPAoa ao /pup TpzauTiu aaTqua s,aauMO sTqq. quasaadaa oq papuaqu qou sT qI •ouI 'ibaauH O,LX ;o spaooaa auk oq buTpa000s gsaaaquT ATIpAoa .IO /pu TPaauTw s,aauMO szuq. aahoa „V„ gTc[TuxH auq uo uMOus (s)uozgdzaosap TTaM au ONIWOAM AZNnOO N' rIM31 168 '3 rIS3 I ZZi7Z ISM ZTT 3ONV?I HL ON SZ dIHSNMOI i7 NOILD S T70 -ET IINn GEE LNO3 89859 J N #rIrIEM ONIWOAM AINnoD N'IOONI'I 32ins (MS MN) 'TM3 i OOS rIS3 OOST :3oFZ32inS ISM ZIT HON`d2i HJ ON SZ dIHSNMOI E NOI,LO3S (`dNI) E O- Z Z IINn Q33 JLNO3 L 9 E S 9 HWKN/ #'T I3M ONIWOAM AINnOO N'IOOMIr= ISM ITT 3ON`d21 HIEON 9Z dIHSNMOI TE NOIZ03S (21E) T E T E Q33 LNO3 L t' E S 9 HW`dN #rIrI3M ONIWOAM AINnoD N'IOONI' rI33 1 00”r1S3 I OOLT H''I33 I 6i76T'3'IS3 1 060T: S LS3M ZIT 3ONVII HJ ON SZ dIHSNMOI Z NOII03S Z0 -Ei7 LINE GEE INO3 9T7ES9 :HWFz'N #rIrI3M ONIWOAM AINnoD N'IODNIrI ISM ZIT HONK2i HI ON SZ dIHSNMOJI ZT NOIID S QT0 T7Z LINn Q33 INO3 iifiES9 :3WKN #7I3M ONIWOAM AZNIIOO N'IOONIrI LS3M ZIT HDNF d HJ1d0N SZ dIHSNMOI Z NOI,LOHS Z0 ZT Q33 ,LNO3 8EES9 :3WXN #7I3M ONINOAM AINnOO NrIOONIrI ISHM ZIT HONVH HZ2iON SZ dIHSNMO,L OT NOI,LOHS 0 T E ii L INn Q33 INOi LEES 9 3W`fN #rIrI3M ONIWOAM XINIIOO N`IOONI`I 'IM3 I OL6T '3 rIN3 I TT7ZZ ISM ITT EON HI EON SZ dIHSNMOS L NOIID S LO ZZ LINn GEE .LNO3 9EES9 :HWKN /#rIrIHM uV iIHX3 -J EXHIBIT "A" WELL# /NAME: 65369 FONT FED UNIT 41 -22 (FR) SECTION 22 TOWNSHIP 26 NORTH RANGE 112 WEST 735'FNL 1'FEL (NE NE) LINCOLN COUNTY, WYOMING WELL /NAME: 65370 FONT FED UNIT 23 -10 SECTION 10 TOWNSHIP 25 NORTH RANGE 112 WEST 1675'FSL 2249'FWL LINCOLN COUNTY, WYOMING WELL /NAME: 65371 FONT FED UNIT 42 -09 SECTION 9 TOWNSHIP 25 NORTH RANGE 112 WEST 2462'FNL 749'FEL (SE /4 NE /4) LINCOLN COUNTY, WYOMING WELL /NAME: 65413 FONT FED UNIT 22 -03DX SECTION 3 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65519 FONT FED 42 -06D SECTION 6 TOWNSHIP 25 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65520 FONT FED 31 -02 SECTION 2 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING WELL /NAME: 65521 FONT FED UNIT 23 -31 (FR) SECTION 31 TOWNSHIP 26 NORTH RANGE 111 WEST LINCOLN COUNTY, WYOMING WELL$# /NAME: 65523 FONT FED UNIT 24 -23D (FR) SECTION 23 TOWNSHIP 26 NORTH RANGE 112 WEST SW SE LINCOLN COUNTY, WYOMING *The well description(s) shown on the Exhibit "A" cover this owner's mineral ad /or royalty interest according to the records of XTO Energy, Inc. It is not atended to represent this owner's entire mineral and /or royalty estate. EORGE BANDUCCI 79594 A EXHIL__ ;A" WELL /NAME: 65525 FONT FED UNIT 11 -01D SECTION 1 TOWNSHIP 25 NORTH RANGE 112 WEST NE NW LINCOLN COUNTY, WYOMING WELL# /NAME: 65526 FONT FED UNIT 14 -07D SECTION 7 TOWNSHIP 25 NORTH RANGE 111 WEST NW SW LINCOLN COUNTY, WYOMING WELL# /NAME: 65527 FONT FED UNIT 34 -12D SECTION 12 TOWNSHIP 25 NORTH RANGE 112 WEST NW SE LINCOLN COUNTY, WYOMING WELL /NAME: 65528 FONT FED UNIT 21 -11D SECTION 11 TOWNSHIP 25 NORTH RANGE 112 WEST LINCOLN COUNTY, WYOMING *The well description(s) shown on the Exhibit "A" cover this owner's mineral .nd /or royalty interest according to the records of XTO Energy, Inc. It is not .ntended to represent this owner's entire mineral and /or royalty estate. GEORGE BANDUCCI 79594 TATE F AILYFORAllit STATE FILE NUMBER 9. BIRTH SYRTot oRmGN COUNTRY CA 13. EDUCATION -140441.4•44/Demm 14115. WAS DECEDENT H1SPANICILATIND(AySPANISIO Le,meenottahom on Mca) 141..DECEDEtiTS RACE- Illitc;3 nizeimay be nand (am awyktheattobraN CAtJCASIAN 4SHIn..0CCUPATIDNH1O !Wo1lfor.lb12f. ;;DO NOT USE RETIREE/ 19 MD OF, BLIBINESSOR INDUSTRY (49., smeary Mom, toad comtruclon. ampkiimonlapmcwati) 19:YESCISLN OCCUPATION 'LANDSCAPE:CONTRACTOR:Y. LANDSCAPING 30 21. CITY BAKERSFIELD GROgNIAW64490.T.I1WESTMORTUARY'' 2. MIDDLE poN6Lo 22.couNrwejmiNcE KERN BANDU 24.•YEARSLN COMM: 7. DATE QM. /2 •10 l l&ADINDPI4YeIC44248N4AubE8PcOD4 JUANLEE.M D 12/03/2009 01/29/2010 •4580;:CALIFORNIA.AVE., BAKERSFIELD, CA 93309 ...119.1C9111FytliqNhellitia:,11WIICCOFFEDP:111£1.101.1;44E ..i Pc=kkA A 5 4kied=1 &id*. 0...4.4/0::::::lapwrinel 123. PLIOE OF INJURY (4.!...11am4, cona1mOlon Mk wooded anm.:4!..) 110111111111111111111111111111111111111111111111111111111111111111111r .0100410418934' 121. INJURY DAM NnV011/owy 122. HOUR (24 Hams) 124. DESCRIBE HOW INJURY OCCURRED (Ennis which multad In 'Wary) SeA -"))Mil,11111111 4 i Sofilliffife:P=. 2. 1.74(6:!!...8 :4- 1 0 f.elliS .(V 61 •CP, 00 41...f4,