HomeMy WebLinkAbout886828 UNITED STATES
DEPARTMENT OF THE INTERIOR
N'fE~tB?' BUREAU OF LAND MANAOEMENT
~SSIGNMENT OF RECORD TITLE INTEREST IN A
oas o. . SOU.C S
~incr~ Leasing Act ofi920 (30 U.S,C. 181 ct seq.)
for A~quir~d Lands of 1947 (30 U S.C 351-359)
~,d~o~al Steam Act of 1970 (30 U.S.C. 1001-1025)
of the Interior Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6508)
FORM APPROVED
OMB NO. 1004-0034
Expires: September 30, 1998
Lease Serial No.
WYW 129157
Lease Effective Date
(Anniversary Date)
6/1/93
New Lease Serial No.
Type or print plainly in ink and sign in ink.
Assignee*
Street
City, State, ZIP Code
*If moro than one assignee, check here
separate attached sbeet of paper.
This record title assignment is for: (Check one) [~ Oil and Oas Lease, or ~-~
Interest conveyed: (Check one or both, as appropriate)
PART A: ASSIGNMENT
PINECREST PARTNERS, L.P.
1001 FANNIN, SUITE 2000
HOUSTON, TX 77002
and list the name(s) and address(es) of all additional assignees on the reverse of this form or on a
Ooothermal Lease
Overriding Royalty, payment out of production or other similar
interests or payments
2. This assignment conveys the following interest:
Land Description Percent of Interest Percent of
Additional space on reverse, if needed. Do not submit documents or agreements other Owned Conveyed Retained Overriding Royalty
than this form; such documents or agreements shall only be referenced herein, or Similar Interests
Reserved Previously
reserved
or conveyed
a b c d e f
TWP 22N, ROE II3W, 6TH PM BOOK ....... , ',, ~ PR PAGE
SEC 2: LOTS 3, 4, S/2NW/4, SW/4 OFS/STtt$ OF 8/STH~
SEC 3: LOTS I-4, S/2N/2, 8/2 L
,,..,,,, U N TYCLERK
996,25 ACRES, M/L
LINCOLN COUNTY, WY
ORRI OWNED; ,5% ERVINOWOLF
.375% JOYCE WOLF
FOR BLM USE ONLY -- DO NOT WRITE BELOW THIS LINE
UNITED STATES OF AMEPdCA
This asslgmnent is approved solely for administrative purposes. Approval does not warrant that either party to this assignment holds legal or
equitable title to this lease.
~ Assignment approved for above des~cribed lands; [---] Assignment approved for attached land description
Assignment approved effective ~] Assignment approved for land description indicated on reverse
of this form.
By
(Authorized Officer) (Title) (Date)
34§
COUNTY OF HARRIS
THE FOREGOINO INSTRUMENT WAS ACKNOWLEDGED BEFORE ME BY GARY WINSTON AS SECRETARY OF PINECREST
PARTNERS, L.P., MANAOINO OENERAL PARTNER OF WOLF FAMILY MANAOEMENT COMPANY I, L.?., BY WFMC, INC.,
GENERAL PARTNER, ON THIS THE I?TH DAY OF DECEMBER 2002.
WITNESS MY HAND AND OFFICIAL SEAL.
~/~'%1~C'!-:;~, LOUISE R. WONZER
THE STATE OF TEXAS
coUNTY OF HARRIS
BEFORE ME, T1L'~ UNDERSIONED AUTHORITY ON THIS DAY PERSONALLY APPEARED ERVINO WOLF AND JOYCE wOLF, INDIVIDUALLY
AND AS HUSBAND AND WIFE, KNOWN TO ME TO BE THE PERSONS WHOSE NAMES ARE SUBSCRIBED TO THE FOREGOING INSTRUMENT, AND
ACKNOWLEDGED TO ME THAT THEY EXECUTED THE SAME FOR ~ PURPOSES AND CONSIDERATION THEREIN EXPRESSED.
The assignor certifies as owner of an imerest in the alxwe designated lease that he/she hereby assigns to the above assignee(s) the rights specified above.
Assignee cerlifies as follows: (a) Assignee is a citizen of the United States; m ~sociation of such citizens; a municipalitF, er a corporation organized under the laws
of the United States or of any Slate or territoB' thereo£' For the assignment of NPR-A leases, assignee is a citizen, national, or resident alien of the United States or
associations ct' such citizens, nationals, r,sident aliens or private, public or municipal corporations; Co) Assignee is not considered a minor under the law of the State
in which the lands covered by this assignment ~re located; (c) Aesignee's ch,rgeable interests, direct and indi~e~ in each public domain and acquired lands separately in
the s~me State. do not exceed 246.080 acres in oil and gas leases (of which up to 200.000 ~cres 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 m oil md gas lease issued in accordance with the Mineral Leasing Act of 1920. or 51.200
acres in my one 8tare if this is a seothen'aal lease; and (d) All p~ies holding m interest in the asssignment are otherwise in complimce with the regulations (43 CFR
Omup 3100 or 3200) and the authorizing AcU; (e) Assignee is in ~ompliance with reclamation requirements for all Federal oil md gas lease holdings as requbed by sec. 17(g)
of the Mineral Leasing Act; and (f) Assignee is not in violation of sec. 41 of the 'Mineral Leasing Act.
Assignee's signature to this assignment constitutes acceptance of all applicable terms, conditions, stipulatious and resUlctions pertaining to the lease described herein.
For geothe~nal transfers, an overriding royalty may not be les~ thru on-efourth (%) of one percent of the value of output, nor ~reater thru 50 percent of the rate of royalty
due to the United States when this assignment is added to ail pr~vionsly created overriding royalties (a3 CFR 3241).
I certify that the statements made herein by me ~re true, com~plete, and correct to the best of my knowledge and belief and me made in good faith.
Executed this 1ST day of NO~ER 2002 Executed this 17~H day of DECEMBER ,~2002
, ~-- ' ' -- W LF PINECREST ~'ARTNE~ -
Name of Ass~gnor as shown on current lease .,,,~G WOLF AN.D JOyCE 0 MANAGING GENERAL PARTNER
// Ple,se~y/~.or.p_nn~t ..~ WOLF FAMIL'¥ M_ANAGEMENT COMPANY.~T, L.P.
f )¢ Fs,R'VlNO we,El~ / or ' t~t'l'~ w,~ -
/~k~OLF / (signature~
il~lt. GARY WINSTON, SECRETARY '
~ ~ ~00~ ~ ~ ~000
(Assigno~ Address)
HOUSTON, TX 77002
(Ci~) (State) (Zip Code)
BURDEN HOURS STATEMENT
Public reposing burden for this form is estimated to average 30 minutes per response, including the time of reviewing instructions, g~thering and maintaining data, md
completing and reviewing the form. Dircc~ co/inherits regarding thc burden estimate or any other aspect of this form to U.S, Department of the Interior, Bureau of Land
Mmagement, Bureau Clearance Officer, (DW-II0). Denve Federal eerier, Building 40. P.O. Box 25047. Denver. CO 80225-004.7 and the Office of Mmagement and
Budget, Paperwork Reduction Project (1004-0034). Washington, D.C. 20503.
Title 18 U.S.C. Sec. 1001 .mlkes it a crime for my person knowingly and willfully t~ make to any Dep~unent or agency of the United states any false, fictitious or fraudulent
_.t.~em~nts ot i~p,~a~tat!ons as to my matter within its iurisdiction.
; 'U.S. GPO: 1992-774-017~67023