HomeMy WebLinkAbout878505 Form 3000-3
(October 1992) UNITED STATES
DEPARTMENT OF THE INTERIOR FORM APPROVED
· :- BUREAU OF LAND MANAGEMENT OMB NO. 1004~0034
.2~.& Expires: Ju y 31, 1995
ASSIGNMENT OF RECORE~'TiTLE NTEREST IN A Lease Serial No
LEASE FOR OIL AND GAS 0i~ GEOTHERMAL RESOURCES
WYW-153264
Mineral Leasing Act of 1920 (30 U.S.C. 181 et seq.)
Act for Acquired La'Ads of 194~ (30 U.S.C. 351-359)
Geothermal Steam Act of 1970 (30 U,S.C. 1001-1025) Le~e Effective Date
Department of the Interior Appropriations Act, .~iseal~Year.l~81 (42 U.S.C. 6508}~
1. Assignee* Condor Exploratign, LLC ': B6OK~'~- nn n~~ 900
Street 7720 E. Belleview Avenue, Suite B'
qfmore than nne transferee, check here [ l and list the namets) and address(e ~ i ransferees on the reverse df thisgd~'~ ~r
sheet of paper
This transfer is for: (Check one) tX ] Oil and Gas Lease, or [] Geothe~al Lease
Interest :conveyed: ('Check one or both, as appropriatO [ ~ Record Title. [ X ] Oveffiding Royalty, payment out of production or other
similar mteresB or payments
2. Tliis assignnicnt conveys the following interest:
L~d Description ~
' Percent of Bterest Percent of
Overriding. RoYalty
Additional space on reverse, if needed. Do not submit documents or agreements other than this Owned Conveyed Retained .
fern; such documents or agreements shall only be referenced herein. Or Similar interests
Rese[ved Previously
: or
A ' ,: conveyed
b e d e f
r
To.ship 22 No~h,: R~nge 114 West, 6~h P,M. , ' 100% 100% 0% 0:5000% 0%
Section 19: Lots ~-4:, E2, E2W2
Section 29: Lots 7, NESW, S2SW
Section 30 Lots 5-10, SESW, S2SE '
Lincoln Court~, Wyoming
2102.24 acres more 0r less r : ' "
FOR BLM USE ONLY-DO NOT WRITE BELOW TItIS
~E ~ITED STA~S OF ~ERICA
This '~signment is approved solely for administrative pu~oses. Approval does not wa~ant ~at either pa~ to this ~si~ment holds legal or eqoitable title to this lease.
~nssignmeut approved for abo~er~ I~ [ ] Assignment approved for attached land description
Assignment approved effective ~ ..... [ ] Assignment approved for land description indicated on reverse of this form
(Authorized O~c~r) ~Tjtl~) (Date)
Part A (:C0nt nued) ADDITIONAL SPACE for Names and addresses of additional assignees n Item No. I, if needed, or for Land Description in item No. 2 if needed
' "' 20,3
STATE OF COLORADO
COUNTY'OF DENVER
MyThe foregoing instrument was acknowledged before me thiii 20th day of Jt, ly, 200 Commission Expires
PART B: CERTIFICATION AND REQt .=SI FOR APPROVAL
l. The Assignor certifies as owner of an interest in the above-designated loose,that he/she hereby assigns ~ the above assignee(s) the r g ~ts specified above
2. Assignee certifies as follows: (a) Assignee is a citizen of the United States' an association of such citiz ns' a municipality' or a corporation organized under the laws of the United States
or .o.f any S. ta!e 0[ te. rritory thereof For the assignment of NpR-A leases, ~ssignee is a citizen, nationa o'r resident~ alien ;f the United States-or associations of such citizens, nationals,.
r,e~ld, en[ a!trenS o,r pave,to,, public o[ m,.unieipa[ co?orations; (b) Ass gnee is not considered a minor Und r the laws of the State in which the lands covered by this assigmnent are located;
tc) ^ss~gnee's cnargeame interests, {]ireet ana n~ reef, n each public domain and acquired lands sepan ely in the same State, do not exceed 246,080 acres in oil and gas I~ases (of which
up to 200,000 acres may be in oil and gas options), or 300,000 acres in leases in each easing District i AlaSka of which up to 200,000 acres may be in options, if this iS m~ oil and gas
!~,ase ~s?ue.d m acc,o, rdance w.~tl? the M!neral 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 theiassignment are
omerwlse m compdance witl~ the regumtions (43 CFR Group 3100 or 3200) and tho authorizing Acts; (e) ASsignee is in compliance with reclamation requirements for all Federal oi and
gas lease holdings as required by sec. 17{g) of the Mineral leasing Act: and (f) Assignee is not in violation of see. 41 of the ~ineral Leasing Act.
3. As~ignee's signawre to t ~ s ass gn nent coast tttes acceptance of all applicable terms, conditions, stipulations and restr Orions pertaining re the lease described herein.
For geothem~al assigmnents, an overriding royaky may not be less than one-fourth (1/4) of one percent of the value of output, nor greater thm~ 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 t~ ~he best of my knoWledg~ and belief and are made in good faith.
Executed this 20th da, f ,July ~A~ 2001 Executed this ~1~ dayof ~~ 2001
Name :ofAssignor as sC ~lt ,easeAsslgneff: ' / ~' ~~~INE MINERALS, INC. Assignee:Assignee: ~'
~, ,. (Signature)
1645 .curt Place. Suite 422
{Assignor's Address} ~sigllee:
Denver. CO 80202 ~
(City) (State) (~p Code)
Attorney-in-fact
Public reporting burden for this form is estimated to average 30 minutes per respons~ including the lime for reviewing instructions, gathering and maintaining data and
completing and reviewing the form. Direct Comments regarding the burden estimate or any other aspect of tiffs form to U .S. Department of the Interior, Bureau of Land Management,
(Alternate) Bureau Clearance Officer (WO-771), 1849 C Street, N.W., WaShington, D.C. 20240, and the Office of Management and Budget, Paperwork ReduCtion Project (1004-0034),
Washington, D.C. 20503
Title lg U.S.C. See. 1001 makes it a crime for any person knowingly and willfully to make to any Deparlment[or agency of the United States m~y false, fictitious or fraudulent statements
or representations as to any matter within its jurisdiction