lnstructions Form 1073OKLAHOMA CORPORATION COMMISSIONOil & Gas Conservation Division
Post Office Box 52000
Oklahoma City, OK 73152-2000
A. Please type or print using black or blue ink.
B. Form must be signed by former operator and new operator.C. Signatories must be listed on their companys Form 1006B.
D. Fill in the complete legal description below.
E. Direct questions to Well Records (405) 521-2271.
Transfer of OperatorSingle Oil or Gas Well
OAC 165:10-1-15
API No149-21066 OTC Prod
Unit No.
rr
a
ss
Surface Sec.Location
16Twp Rge.
9N 17W
Ft FSL ofQtr Sec Current WellName/NumberOriginal WellName/Number
660' FNL Ft FWL ofQtr Sec
149-112283
NEW/2 -SS NE
1/4 1/4 1/4 1/4
990' County WASHITA
MARY ANN 1-16
Unit Name(if applicable) Well Class: El OIL GAS DRY
Specify a well status: (see back page)ND SP Ei AC El TA TM
MARY ANN 1-16
This form must be filed with the
OCCof the well.
FEE: $25.00OAC 165:5-3-1(b)(1)(N)
Rev. 2016
(SEE BACK PAGE FOR PAYMENT INFORMATION)
DO NOT WRITE INSIDE THIS BOX
OKLA CORP COMMRECEIPT 1709700010
Date: 05/10/2017 TiAe: 11:01Case: 000000000 Cashier: R57
Payor: SUFFC0 PRODUCTION INCCheck: 77886 $25-00
58 WELL TRANSFER-OPER
Use this form to transfer single oil or gas wells only. Use Form 1073MW to transfer 10 or more wells.
Producingformation(s)
MISSOURIAN
The effective date of transfer of this well, for the purposes of Commission records,
tt)" ,_ @eA ,, is the date that the transfer is approved by the Commission.OCC/OTCI No.
CURRENT OP RATOR 23541 NEW OPERATORName
MADURO OIL & GAS, LLC
Address3102 MAPLE AVENUE, SUITE 400
City DALLAS State TX Zip75201
Phone(214) 953-9399No.
FAX No./[email protected]
I verify that I am the legal operator of record with authority to transfer
operatorship of this well, that the facts presented herein are true and correct,and that I have completed this form as required by the above instructions.
(Signatory must be listed on company's 1006B Operators Agreement)
SignatureMarquita McCray, Manager
tojailititifia,,,,,
%%%%%%% VI At)? Oved or Printed)
oel'i.a4i:',:i:41;:s4 _ ,._ _ q __ before me:; thiaomppesday'ef A•ril 201
.....tie..
.,.6_.-=
:•i
.• EXP. 6/16/20 : i.. . 1111 /ii ,./., ....,.. _1):• t-itj pi 1 \ 0 • , Ci‘ i7 Notary Pu.' ,kr,;,;(01.ifpfillA 0.7eP i re s : 14-14,40
IOCCIOTC No. I23727
Name BUFFCO PRODUCTION J. a L--.
Address PO BOX 2243
City LONGVIEWState Tx Zip
75606
Phone 9034884199No.
FAX No./E-mail903-988-8609
Being the new operator, as of the effective date of transfer,
I accept the facts presented as being true and correct and
operational responsibility for the well on the described property.
(Signatory m . be l'sted on company's rm 1006B
accept the
Operator's Agreement)...."
o'r—---''
S • naturerank Bufkin, President
Name & Title (Typed or Printed)
"r,
me
thiAVUtckirNotary Public State of Tema
off/ft,/
COMM. EXP, 02-16-2020 ./.r.
Air
rtil0, 1574804 Notary Public
Z - -Z OZ.0y commission expires:
► venty pain that l have exercised due diligence in attempting to locate the current operator of record according to OCC records,who has 3bandoned the listed well/lease and cannot be located to obtain signature. I have aftached a certified copy of the recorded leaseor assignment, or certified copies of a journal entry of judgment or bankruptcy proceeding pursuant to OAC 165:10-1-15(b).
Signed and sworn to before me this
My commission expires:
day of
Signature
FOR OCC USE ONLY
Surety Approved Date
WellRecordsReview:
MAY 1 Z Z017
1., RECORT)S'i)10‘,/ '
MAY 1 2 2017
WELL RECORDSITPa0VED
Notary Public
By processing this Form 1073, the Oklahoma CorporationCommission has approved the contents thereof as to form only. TheOklahoma Corporation Commission does not warrant that the facts
provided by the operator are true.
Transfer is not effective until approvedby the Well Records Department.
Janie Hlinicky
From: Janie HlinickySent: Friday, May 12, 2017 1:54 PMTo: '[email protected]'; '[email protected]'Subject: Well Transfers
To Whom It May Concern,
We have approved the transfer of the 11 wells listed below from Maduro Oil & Gas LLC (23541) to Buffco Production Inc
(23727).
039-20676 LARUE 1-17 17-12N-18W
039-21092 WILLIAMS 2-31 31-13N-16W
039-21428 OSCAR COLLINS 7-2 7-13N-16W
039-21480 MILLER 8-A 8-13N-16W
149-20883 HSR CAIN 1-26 26-18N-18W
149-21040 BEECH 1-15 15-9N-17W
149-21066 MARY ANN 1-16 16-9N-17W
149-21097 BONHAM 1-29 29-9N-17W
149-21119 BOOTHE FARMS 1-2 2-9N-18W
149-21138 PHILIS MASON 1-18 18-9N-17W
149-21262 ED HINES 1-12 12-9N-18W
Images of the approved forms will be available online in the next few days.
Sincerely,
Janie HlinickyOklahoma Corporation CommissionWell Records SectionPhone: 405.521.2271Fax: 405.522.0854
Oklahoma Corporation Commission
There are new forms for transfers. 1073 for single well, 1073MW for 10+ wells, 10731 for single injection well, 1073IMW for10+ injection wells. Fees for transfers went into effect August 25, 2016. The amounts of the fees are on the forms.
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