26'0500272 000026 JAjjpam

VIRGINIA:

BEFORE THE VIRGINIA GAS AND OIL BOARD

SUPPLEMENTAL ORDER REGARDING DOCKET NO. VGOB 03/12/16-1246

ELECTIONS, UNIT: V-504610

(IMseinafier "Subject Drilling Unit" )

REPORT OF BOARD

FINDINGS AND ORDER

1. This Supplemental Order is entered by the Board sua soonte in the form authorized bythe Board at its hearing held at 9:00am. on October 20, 1992, Board of SupervisorsRoom, Courthouse, Gnmdy, Virginia, and pursuant to authority granted to the Board'sChairman at the bearing of tbe Virginia Gas and Oil Board on Junc 16, 1992, at 9:00am. at the Rhododendron Restatuant at the Breaks~Park, Breaks, Virginia;and this Supplemental Order is being recorded for the purpose of (1)complying withthe mquuement of the Virginia Gas and Oil Board Regulations, 4 VAC 25-160.70C bysupplementixtg the Order pteviously issued by the Board for subject Docket on May19,2gg4, and recorded Instrument 820g4g2571 at the Office of the Clerk of CircuitCourt, Wise County, Virginia on Juse 2, 2gg4, (herein "Board ChdeP) to completethe record regarding elections. The Board Order pooled all interest in Subject DrillingUnit mcluding those of tbe Respondents more particularly set forth and identified bythe Designated Operator in the affidavits attache hereto and made a part hereof. TbeBeard finds it has jurisdiction over the subject matter pursuant to the pmvisions of theVirginia Gas and Oil Act, g 45.1-361.1e~t., Virginia Code, 1950 as amended.

2. Findhuts: The Board finds that:

(a) The Board Order directed Equitable Production Company, (herein theDesignated Operator" ), to mail copies of the Board Order to all resitondentswhose interest, if any, were pooled by said Board Order;

(b) The designated operator Sled its affidavit ofmailing dated June 11,2gg4,disclosing that it bad mailed a correct copy of the Board's Order to allRespondents whose interest, if any, were pooled by said Board Order;

(c) The Board Order requimd each Resltondent whose ~if any, were pooledby the terms of said Board Order to make his or her election within thuty (30)days after the date of mailing or recording, as applicable, of said Order, theDesignated Operator bas Sled its afildavit dated November 3,2404, inaccordance with tj 7.C of the Virginia Gas and Oil Board Regulations and 4VAC 25-160.70C (herein "Affidavit ofElection" ), wherein it bas, for eachRespondent whose interest, if any, were pooled by said Board Order, stated: (i)

000027 JAH205

whether each Respondent bas made or failed to make a timely election; (ii) thenature of the election made, if any; (iii) whether, by reason of a failure to elector to timely elect one or more Resporxlerns are deemed, under thc terms of theBoard's Order, to have leased all their rights, title, interest, estates and claims inSubject Drilling Unit to the Designated Operator;

(d) The Board Order further required the Designated Operator, after expiration ofthe election period, to file with the Board a statement of the interests subject toescrow under the terms and provisions of tbe Board Order, in light of theelections made or deemed to have been made (herein "Statement of nterests");that tbe Designated Operator furnished said Statemcet of Interests as part of itsAfildavit ofElection. A copy ofwhich is attache hereto as Exhibit B;

(e) Current Board sandards requiAg tbe escrow of funds and the Board'sagreement with its Escrow Agent, Wachovia Bank, Corporate Trust, PA 1328,123 South Bmad Street, Philadelphia, PA 19109-1199,(8$8) 3964853, Attn:Rachel Rafferty, or any successor named by tbe Board, require the entry ofaSupplemental Order establishing of record the elections made or deemed tohave been made and specifying the sums or percentage thereof subject toescrow. Current Board escrow standards were made applicable to SubjectDrilling Unit by a Board Order dated December 23, 1992.

3. 9+K By this Order, the Board orders the Designated Operator to tender, consistentwith and in accordance with the findings set forth at paragraph 2 above and theannexed Afiubtvits, any funds subject to escrow and~tbe Escrow Agent,Wacbovia Bank, Corporate Trust, PA 132$, 123 South Broad Street, Philadelphia, PA19109-1199,($$8) 3964853, Attn: Rachel Rafferty, or any successor named by theBoard to establish interest-bearing escrow account(s), IRS Tax Identification Number54-1629506, in accordance with the information set forth in said afiidavits to receivesuch funds and account to the Board therefore.

4. Mailbur of Order and FiTina of Affidavit: The Designated Operator under thecsptioned Order or its Attorney shall file an affidavit with the~of tbe Boardwithin ten (10)days after the date of receipt of this Order stating that a true andcenect copy of this Order was mailed to each person whose hrternn or claim issubject to escrow and whose address is known.

5. Conclusion: Therefore, the findings and all terms and provisions set forth above beand hereby are granted and IT IS SO ORDERED.

6. Efibctive Date: This Order shall be effective on the date of its execution.

000028 ~eros

DDNB AND BXBCtytBD tNo IS doy oy ~,2~by j tyof the Virginia Gas and Oil Board. o

A~ JChairman, ~Wsmp

DONE AND PERFORMED THIS /f~ day of )~as~~, 2004 by Orderof this Board.

StsIL WilsonPrincipal Executive to the StaffVirginia Gas and Oil Board

STATE OF VIRGINIA )COUNTY OF /a ~Acknowledged on this / day of ~~y, 2004, ly before me a notarypublic in and for the Commonwealth Virginia, ~Benny R. Wampler, being dulysworn did depose and say that he is 'f the Virginia Gas and Oil Board, that heexecuted the same and was authorized to do so.

D.Notary Public /

My commission expues:/

STATE OF VIRG, )COUNTY OF /a Ac/Ph2P~

Acknowledged on this~ day of 'L ~ys~,20$l~nally before me anotary public in and for the Co th ofVirginia, appeared B.R. Wilson, being dulysworn did depose and say that he is 'pal Executive to the Staff Virginia Gas and OilBoard, that he executed the same snd was autltorized to do so.

pDiane J. DavitNotary Public

e)~/ J~eMy commission expires

v~oo 000029 JANP0$SUPPLEMEICTAL EXNBIT "8"

VGOB IW1$16 - 124'

Roy E. SmbrdQMand Jerdoa oabmlQht WWPO Eox 1254Caebwn, VA 24230

LEASESTATUS

LeasedEPC905119.00

INTERESTWITISN

@HE

37.18000000%

(9ROSS NETACREASE REVENUE

~I INTEREST

41.9100 0.04847500 Rl

2 Dobomh M. Sdomos5055 Tbrbbm LmmIhalm, VA 22018

8amuM R SdomosPO Bex 1N42Surlm, VA 2NOQ

Tlaas 2 TaWa

37.1N00000%

3. 3000000%

3. 3000000%

41.9100

3.7550

3.7550

7.d100

0.32532500 Wl

0.371NON

0.00418250 Rl

0.00418250 Rl

0.05827500 Wl

0.08N0000

3 RoQar Wayne MoodsPO Sm 86Coebum, VA 2423M085

eaaeaEPC904918.00

0.00918750 Rl

O.N431250 Wl

0.07350000

4 OeorQls Romnabs 8mbhPO Ihm NdCoebum, VA 2423M598

GeorObr Rabmebe 8mbhPO Emr 5NCoebum, VA 2423MSN

LhdaasedLO'e Exists

(1.58625000%) (1.7800)

O.ON24219 Rl

Rl

Ann PaynePO SmdNCaebum, VA 2423M858

Dsvkl Robbrade43N VEaQe DriveFeemx, VA 22030

Tmet 4 TaWs

0.77812500%

0.77812500%

4.1N00000%

0.8800 0.00097288 Rl

0.8800 0.00097288 Rl

0.03N1249 Wl

0.04150000

5 RoQar Wayne MoodsPO Sm 85Coebum, VA 24239(W

Tmsa 8TaWs

Leased-EPC 2.24000000% 0.00280000 Rl

0.019NOOO Wl

0.02240000

Page 1 old

EXHIBIT "B" 000030 JANUSV@04010

SUPPLEMENTAL EINIBIT "B"VGOB Ombre - Saoe

LEASESTATUS

(3ROSS NETACREAOE REVENUE

INTEREST

6 Danny HammPO Bax 1865Coebum. VA 24230-185S

4.9100

4.9100

0.00545000 Rl

0.03815000 Wl

0.04380000

7 DemSI HammPO Box f655Coebum, VA 2490-1855

Tmel 7 TeWe

2.29000000% 0.00288250 Rl

0.020L3750 Wl

0.02290000

8 Ganja Robbmae OmahPO Bsx 586Coabwn. VA 2423MSOO

(1S.970000%) (18.0000) Rl

Ann Pu)xmPO Ben 356Coebum. VA 2423M358

David Roldnmie4369 VBeSs DriveFeblex, VA 22030

9.0000 000998125 Rl

9.0000 0.00998125 Rl

Taasl 8 TaWs 18.0000

0.13973750 Wl

0.15970000

9 Gowns RabbmBe SmShPO BSx 598Coebum, VA 2423MSM

Nenuu Ibdh ISnuher HanodPO Box 1(44Caabum. VA 34230-1144

(1.010000%)

1.01000000%

(1.1400)

1.1400

Rl

0.00128250 Rl

Tmee ~ ToWe 1.01000000% 1.1400

0.00883750 Wl

0.01010000

PaOe 2 of 6

EXNBIT "B"V404$10

su w.amsere.euesrr0"003 ~ J48205VOOS 0%121%- 1246

LEASESTATUS

INTERESTWITISN

QKE

GROSS NETACREASE REVENUE

INTEREST

10 OeorQls Robkm$ e SmbhPO Bex 59$Caebwn. VA 242300598

2.8300 0.00291250 Rl

0.02038750 Wl

0.02331000

Calrlna OsbornePO Bex 1952Coebwn, VA 24230-1952

0.2933 0.00032600 Rl

Jswse Osborne1133pkrewy Awmue SEIdwlon VA 24273

Pausns PhNpsPO Bex 1187Pouwi, VA 2427IL1187

0. 8000000% 0.2933 0.00032500 Rl

0.2934 0.00032500 Rl

Tmct 11 Tetah 0.78000000%

0.00682500 Wl

O.MOO '.00780000

12 Casern OsbornePO Bdx 1952Cosbum, VA 24230-1952

Jwwm Oeborrw1133Flwlwy Avenue SENorkm VA 24273

Ursa seed 0.00888700%

0.0087

0.0067

0.00000833 Rl

0.00000833 Rl

Pausnlr PhNpsPO Bax 1187Pouwk VA 24279-1187

0.0088 0.00000833 Rl

Treat 12TrdNs 0.0200

0.00017501 Wl

0.00020000

13 Ednln Idaed PhNps1918~RoadRahmend, VA 23233

Jsnle Lee PhNps VkarsPO Bak 218St. Ptwl, VA 242$3621$

Carter PIWpe385$ Heres Park Drive

ilQsPort, Ttd 37883-2082

Dwdd C. PhNpsPO Bak 1023SL Pwd, VA 24283-1 023

Equkmde roduc5on Company

Leased-EPC905120.03

Leased-EPC905120.01

Psgs3of5

0.14000000%

0.04886700%

0. 4888800%

0.2188m000%

0.1550

0.0517

0.0517

0.0518

0.3100

0.00017500 Rl

0.00005833 Rl

0.00005833 Rl

0.00005833 Rl

0.00245001 Wl

0.00280000

EXHIBIT "B"Q Q Q Q 3 P JAtI PP 6V@04010

SUPPLEMENTAL EXNNT wB"

VOOB ON12I1B - 1540

LEASESTATUS

INTERESTWITNN

IIEET

9ROSS NETACREAGE REVENUE

NITEREST

14 Edwhr Maoel PhMps1910~RoadRrohmond, VA 23233

Jarde Lee PhMpr VkwmPo eox 2108L Paul, VA 242834218

Ceder PhMps3858 Hemrook Pak DriveOn0sporL M 37N34002

0.178N700%

0.17N8700%

0.5950 0.00088250 Rl

0.1983 0.00022083 Rl

0.1983 . 0.00022083 Rl

Dada C. PhMpsPO Eox 102380 Pmd, VA 242N-1023

Trual 'l4 laMls

easadEPC905120.01

0.1788%00% 0.1984

1.1NO

0.00022083 Rl

0.00927501 Wl

0.01080000

15 Edrdu Maoel Phdrrps1918~RoadRrohmoal, VA 23233

0.00100000 Rl

JaNe Lee PhMps VlausPO Eou 21801.PaM, VA 212034218

0.28N0700%

0.3000 O.OON3333 Rl

0.3000 O.OON$ 333 Rl

Dsvtd C. PhMpsPO Oou 1023SL Paul, VA 24203-1023

Trerd 00 TosMs

LeaesaEPC905120.01

0. 8888800% 0.3000 0.00033334 Rl

0.01400000 Wl

1.8000 0.01000000

18 Was MorOrdsy Laser, Ol

PO Oak 3Wrac, VA 242934N3

TraM N TaIMe

0.34N O.OON7500 Rl

0.00202500 Wl

O.ON00000

PeOe4 of 5

XH4e "B" 000033JARGOONVAN$ 10

81jIOPLRMKIfI'AL EXNBIT "B"VGOB 03I12PI0 - 1246

OROEE NETACREAEE REVENUE

INTEREST

17 ydhern HrHonhry Lesmr, lll

PO Sas 3Vdse, VA 242934)ON

1.81000000% 1.8100 0.00201250 Rl

Treat 17 Tehta

10

Tmat 10Tetds

19 Peal S.OmwN26 VSS0o Lane 145Roamsm. VA 34019

C d VO0WaD40sdmsrd dT~PO Sex 1788SHAN, VA 342N

1.01000000%

B. 0000000%

8.20NNN%

0. 2200000%

1.$100

0.014N750 Wl

0.01010000

0.00775000 Rl

0.0642NOO Wl

0.00200000

0.0011S250 Rl

Psutne SL Bnshun7213 Cdsnm SheolSnhr0$ std, VA 22150

Paul SL 0tamnom222~IOOhwsyUnkrntte, VA 22587

Romda ttuhnsSNS San0m Sheol'..DC 20020

0.922000N%

0.40100000%

Csrrtsdhrtsreet 0.40100000%

1.0380 0.00800750 Wl

1.03SO 0.00115250 Rl

O.S100 0.00057025 Rl

0.6190 (.0040337S) Wl

RoNa $tstsrd Ihnudo3737 Cmmmdo AvmmeFL Cohns, CO 00520

Vhtto $tsOsrd Roose3737 Csnmsdo AvenueF. Cohrw, CO NSN

Fath Brothel tts$ s17735Late Carlon Dr. IAOL 8)Lulz, FL 33508

9M007.010.3480 O.OON041 7 Rl

0.3480 0.00030417 Rl

0.34N O.OON0418 Rl

Tenet 10Totals 4.610N000%

IN~S.10N

f12.NN

0.0020N75 wr

0.04510000

1HH)NNN

laoeaors

000034 JAN206

BEFOXE THE VIXGINL4 GAS AND OII. BOARD

IN RE: Application of Equitable Pmduction Company, for Forced Pooling of~ in UnitNumber V-504610 VGOB Docket No. VGOB-03/12/16-1246 in the Lipps Magisterial District ofWise County, Virginia.

AFFIDAVIT OF WILHOIT tk KAISER, Attorneys-at-Law, Agents for tbe Designated OperatorREGARDING ELECTIONS, ESCROW ACCOUNTS AND SUPPLEMENTAL ORDER

James E. Kaiser (herein Affiant), being first duly sworn on oath, deposes and says:

1. That the Affiant is an attorney in the law firm of WILHOIT tk KAISER, the Agent forthe Designated Operator, with offices located at 220 Broad Street, Kingsport,Tennessee 37660, and is authorized to give this Affidavit in its behalf;

2. That the Order entered on May 19,2594, by the Virginia Gas and Oil Board egardingthe captioned Conventinal Unit required the Applicant to mail a true and correct copyof said Order to each person pooled by said Order;

3. That within seven (7) days of the receipt of an executed copy of the Order referred toat Paragraph 2. above, the Afflant was directed to cause a true and correct copy ofsaid Order to be mailed via the United States Postal Service to each Respondentnamed in the captioned Application, whose address was known, and to all persons, ifany, who are added as Respondents at tbe hearing beld in the captioned matter,

4. That the Order of the Virginia Gas and Oil Board in the captioned matter requimlall persons pooled thereby to tender their written elections to the Unit Operator within

thirty (30) days of tbe date said Order was recorded in the county above named; thatsaid Order was recorded on June 2, 2INN.

That the Designated Operator, by and through their agent, Wilhoit Jt Kaiser,Atto~-Law, have established procedures to review all mail received and allwritten documents received by means other than by mail to ascertam whether partieswhose interest have been pooled have made a written election, in a timely fashion, asrequued by the captioned Order; that said procedures were followed to identify theelections, if any, made with regard to Subject Unit; that the following personsdelivenxL by mail or otherwise, written elections to the Unit Operator, within thethirty day election pniods:

Georgia Robineaa SmithPO Box 598Coebum, VA 24230-0598

Cash Considera5on: 2.92 X 55.00 = 514.50

000035 JANzoI

10 Georgia Robinette Smith Cash Considerabon: 2.83 X $5.00 = $13.15PO Box 598Coebum, VA 242304598

Ann PaynePO Box 356Coebum, VA 24230-0358

Ann PaynePO Box 356Coebum, VA 24230-0358

Cash Considaailo: .88X $5.00 = $4.40

Cash Conslderaaon: 9.00X $5.00 = $45.00

Nancy Ruth Hincher Harrod Cash Considerabon: 1.14X $5.00 = $5.70PO Box 1144Coebum, VA 24230-1144

13

14

15

19

Edwin Macel PhiBps1918Stonequarter RoadRichmond, VA 23233

Edwin Macel Phaaps1918Btanequarter RoadRichmond, VA 23233

Edwin Macel PhiNips1918Stonequarter RoadRichmond, VA 23233

Virginia MuNins Everett78 Nsty River taneHayesville, NC 28904

Pau4ne B. Einstein7213 Ctdamo StreetSpring8ekl, VA 22150

Cash Conbideraaon: .155X $5.00 = $0.78

Cash Conldteradon: .595X $5.00 = $2.98

Caah Consldeafxw: .9X $5.00 = $4.50

Gamed Interest

6. That the interest and/or claims of the following persons (who made timely elections, orwho are deemed under the terms of the Board's Order to have leased, or who,subsequent to the pooling hearing held in the captioned matter, have leased orotherwise entered into an agreement with the Designated Operator) are subject toescmw under the Board's Order pooling the captioned Unit, as unlmown

or/unlocatable.

000036 JAH208

7. That after the pooling hearing held in the captioned matter, the following persons haveleased or entered into a voluntary agreement with the Designated Operator with

regard to their interest and/or claims.

13,14,15 Janie Lee Phillips Vrcars 905120.03PO Box 218St. Paul, VA 242834218

13,14,15 Carter Phillips3658 Hemlock Park DriveKingsport, TN 37883-2062

905120.02

g. That the following persons have not made a timely election and have failed to enterinto an agreement with the Designated Operator and their respective interests shall bedeemed to have leased pursuant to and in accordance with ~h 10 of the Order.

Deborah M. Nickles5055 Tibbitls LaneBurke, VA 22015

Samuel R. NicklesPO Box 10642Burke, VA 22009

David Robineae4389 Village DriveFairfax, VA 22030

Danny HammPO Box 1855Coebum, VA 24230-1855

Danny HammPO Box 1855Coebum, VA 24230-1855

David Robinetle4369 VNage DriveFairfax, VA 22030

Catrina OsbornePO Box 1952Coebum, VA 24230-1952

Cash Ceasideratlen

3.75500 X $5.00 = $18.78

3.75500 X $5.00 = $18.78

0.88000 X $5.00 = $4.40

4.91000X $5.00 = $24.55

2.58000 X $5.00 = $12.90

9.00000X $5.00 = $45.00

0.29330X $5.00 = $1.47

James Osborne1133Flanary Avenue SENorton VA 24273

Pauline PhillipsPO Box 1167Pound, VA 24279-1167

Catrina OsbornePO Box 1952Coebum, VA 24230-1952

James Osborne1133Flanary Avenue SENorton VA 24273

Pauline PhillipsPO Box 1167Pound, VA 24279-1167

WNiam McKinlsy Laster, III

PO Box 3Wise, VA 24293-0003

William McKinley Leslar, III

PO Box 3Wise, VA 24293-0003

CommonweaNh of VirginiaDepartment of Transporta8onPO Box 1788Bristol, VA 24203

Pearl B. Chew8025 Village Lane NERoanoke, VA 24019

Paul M. Sizemore222 Consbtugon HighwayUnionvtge, VA 22587

Romola MuNns3863 Banger SheetWashington, DC 20020

0.29330X $5.00 = $1.47

0.29340X $5.00 = $1.47

0.00670X $5.00 = $0.03

0.00870X$5.00 = $0.03

0.00660X$5.00 = $0.03

0.34000X $5.00 = $1.70

1.81000X $5.00 = $9.05

6.99000X $5.00 = $34.95

1.03800X $5.00 = $5.19

1.03800X $5.00 = $5.19

0.51900X $5.00 = $2.60

OOOO38 JeSI

That pursuant to the provision of 4VAC 25-160.70C annexed hereto and incorporated hereinis a proposed supplemental order to be entered to complete the record reganhng elections; thatsaid annexed supplemental order sets forth that the services of the Escrow Agent are notrequired in this matter pursuant to thc terms of8 45.1-361.21.D.

Dated at Kingsport, Tetmessee, this () day of 2004.

Taken, subscribed and sworn to before me by James E. Kaiser, the Agent of Equitable'on Company, a corporation, on behalf of the corporation, this 8 rCL day of

punned 2004.

My commission expires: I - 1h -Kn

C u~)l<

isaac

~Notary

'NSTRUNENT«200500272

RECORDED IN THE CLERK'S OFFICE OFRISE COUNTY ON

JANUARY 20t 2005 AT 10'34ANJ. JACK KENNEDYt JR. ~ CLERK

RECORDED BY: TLS

~~Cmarel Nunchsr 000023 JNgem

Cs ~.~af VigiiniaLs)(SE['~~ Ittslygilltsttfts

ceo ~ aeeC - roe A INSTRU[e[T 0200500272RECOROEO IN THE CLERK'S OFFICE OF

MISE C[NNTY ON

JANUARY 20I 2005 AT 10[3/IA[[J. JACK KENNEOYI JR,I CLERK

C0EP

TAX

EXENPLJL

QO

Oats ef Irmtlument:

)~~el

Type'ast

Name

[Virginia Gas and Oil

Consideration [0.00

last Name

QO [~Ioap

[01/19/05 ]fORDER ]

RECOROED 8Y: TLS

sumx

l[][ ]

Nahaegmnsorhaad I acdgx

]f ]]f 1

Company ]]]

] [VA] [24219 ]] Assumpuon Selense [0.00 ]

f 1][ 13]

[Nse CountyPlmt and Second tcantore

yacc Nmm tadcas Nmns or SEEN

Bo ][ l[

] [Roy ][E] [Dsboarh ] [M

(Nares) [Eqpc(table Productio(Addrecm 1) [ averteaf Scycare(Addmss 3) [(cay, etscs, Dp) [Ng Stone Gap

] Scdstlng Debt [0.00

Prter Instr. eeorded at: City IXj County [W(seScndc [ ] Page [ ]Parsed Menggesgon Ne (PIN) [V-504610Taa Alp Num. (E dgtsrent scen PEI) [Short ~ r Ssssrlpdcm [Supphmenht Order

[Conan'roperty Addi (/ueh 1) f

(Address 3) [(Cay, aisle, Ehc) [

] Psceenl In this ducts. [ 100]Ines. No [200402571 ]

l

]l

ll

ll

Inetrument Pmpmed Sy~Md for SyRshlnl ~~+To (Norns)

(A&less 1)(Address 3)(Cay, erato, Zlp)

[Virginia Gss and Oil Board[Department of Mines, Minerals 5 Energy[Dhcne Davis[Dhchchn of Gas and Oil

[P. O. Box 1416[Abingdon[0312161246 ] [

]1

]1

]] [VA] [24212 ]][ ]

Ccwer Sheet Page d 1 of 3

struesnt consol Number O00024 JI(llPOI

itdtfth Of Vlrglnia4eytgt~ IttytyttttteyttyCo(N~ott Cynnyy Sheetl-ttygtt I[tly utJt Cowr ghost Agent 1.a43)

T 0 0 CA tt tt 0X A A tt

it N

g T TX D yy n gIIPL

(tats sf nstrunumb [01/19/05 )tnstnnnent Type: [ORDER ]

ttumber of Paresis [ 1]Number of Payee [ 13]

City g County'Wise Countyrasters/Srsntees/Parcel

Last ttarna

)(Box for Deed Saanp Only)

Conynusgen Penn 8tgddte Wana or tnntst

CI

0CI0CI

0CI

000CI

0

0

00

0

[Nic(des ] f8amuel[Mande ] [Roger[Smith ] [Georgia[Payne ) [Ann[Rob(halts ] [David[Hamm ] [Danny[Hancd ] fNsncy

[Osborne

] [Cstrlns[Osbems ] fJames[PhNips ) [Pauline[Phgyps ] [Edwin[Vie@to ] [Jsnie[PhlNps ] [Carter[~ ] [David[Leattv ) [W(((htm[Vbttbda Department of ] [

Prier instr. Rsserdsd at: City CountySeek [ ] Paysparse( tdenttyosklon No (p(N) [Tan tttap ttum. (If dNarerrt than pat) [She/t Pngrsrty Donar(pion [

[Current Property Address (Address tl [

(Address 2) [(Cny, Stats, ttpf f

[[ )

) [R][Wayne] fRobinstte

)[)[][] [Ruth Hinchsr

][)[][] [Mscel] [Les Phillips

)[]fC] [McKinley

)[

)f][)[][)[)[lf][][)[]f][)[)[] [ill

)[

]f ]f

] PereenL In this Jur(s.Instr. No [

[ ]])

)]))]l

Cover Sheet Page g 2 of 3

ineuumeke Cenkml akmsmr000025 ~Att>OI

Lantt~ [taetytttyteftts

C~(f8thsft Cokrer SheetFoft)ft B[L 15ft cmmr Sheet A(tent I.oio]

T 8A ItX

N

S TK 0S RIN

PT

0 cR 8ARTSa

Dslaoflnstyunmnt: [01/19/05 ]lnslrksaent Type: [oRDER ]

abknktmr ef Persele [ 1]fbmkber of Passe [ 13]

Oty County x [Wise County~Qrsatses/Panel

tack alamo FINk Nome

(Box for Oeed akemp Only)

Contlnuagon Form 8atktkae alamo o ksaei

0

0

0

000

00

00

0

IxlIxlIxlIxl

txlIxl

00

0000

[Chew ] [Pearl(E(nate(n ] [Pauline[~ ] [Paul

] [Rome(a[Evanktt ] [Virginia[Hsnisg ] [Robins[~ ] [V(ck(e[Met(s ) [Faith

[ )[[ )[[ ]([ ][[ ][[ lf[ ][[ ](Pater Instr. Ieoorded at: City County [Seek [ ] Pago [ ]pant(s alonsscaSen fto (Pst) [Tast8tpskkm. gf Nafemnkamnpst) [Sbknt Prefmrly KHsoktaakm (

(Current Property Akktress (Aedmee 1) [

(Asdmee 2) f(City, akme, ZIP) [

1 [8][8) [M

][] [Mullins

] [Stallard

] [Sin(lard

] (Stallsrd

][1(][](]f]flfl[

][][)(][]f][][][][)f][][][]f]f][

) Penmnt. In Sss @iris.Instr. Ito [

][ ][

[ ]]]])]]1

l

Carver Sleet Page S 3 of 3