Form 20 "Notice of Intent to Change Operator" - Montana

What Is Form 20?

This is a legal form that was released by the Montana Department of Natural Resources and Conservation - a government authority operating within Montana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2009;
  • The latest edition provided by the Montana Department of Natural Resources and Conservation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 20 by clicking the link below or browse more documents and templates provided by the Montana Department of Natural Resources and Conservation.

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Download Form 20 "Notice of Intent to Change Operator" - Montana

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ARM 36.22.307
SUBMIT IN QUADRUPLICATE TO
FORM NO. 20 R 10/09
36.22.1308
MONTANA BOARD OF OIL AND GAS CONSERVATION
2535 ST. JOHNS AVENUE BILLINGS, MONTANA 59102
Notice of Intent to Change Operator
The undersigned Transferor hereby notifies the Board of Oil and Gas Conservation of
its intention to transfer ownership and/or operation of the following wells to the undersigned Transferee:
Lease Name:
Lease type:(Private, State, Federal, Indian)
County:
Field name:
Description of wells: Include API well number, well name and number, and exact location of the well including Township, Range, Section, quarter-
quarter and footage measurements, and lease type . ( Federal, Indian, Private, State) Attach additional sheets as necessary.
Number of Wells to be Transferred:
Effective Date of Transfer:
Transferee's Statement:
Transferor's Statement:
Transferor's Statement:
I hereby accept the designation of operator/owner for the above
I hereby accept the designation of operator/owner for the above
I hereby designate the Transferee named herein as the owner and/or
I hereby designate the Transferee named herein as the owner and/or
described well(s). I understand that this transfer will not be approved
described well(s). I understand that this transfer will not be approved
operator of record of the above described well(s). I acknowledge that
operator of record of the above described well(s). I acknowledge that
until the Transferee has complied with the Board's bonding
until the Transferee has complied with the Board's bonding
the Transferor continues to be responsible for said well(s) and all
the Transferor continues to be responsible for said well(s) and all
requirements. I acknowledge that under Section 82-11-101 MCA, the
associated equipment and facilities until such time as this transfer is
Transferee herein is responsible for the costs of proper plugging and
approved by the Montana Board of Oil and Gas Conservation. I certify
restoration of the surface of the well(s) described above. I certify that
that the information contained herein is true and correct:
the information contained herein is true and correct:
Company
Company
Street Address
Street Address
P.O. Box
P.O. Box
City, State, ZIP
City, State, ZIP
Signed
Signed
Print Name
Print Name
Title
Title
(
)
(
)
Telephone
Telephone
Date
Date
BOARD USE ONLY
Initial
Approved
Field Office Review
Date
Date
Inspection
Records Review
Operations
Name
Title
Oper. No.
Bond No.
Oper No.
Bond No.
ARM 36.22.307
SUBMIT IN QUADRUPLICATE TO
FORM NO. 20 R 10/09
36.22.1308
MONTANA BOARD OF OIL AND GAS CONSERVATION
2535 ST. JOHNS AVENUE BILLINGS, MONTANA 59102
Notice of Intent to Change Operator
The undersigned Transferor hereby notifies the Board of Oil and Gas Conservation of
its intention to transfer ownership and/or operation of the following wells to the undersigned Transferee:
Lease Name:
Lease type:(Private, State, Federal, Indian)
County:
Field name:
Description of wells: Include API well number, well name and number, and exact location of the well including Township, Range, Section, quarter-
quarter and footage measurements, and lease type . ( Federal, Indian, Private, State) Attach additional sheets as necessary.
Number of Wells to be Transferred:
Effective Date of Transfer:
Transferee's Statement:
Transferor's Statement:
Transferor's Statement:
I hereby accept the designation of operator/owner for the above
I hereby accept the designation of operator/owner for the above
I hereby designate the Transferee named herein as the owner and/or
I hereby designate the Transferee named herein as the owner and/or
described well(s). I understand that this transfer will not be approved
described well(s). I understand that this transfer will not be approved
operator of record of the above described well(s). I acknowledge that
operator of record of the above described well(s). I acknowledge that
until the Transferee has complied with the Board's bonding
until the Transferee has complied with the Board's bonding
the Transferor continues to be responsible for said well(s) and all
the Transferor continues to be responsible for said well(s) and all
requirements. I acknowledge that under Section 82-11-101 MCA, the
associated equipment and facilities until such time as this transfer is
Transferee herein is responsible for the costs of proper plugging and
approved by the Montana Board of Oil and Gas Conservation. I certify
restoration of the surface of the well(s) described above. I certify that
that the information contained herein is true and correct:
the information contained herein is true and correct:
Company
Company
Street Address
Street Address
P.O. Box
P.O. Box
City, State, ZIP
City, State, ZIP
Signed
Signed
Print Name
Print Name
Title
Title
(
)
(
)
Telephone
Telephone
Date
Date
BOARD USE ONLY
Initial
Approved
Field Office Review
Date
Date
Inspection
Records Review
Operations
Name
Title
Oper. No.
Bond No.
Oper No.
Bond No.
Instructions for Form 20
This form is used to change the Operator of Record for wells. Complete the front portion of this form as indicated.
This form is used to change the Operator of Record for wells. Complete the front portion of this form as indicated.
To transfer a number of wells please type: "See attached list" in the Description of Wells area and include the list of wells
To transfer a number of wells please type: "See attached list" in the Description of Wells area and include the list of wells
as an attachment.
as an attachment.
The list of wells should be separated by lease and sorted by Township, Range, and Section. Wells should be identified as
The list of wells should be separated by lease and sorted by Township, Range, and Section. Wells should be identified as
Federal, Indian, Private, or State under lease type. Injection/SWD wells should be identified as such. Plugged and
Federal, Indian, Private, or State under lease type. Injection/SWD wells should be identified as such. Plugged and
Abandoned wells should not be included for transfer. The list should be in the following format:
Abandoned wells should not be included for transfer. The list should be in the following format:
API Number
API Number
Lease Name
Lease Name
Well Number
Well Number
Twp. Rge. Sec.
Twp. Rge. Sec.
Qtr Qtr
Qtr Qtr
Footage
Footage
Lease Type
Lease Type
The form must be signed by both the current owner/operator (transferor) and the proposed new owner/operator
The form must be signed by both the current owner/operator (transferor) and the proposed new owner/operator
(transferee). The current operator of record will continue to be responsible for any wells and associated equipment or
(transferee). The current operator of record will continue to be responsible for any wells and associated equipment or
facilities until the transfer is approved by an authorized agent of the Montana Board of Oil and Gas Conservation.
facilities until the transfer is approved by an authorized agent of the Montana Board of Oil and Gas Conservation.
For large change of operator submissions, if possible, please include a diskette containing the data list.
For large change of operator submissions, if possible, please include a diskette containing the data list.
The Montana Board of Oil and Gas Conservation may withhold approval of the transfer until the well(s) made the subject of
The Montana Board of Oil and Gas Conservation may withhold approval of the transfer until the well(s) made the subject of
this form is (are) in substantial compliance with all applicable Board rules. All production reports, notices, forms, logs,
this form is (are) in substantial compliance with all applicable Board rules. All production reports, notices, forms, logs,
samples, or other information required by Board law, rule, or order must be on file with the Board. The transferee must be
samples, or other information required by Board law, rule, or order must be on file with the Board. The transferee must be
in compliance with the Board's bonding requirements, as provided in Rules 36.22.1308 and 1408 ARM, before the transfer
in compliance with the Board's bonding requirements, as provided in Rules 36.22.1308 and 1408 ARM, before the transfer
can be approved. A copy of the approved or disapproved Form 20 will be returned to each party.
can be approved. A copy of the approved or disapproved Form 20 will be returned to each party.
Parties transferring wells are advised that the identity of responsible persons as defined by Section 82-11-101, MCA, will
Parties transferring wells are advised that the identity of responsible persons as defined by Section 82-11-101, MCA, will
be determined by the Board's records.
be determined by the Board's records.
If this form relates to a proposed change in the operator of record for a State of Montana oil and gas lease issued by the
If this form relates to a proposed change in the operator of record for a State of Montana oil and gas lease issued by the
Montana Board of Land Commissioners, the parties should send a separate copy of this form to the Montana Department
Montana Board of Land Commissioners, the parties should send a separate copy of this form to the Montana Department
of Natural Resources and Conservation, Trust Lands Management Division, Minerals Management Bureau, 1625
of Natural Resources and Conservation, Trust Lands Management Division, Minerals Management Bureau, 1625
Eleventh Avenue, P.O. Box 201601, Helena Montana 59620-1601.
Eleventh Avenue, P.O. Box 201601, Helena Montana 59620-1601.
The proposed new operator should have a current copy of the rules and laws of the Montana Board of Oil and Gas
The proposed new operator should have a current copy of the rules and laws of the Montana Board of Oil and Gas
Conservation. Copies of the rules and laws may be obtained from any Board office, or are available on the Internet at
http://www.bogc.dnrc.mt.gov.
NOTICE: False or inaccurate information can void the transfer of a well or wells to another operator's bond. Be
sure to verify the accuracy of all well descriptions and other information supplied with this form.
BOARD USE ONLY
CONDITIONS OF APPROVAL
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