EFTA00310887.pdf

DARREN K.INDYKE DARRREN K.INDYKE,PLLC 301East 66th Street, 10B New York, New York 10065 Telephone: Direct: Facsimile: email: December 19, 2011 VIA FEDERAL EXPRESS Mr. David G. Gordon, Esq. Sutin, Thayer & Browne APC 6565 Americas Parkway NE Ste. 1000 Albuquer ue, NM 87110 Tel No. Dear Mr. Gordon: In connection with the transfer of Zorro Ranch by Zorro Trust to Cypress, Inc., I have enclosed the following: 1. Special Warranty Deed - One executed and notarized original 2. Zorro Trust Assignment - One executed and notarized original 3. Jeffrey Epstein Assignment - One executed and notarized original 4. Change Ownership of Water Rights for File No. E-06009 - Three executed and notarized originals 5. Change Ownership of Water Rights for File No. E-06010 - Three executed and notarized originals 6. Change Ownership of Water Rights for File No. E-08976 - Three executed and notarized originals 7. Change Ownership of Water Rights for File No. E-07871 - Three executed and notarized originals 8. Change Ownership of Water Rights for File No. E-06008 - Three executed and notarized originals 9. Change Ownership of Water Rights for File No. E-05509 - Three executed and notarized originals 10. Change Ownership of Water Rights for File No. E-06478 - Three executed and notarized originals 11. Assignment of State Land Office Grazing Lease No. GR-2088 - Three executed and notarized originals EFTA00310887 David G. Gordon, Esq. Sutin, Thayer & Browne APC December 19, 2011 Page 2 12. Assignment of State Land Office Grazing Lease No. GR-2122 - Three executed and notarized originals 13. Assignment of State Right-of-Way Easement No. RW-30137 - Three executed and notarized originals. Please forward the BLM assignments for signing when available. I have not enclosed the agricultural exemption documents. I confirm that you should rmation you require for the agricultural exemption application from Once you have prepared complete application package, please resend to me for review and signing. Please keep track of the timing, so that we make sure that we do not miss the February 29, 2012 filing deadline. Also, please confirm that there are no other filing or renewal ramifications as a result of the transfer of the Ranch property from Zorro Trust to Cypress, Inc. Thank you for your assistance. Sincerely, aSc h— Darren K Indyke cc (w/out enclosures): Anne P. Browne, Esq. EFTA00310888  SPECIAL WARRANTY DEED Jeffrey Epstein, Trustee of the Zorro Trust, an Ohio Trust 1993, as amended, grants to Cypress, Inc., a Virgin uta dated March 1, Islands corporation, with an address of 9100 Havensight, Port of Sale, Suite 15/16, St. Thomas, United States Virgin Islands 00802, the real estate located in Santa Fe Coun ty, New Mexico described on Exhibit A attached to this Special Warranty Deed. With Special Warranty Covenants. Subject to easements, restrictions, encumbrances and all other matters of record and taxes for 2011 and thereafter. ,• Dated: December 16, 201 JEFFRE PSTEIN, Trustee of the Zorro Trust uta dated March 1, 1993, as amended STATE OF No") COUNTY OF Id" yolk The foregoing instrument was acknowledged before me on December /6 , 2011, by Jeffrey Epstein, Trustee of the Zorro Trust utyfvjarch 1, 1993 , as amended. Nola Pub‘ My commission expires: HARRY I. RULER Notary Public. Stale of New York No. 018E4.634924 Ounlifi-sd in Ccuntyiy Commission Expires Feb. 17.20r 224201540C EFTA00310889  EXHIBIT A Tract 1: Township 12 North, Range 9 East, N.M.P.M. Section 3: S 1/2 Section 4: S 1/2 SE 1/4, NE 1/4 SE 1/4 Section 8: SE 1/4, NE 1/4 Section 9: SW 1/4, NW 1/4, N 1/2 NE 1/4 Section 10: NE 1/4, N 1/2 NW 1/4, SE 1/4 NW 1/4 Section 17: E 1/2 Section 20: E 1/2 Section 27: N 1/2 S 1/2, SE 1/4 SE 1/4 Section 28: SW 1/4, SW 1/4 NW 1/4, N 1/2 SE 1/4, SW 1/4 SE 1/4 Tract 2: Township 12 North, Range 9 East, N.M.P.M. Section 2: W 1/2 SE 1/4, Lots 5 and 6 Section 4: SW 1/4 NE 1/4, NW 1/4 SE 1/4, NE 1/4 SW 1/4, SE 1/4 NW 1/4 and SE 1/4 SW 1/4 Section 9: SE 1/4, S 1/2 NE 1/4 Section 10: SE 1/4, E 1/2 SW 1/4, SW 1/4 NW 1/4, W 1/2 SW 1/4 Section 11: W 1/2, W 1/2 E 1/2 Section 14: W 1/2 and that portion of the W 1/2 SE 1/4 west of Highway 41and that portion of Lots 3 and 4 west of Highway 41 Section 15: All Section 21: NW 1/4 NE 1/4, E 1/2 E 1/2 Section 22: All Section 23: NW 1/4 and that portion of the NE 1/4 west of Highway 41 Section 27: N 1/2 Section 28: E 1/2 NE 1/4 Township 13 North, Range 9 East, N.M.P.M. Section 35: E 1/2 E 1/2 EFTA00310890 Tract 3: Township 12 North, Range 9 East, N.M.P.M. Section 21: W 1/2, SW 1/4 NE 1/4, W 1/2 SE 1/4 Section 23: that portion of the S 1/2 west of Highway 41 Section 26: that portion of the N 1/2 and that portion of the N 1/2 SW 1/4 west of Highway 41 Section 28: IN 1/2 NE 1/4, E 1/2 NW 1/4, NW 1/4 NW 1/4 EXCEPTING from Tract 1, Tract 2, and Tract 3: The real property shown as "Tract A" as shown on the plat survey for Zorro Trust prepared by Timothy Ray Oden, N.M.L.S. #8667 dated April 7, 1998 and filed for record on May 15, 1998, in Plat Book 386 at page 043 recor ds of Santa Fe County, New Mexico. EFTA00310891  ASSIGNMENT For good and valuable consideration, the receipt and sufficiency of which are acknowledged, Zorro Trust uta March 1, 1993, as amended ("Assignor"), assigns and transfers to Cypress, Inc., a Virgin Islands corporation ("Assignee") all right, title, and interest of Assignor associated with and in the real property described on Exhibit A to this Assignment, including, without limitation, all rights of access, easements, water rights, mineral rights, leases, and claims, whether known or unknown. 1. Cooperation. Assignor and Assignee will, for no additional consideration, sign any and all lawful documents or instruments and perform any and all other actions necessary and appropriate to implement and make effective this Assignment. 2. Miscellaneous. This Assignment constitutes the entire agreement between the parties, may be executed in counterparts, may only be amended in a writing signed by both parties, is binding upon and inures to the benefit both parties and their respective successors, assigns and representatives, and will be governed by and construed under New Mexico law without regard to New Mexico's choice of law provisions. Dated: December lb , 2011. ASSIGNOR: ASSIGNEE: CYP INC., a orporation By JEFFREY EPSTEIN, Trustee of Jeftey Epstein, President the Zorro Trust uta dated March 1, 1993, as amended STATE OF iti&"J von , rpgic COUNTY OF Kit -1 This instrument was acknowledged before me on December /‘ , 2011, by Jeffrey Epstein, Trustee of the Zorro Trust uta March/1 1993, as amended. Notary Public HARPY I. 1. PELLER Notary iitiofrs. Staie of New York My commission expires: No. GI Ouniirri d :n County Comm:133:0n ikpires Pot.. I 7, 70-14 1 2247896.doc EFTA00310892  STATE OF pew' yolk COUNTY OF Pe", r9iik This instrument was acknowledged before me on December /I( , 2011, by Jeffrey Epstein, President of Cypress, Inc., a Virgin l a ds corporatio Notary Put lic t er -(A-L My commission expires: HARRY I. BELLER Notary Public, State of New York No. 019C4853324 Qualified in Ro:kland County iu• Commission Expires Feb. 17.202J 2 2247896 .doc EFTA00310893  EXHIBIT A Tract 1: Township 12 North, Range 9 East, N.M.P.M. Section3 S 1/2 Section 4: S 1/2 SE 1/4, NE 1/4 SE 1/4 Section 8: SE 1/4, NE 1/4 Section 9: SW 1/4, NW 1/4, N 1/2 NE 1/4 Section 10: NE 1/4, N 1/2 NW 1/4, SE 1/4 NW 1/4 Section 17: E 1/2 Section 20: E 1/2 Section 27: N 1/2 S 1/2, SE 1/4 SE 1/4 Section 28: SW 1/4, SW 1/4 NW 1/4, N 1/2 SE 1i4, SW 1/4 SE 1/4 Tract 2: Township 12 North, Range 9 East, N.M.P.M. Section 2: W 1/2 SE 1/4, Lots 5 and 6 Section 4: SW t4 NE 1/4, NW 1/4 SE 1/4, NE 1/4 SW 1/4, SE 1/4 NW 1/4 and SE 1/4 SW 1/4 Section 9: SE 1/4, S 1/2 NE 1/4 Section 10: SE 1/4, E 1/2 SW 1/4, SW 1/4 NW 1/4, W 1/2 SW 1/4 Section 11: W 1/2, W 1/2 E 1/2 Section 14: W 1/2 and that portion of the W 1/2 SE 1/4 west of Highway 41and that portion of Lots 3 and 4 west of Section 15: All Highway 41 Section 21: NW 1/4 NE 1/4, E 1/2 E 1/2 Section 22: All Section 23: NW 1/4 and that portion of the NE 1/4 west of Highway 41 Section 27: N 1/2 Section 28: E 1/2 NE 1/4 Township 13 North, Range 9 East, N.M.P.M. Section 35: E 1/2 E 1/2 EFTA00310894 Tract 3: Township 12 North, Range 9 East, N.M.P.M. Section 21: W 1/2, SW 1/4 NE 1/4, W 1/2 SE 1/4 Section 23: that portion of the S 1/2 west of Highway 41 Section 26: that portion of the N 1/2 and that portion of the N 1/2 SW 1/4 west of Highway 41 Section 28: W 1/2 NE 1/4, E 1/2 NW 1/4, NW 1/4 NW 1/4 EXCEPTING from Tract 1, Tract 2, and Tract 3: The real property shown as "Tract A" as shown on the plat survey for Zorro Trust prepared by Timothy Ray Oden, N.M.L.S. #8667 dated April 7, 1998 and filed for record on May 15, 1998, in Plat Book 386 at page 043 records of Santa Fe County, New Mexico. 4 EFTA00310895  ASSIGNMENT For good and valuable consideration, the receipt and sufficiency of which are acknowledged, Jeffrey Epstein ("Assignor"), assigns and transfers to Cypress, Inc., a Virgin Islands corporation ("Assignee") any and all right, title, and interest of Assignor associated with and in the real property described on Exhibit A to this Assignment, including, without limitation, all rights of access, easements, water rights, mineral rights, leases, and claims, whether known or unknown. 1. Cooperation. Assignor and Assignee will, for no additional consideration, sign any and all lawful documents or instruments and perform any and all other actions necessary and appropriate to implement and make effective this Assignment. 2. Miscellaneous. This Assignment constitutes the entire agreement between the parties, may be executed in counterparts, may only be amended in a writing signed by both parties, is binding upon and inures to the benefit both parties and their respective successors, assigns and representatives, and will be governed by and construed under New Mexico law without regard to New Mexico's choice of law provisions. Dated: December ¶b, 2011. ASSIGNOR: ASSIGNE CYPRESS, INC.; a Virgin Islan JEFFREY EPSTEIN Je pstein, President STATE OF /Jem) rotk COUNTY OF pet') in --k This instrument was acknowledged before me on December 74 , 2011, by Jeffrey Epstein. Notary Rublic HARRY I. REELER Notary Public. Stale My commission expires: No 013:Z485492 of New York Qualified in Roe:Aland 4 Commiszuon Expires Feb.County Ai 77, 20_1., 1 2248141 doc EFTA00310896  STATE OF pet,/ Ioik COUNTY OF Ps() Volk This instrument was acknowledged before me on December 2011, by Jeffrey Epstein, President of Cypress, Inc., a Vir • slands corpor tion. Notary Public My commission expires: HARRY I, BELLER Notary Public, State of New No. 018F485.3924 York Qualified in Rockland County /9' Commission Expires Feb. 17, 20 2 2248141.doc EFTA00310897  EXHIBIT A Tract 1: Township 12 North, Range 9 East, N.M.P.M. Section 3: S 1/2 Section 4: S 1/2 SE 1/4, NE 1/4 SE 1/4 Section 8: SE 1/4, NE 1/4 Section 9: SW 1/4, NW 1/4, N 1/2 NE 1/4 Section 10: NE 1/4, N 1/2 NW 1/4, SE 1/4 NW 1/4 Section 17: E 1/2 Section 20: E 1/2 Section 27: N 1/2 S 1/2, SE 1/4 SE 1/4 Section 28: SW 1/4, SW 1/4 NW 1/4, N 1/2 SE 1/4, SW 1/4 SE 1/4 Tract 2: Township 12 North, Range 9 East, N.M.P.M. Section 2: W 1/2 SE 1/4, Lots 5 and 6 Section 4: SW 1/4 NE 1/4, NW 1/4 SE 1/4, NE 1/4 SW 1/4, SE 1/4 NW 1/4 and SE 1/4 SW 1/4 Section 9: SE 1/4, S 1/2 NE 1/4 Section 10: SE 1/4, E 1/2 SW 1/4, SW 1/4 NW 1/4, W 1/2 SW 1/4 Section 11: W 1/2, W 1/2 E 1/2 Section 14: W 1/2 and that portion of the W 1/2 SE 1/4 west of Highway 41and that portion of Lots 3 and 4 west of Highway 41 Section 15: All Section 21: NW 1/4 NE 1/4, E 1/2 E 1/2 Section 22: All Section 23: NW 1/4 and that portion of the NE 1/4 west of Highway 41 Section 27: N 1/2 Section 28: E 1/2 NE 1/4 Township 13 North, Range 9 East, N.M.P.M. Section 35: E 1/2 E 1/2 EFTA00310898 Tract 3: Township 12 North, Range 9 East, N.M.P.M. Section 21: W 1/2, SW 1/4 NE 1/4, W 1/2 SE 1/4 Section 23: that portion of the S 1/2 west of Highway 41 Section 26: that portion of the N 1/2 and that portion of the N 1/2 SW 1/4 west of Highway 41 Section 28: W 1/2 NE 1/4, E 1/2 NW 1/4, NW 1/4 NW 1/4 EXCEPTING from Tract 1, Tract 2, and Tract 3: The real property shown as "Tract A" as shown on the plat survey for Zorro Trust prepared by Timothy Ray Oden, N.M.L.S. #8667 dated April 7, 1998 and filed for record on May 15, 1998, in Plat Book 386 at page 043 records of Santa Fe County, New Mexico. 4 EFTA00310899  No NEW MEXICO OFFICE OF THE STA CHANGE OF OWNERSHIP OF 72-12-1 PERMI7 E Individual ❑ Col 1. OWNER OF RECORD (Seller) _ Name: Jeffrey Epstein Name: Phone: r'4 Home ❑ Cell Phone: ■ Home ❑ Cell Phone (Work): Phone (Work): a. Owner of Record File No: E-06009 b. Sub-file No.: c. Cause No.: 2. NEW OWNER (Buyer) Note: If more owners need to be listed, attach a separate sheet. Attached? ❑ Yes Name: Cypress, Inc. Name: Contact or Agent: check here if Agent ❑ Contact or Agent: check here if Agent ❑ Jeffrey Epstein Mailing Address: 9100 Havensight, Port of Sale, Suite 15/16 Mailing Address: City: St. Thomas City: State: VI Zip Code: 00802 State: Zip Code: Phone: ❑ Home ❑ CeO Phone: ■ Home ■ Cell Phone (Work): Phone (Work): E-mail (optional): Email (optional): Required: Submit warranty deed(s) or other instrument(s) of conveyance property recorded with the county clerk's office. 3. AMOUNT CONVEYED Amount of Water (acre-feet per annum): 3.000 acre-feet 4. UST ALL KNOWN POINT(S) OF DIVERSION (POD) FOR THE 72-12-1 PERMIT CONVEYED OSE POD No. Subdivision Section Township Range E-6009 POD 1 SW 1/4 SE 1/4 SE 1/4 20 12N 9E FOR OSE INTERNAL USE Change of Ownership, Form wr•02d, Revised 8/25/11 File Number Tm Number: Trans Description (opbonal). Sub-Basin: Page 1 o12 EFTA00310900  S. ADDITIONAL STATEMENTS OR EXPLANATIONS ACKNOWLEDGEMENT FOR INDIVIDUAL we ( Print Name(s) affifm that the foregoing state serrtmetoitte best of (my, our) knowledge and belief. Signature Signature State of ss. County of This instrument was acknowledged before me this day of December A.D.. 20 11 , by (name of owner(s)): Jeffrey Epstein Notary Public: My commission expires: - 7-fi ecTh HARRY I. OELLrrt Notary Public, Slate of New York No. O167 485j924 ()UAWiww in ctrt r•at Corn mizaron Expires Feb. 17. 2O41 ACKNOWLEDGEMENT FOR CORPORATION I, VVe (name of owner(s)) Print Name(s) affirm that the foregoing statements are true to the best of (my, our) knowledge and belief. Officer Signature Officer Signature State of ss. County of This instrument was acknowledged before me this day of k D., 20 , by the following on behalf of saki corporation. Name of Officer Title of Officer. Name of Corporation Acknowledging: State of Corporation: Notary Public: My commission expires: FOR OSE INTERNAL USE Change of Ownership, Form wr-02d, Revised 8125/11 File Number. Tm Number Trans Description (optional): Sub-Basin: Page 2 of 2 EFTA00310901  CHANGE OF OWNERSHIP INSTRUCTIONS a. The "Owner of Record" of a water right is the current owner recorded in the State Engineer Office. b. This form shall be completed by the new owner and shall be accompanied by a warranty deed or other instrument of conveyance that has been properly recorded with the county clerk's office. c. A separate Change of Ownership of Water Right form shall be filed for each water right recorded in the State Engineer Office by Permit. License, Declaration or Court Adjudication. d. This form shall be filed in triplicate (3) and must be accompanied by the proper filing fee. Each form must have an original signature and each must be property notarized. A notary public is available in each water right district office at no cost. e. An original will be forwarded to the new owner with instructions to file it with the county clerk in the county in which the water right is located. Acceptance of the form for filing by the State Engineer does not constitute verification of the right conveyed. LINE BY LINE INSTRUCTIONS 1. Enter the name of the current owner on record with the OSE (required). a. Enter the file number currently on record with the OSE. b. Enter the sub file number if one has been assigned as part of completed or on-going water rights adjudication. c. Enter the Cause Number of the water rights adjudication, if applicable. 2. Enter name and address of the new owner (required). If the person to be contacted concerning this right is other than the new owner enter contact person's name. The phone number of new owner or contact person is optional. 3. Enter the amount conveyed in acre-feet per annum. 4. Specify all points of diversion that, to your knowledge, serve this right. If an entry is not applicable, enter NA. Enter the OSE POD Number and legal description of each well. 5. Provide any additional statements that might help to clarify this water right transfer. Assistance in completing this form is available, and the form may be filed at the State Engineer Office in Santa Fe and the District Offices located as follows: District 1 District 4 District 7 5550 San Antonio Drive NE 1680 Hickory Loop, Suite J 301 East 9th Street Albuquer ue. NM 87109-4127 Las Cruces. NM 88005-6598 P.O. Box 481 Phone # Phone # Cimarron, NM 87714 Phone #=IIM District 2 District 5 1900 West Second Street, 100 Gossett Drive, Suite A Roswell, NM 88201-1712 Aztec. NM 87410 Phone # Phone # District 3 District 6 301 South Tin, P.O. Box 844 407 Galisteo Street Deming. NM 88031-0844 Room 102, Bataan Memorial Building Phone # P.O. Box 25102 Santa Fe. NM 87504-5102 Phone # EFTA00310902  File NO NEW MEXICO OFFICE OF THE STA CHANGE OF OWNERSHIP OF 72-12-1 PERMIT Individual ❑ Co 1. OWNER OF RECORD (Seller) Name: Jeffrey Epstein Name: Phone: Home • Cell Phone: 0 Home • Cell Phone (Work): Phone (Work): a. Owner of Record File No: E-06009 b. Sub-file No.: c. Cause No.: 2. NEW OWNER (Buyer) Note: If more owners need to be listed, attach a separate sheet. Attached? 0 Yes Name: Cypress, Inc. Name: Contact or Agent: check here if Agent 0 Contact or Agent: check here if Agent 0 Jeffrey Epstein Mailing Address: 9100 Havensight, Port of Sale, Suite 15/16 Mailing Address: City: St. Thomas City: State: VI Zip Code: 00802 State: Zip Code: Phone: 0 Home 0 Cell Phone: 0 Home M Cell Phone (Work): Phone (Work): E-mail (optional): E-mail (optional): Required: Submit warranty deed(s) or other instrument(s) of conveyance properly recorded with the county clerk's office. 3. AMOUNT CONVEYED Amount of Water (acre-feet per annum): 3.000 acre-feet 4. UST ALL KNOWN POINT(S) OF DIVERSION (POD) FOR THE 72-12-1 PERMIT CONVEYED OSE POD No. Subdivision Section Township Range E-6009 POD 1 SW 1/4 SE 114 SE 1/4 20 12N 9E FOR OSE INTERNAL USE Change of Ownership, Earn v4-02d Revised 8/25/11 File Number. Tm Number Trans Description (optional): Sub-Basin: Page I of 2 EFTA00310903  6. ADDITIONAL STATEMENTS OR EXPLANATIONS ACKNOWLEDGEMENT FOR INDIVIDUAL I. We (name Print Name(s) affirm th4t the foregoing hetst of (my. our) knowledge and belief Signature 2 Signature State of as. County of This instrument was acknowledged before me this day of December A.D., 20 11 by (name of owner(s)): Jeffrey Epstein Notary Public: My commission expires: HARRY I. BELLER Notary Public, State of New York No. O1BE42.53324 ACKNOWLEDGEMENT FOR CORPORATION Commission Expires Feb. 17.20 "_ty I. We (name of owner(s)) Print Name(s) affirm that the foregoing statements are true to the best of (my. our) knowledge and belief. Officer Signature Officer Signature State of ss. County of This instrument was acknowledged before me this day of A.D., 20 by the following on behalf of sad corporation. Name of Officer: Title of Officer Name of Corporation Acknowledging.. State of Corporation: Notary Public My commission expires. FOR OSE INTERNAL USE Change of Ownership, Form wr-02d Revised8/25/11 File Number. Tm Number. Trans Description (optional): Sub-Basin: Page 2 of 2 EFTA00310904  CHANGE OF OWNERSHIP INSTRUCTIONS a. The "Owner of Record" of a water right is the current owner recorded in the State Engineer Office. b. This form shall be completed by the new owner and shall be accompanied by a warranty deed or other instrument of conveyance that has been property recorded with the county clerk's office. c. A separate Change of Ownership of Water Right form shall be filed for each water right recorded in the State Engineer Office by Permit, License, Declaration or Court Adjudication. d. This form shall be filed in triplicate (3) and must be accompanied by the proper filing fee. Each form must have an original signature and each must be properly notarized. A notary public is available in each water right district office at no cost. e. An original will be forwarded to the new owner with instructions to file it with the county clerk in the county in which the water right is located. Acceptance of the form for filing by the State Engineer does not constitute verification of the right conveyed. LINE BY LINE INSTRUCTIONS 1. Enter the name of the current owner on record with the OSE (required). a. Enter the file number currently on record with the OSE. b. Enter the sub file number if one has been assigned as part of completed or on-going water rights adjudication. c. Enter the Cause Number of the water rights adjudication, if applicable. 2. Enter name and address of the new owner (required). If the person to be contacted concerning this right is other than the new owner enter contact person's name. The phone number of new owner or contact person is optional. 3. Enter the amount conveyed in acre-feet per annum. 4. Specify all points of diversion that, to your knowledge, serve this right. If an entry is not applicable. enter NA. Enter the OSE POD Number and legal description of each well. 5. Provide any additional statements that might help to clarify this water right transfer. Assistance ptic1 in completing this form is available, and the form may be filed at the State Engineer Office in Santa Fe and the District Offices located as follows: District 4 District 7 5550 San Antonio Drive NE 1680 Hickory Loop, Suite J 301 East 9th Street Albuqueritfir.109-4127 Las Cruces NM 88005-6598 P.O. Box 481 Phone # Phone # Cimarron NM 87714 Phone # District 2 District 5 1900 West Second Street, 100 Gossett Drive, Suite A Roswell, NM 88201-1712 Aztec. NM 87410 Phone # Phone # District 3 District 6 301 South Tin, P.O. Box 844 407 Galisteo Street Deming, N 88031-0844 Room 102, Bataan Memorial Building Phone # P.O. Box 25102 Santa Fe NM 87504-5102 Phone # EFTA00310905  File No. NEW MEXICO OFFICE OF THE STA CHANGE OF OWNERSHIP OF 72-12-1 PERMIT legplatietraSesiesiat rg) Individual ❑ Col 1. OWNER OF RECORD (Seller) Name: Jeffrey Epstein Name: Phone: e? Home ❑ Cell Phone: ❑ Home ❑ Cell Phone (Work): Phone (Work): a. Owner of Record File No: E-06009 b. Sub•file No.: c. Cause No.: 2. NEW OWNER (Buyer) Note: If more owners need to be listed, attach a separate sheet. Attached? ❑ Yes Name: Cypress, Inc. Name: Contact or Agent: check here if Agent ■ Contact or Agent: check here if Agent ❑ Jeffrey Epstein Mailing Address: 9100 Havenslght, Port of Sale, Suite 15/16 Mailing Address: City: St. Thomas City: State: VI Zip Code: 00802 State: Zip Code: Phone: ❑ Home ❑ Cell Phone: ❑ Home ❑ Cell Phone (Work): Phone (Work): E-mail (optional): E-mail (optional): Required: Submit warranty deed(s) or other instrument(s) of conveyance properly recorded with the county clerk's office. 3. AMOUNT CONVEYED Amount of Water (acre-feet per annum): 3.000 acre-feet 4. UST ALL KNOWN POINT(S)OF DIVERSION (POD) FOR THE 72-12-1 PERMIT CONVEYED OSE POD No. Subdivision Section Township Range E-6009 POD 1 SW 1/4 SE 1/4 SE 1/4 20 12N 9E FOR OSE INTERNAL USE Change of Ownership. Form wr•02d Revised 8/25/11 File Number Tin Number. Trans Description (optional): Sub-Basin: Page 1 of 2 EFTA00310906  S. ADDITIONAL STATEMENTS OR EXPLANATIONS ACKNOWLEDGEMENT FOR INDIVIDUAL I, We (n e of owner(s)) Print Name(s) affirm t t the foregoing stat ants are true to the best of (my, our Signature Signature State of pot) Oa ss. County of Pruj V61/0 This instrument was acknowledged before me this day of December A.D., 20 11 , by (name of owner(s)): Jeffrey Epstein Notary Public: My commission expires: IA4 nci LER Nothry cd New York 24 r t.C. •.;:;:i Cemr;ff,;,:‘,••1:-..X0IrSS Yeu. t r. ACKNOWLEDGEMENT FOR CORPORATION I. We (name of owner(s)) Print Name(s) affirm that the foregoing statements are true to the best of (my. our) knowledge and belief. Officer Signature Officer Signature State of ss. County of This instrument was acknowledged before me this day of A.D., 20 , by the following on behalf of sad corporation. Name of Officer Title of Officer Name of Corporation Acknowledging: Slate of Corporation: Notary Public. My commission expires: FOR OSE INTERNAL USE Change of Ownership. Form wr-02d, Revised8/25/11 File Number: Trn Number: Trans Description (optional): Sub-Basin: Page 2 of 2 EFTA00310907  CHANGE OF OWNERSHIP INSTRUCTIONS a. The "Owner of Record" of a water right is the current owner recorded in the State Engineer Office. b. This form shall be completed by the new owner and shall be accompanied by a warranty deed or other instrument of conveyance that has been property recorded with the county cleric's office. c. A separate Change of Ownership of Water Right form shall be filed for each water right recorded in the State Engineer Office by Permit. License, Declaration or Court Adjudication. d. This form shall be filed in triplicate (3) and must be accompanied by the proper filing fee. Each form must have an original signature and each must be property notarized. A notary public is available in each water right district office at no cost. e. An original will be forwarded to the new owner with instructions to file it with the county clerk in the county in which