<p> On company letterhead</p><p>Date</p><p>Project Manager Policy and Royalty Branch Ministry of Natural Gas Development PO Box 9323 Stn Prov Govt 5th Floor – 1810 Blanshard Street Victoria, BC V8W 9N3</p><p>Dear Project Manager:</p><p>Re: Request for Royalty Deduction of Sample Pipeline Project</p><p>The XXX Company requests the release of a royalty deduction totalling $XXXX for the completed Sample Pipeline Project, in accordance with the executed Royalty Deduction Agreement dated [Date].</p><p>Please find enclosed the completed Schedule B Documents as per the Sample Pipeline Project Agreement required for requesting a royalty deduction.</p><p>The Sample Pipeline project involved the installation of ______as per the scope of the Agreement’s Schedule A. A notarized Statutory Declaration of Completion has been submitted with the date of project completion of [Date]. </p><p>The number of project wells on production is similar to / higher / lower than the estimate provided in the approved application for the Sample Pipeline project as ______.</p><p>Final actual as built costs for the Sample Pipeline project came in significantly higher/lower than had been original estimated due to as ______.</p><p>If you have any questions regarding this submission, please contact the undersigned at ______.</p><p>Sincerely,</p><p>XXX Company</p><p>Encl.</p>