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-CONFIDENTIAL-

Red Crown Royalties, LLC Lease Sale

Sale Date: November 19, 2004

 

Having read the Bid Procedures and Basic Lease Terms, a bid application is hereby made to lease the following tract(s) of land:

 

Red Crown Number

State

County

Township

Range

Section

Net Acres

Bonus/Acres

Total Bonus

 

 

 

 

 

 

 

 

$

$

 

 

 

 

 

 

 

 

$

$

 

 

 

 

 

 

 

 

$

$

 

 

 

 

 

 

 

 

$

$

 

 

 

 

 

 

 

 

$

$

 

 

 

 

 

 

 

 

$

$

 

 

 

 

 

 

 

 

$

$

 

 

 

 

 

 

 

 

$

$

 

 

 

 

 

 

 

 

$

$

 

 

 

 

 

 

 

 

$

$

 

If Red Crown Royalties, LLC accepts application for any of the tract applications above, the undersigned agrees and promises to pay the lease bonus set forth opposite the applicable tract, together with applicable Delay Rentals, to Lessor within fourteen (14) days of Notice of Bid Application Acceptance.

 

If awarded, we request that the Lessee be designated for applicable leases as follows

 

                                                                                                                                                                                               

LESSEE                                                                                                  Type of Entity (Include State)

 

                                                                                                                                                                                               

Mailing Address                                                                                  Phone Number

 

                                                                                                                                                                                               

City, State, Zip                                                                                      Fax Number

 

                                                                                                                                                                                               

EIN/SSN                                                                                                Date

 

 

                Signature:                                                                                                             

 

                Name:                                                                                                                    

 

                Title:                                                                                                                      

 

                Company:                                                                                                             

 

BID FORM MUST BE SIGNED TO BE VALID