Fill and Sign the Affidavit of Nonpayment of Delay Rentals Form

www.royaltydeed.net Affdavits - Affidavit of Nonpayment of Delay Rentals (Lessor’s Affidavit Regarding Nonpayment by Lessee) AFFIDAVIT OF NONPAYMENT OF DELAY RENTALS (Lessor’s Affidavit Regarding Nonpayment by Lessee) State: County: Affiant: (Name and Address) Affiant on oath swears that the following statements are true: My name is ____ . I am over ____ years of age. I am the Lessor in an Oil and Gas Lease (the "Lease") dated ____, recorded in Volume ____, page ____ of the ____ Records of ____ County, ____. This Lease covers the following lands in that county: (Description of Lands Covered by the Lease) The Lease provided for the Lessee, or Lessee's successors or assigns, to pay me, or deposit to my account in ____ Bank of (City, State), the sum of (Dollar Amount) ($____) as delay rentals on or before (Date Rental Payment Due). This payment was required to m aintain the Lease in force for the (____) year of its stated primary term. This payment has never been made to me or my representatives, in money or otherwise, nor has such payment been deposited to my credit in the bank named in the Lease as depository as of the date of making this Affidavit. There has been no drilling, exploration, or development activities of any nature or kind done on any of the lands covered by the Lease. There is no production of oil and/or gas from the lands subject to the Lease. This Affidavit is signed by me on the date of acknowledgment of my signature. Affiant (Jurat) (Acknowledgment)