Fill and Sign the Assignment Form Real

ASSIGNMENT OF EASEMENTS (Short Form) State: _____________________________ County: _____________________________ Assignor: _____________________________ (Name and Address) Assignee: _____________________________ (Name and Address) Effective Date: _____________________________ For adequate consideration, Assignor, named above, sells, transfers, conveys and quit claims to Assignee, named above, all of Assignor's rights, title, and interests in those easements and rights of way (the "Easements") described in Exhibit "A." This Assignment includes all personal property, pipelines, and equipment located on or under the Easements. This Assignment is executed by Assignor as of the date of acknowledgment of Assignor's signature, but shall be effective as of the Effective Date stated above. ________________________________ Assignor (The following acknowledgement is not geared toward the law of any particular state and is subject to modification) ACKNOWLEDGMENT State of _____________________________ County of _____________________________ On _____________________________ , _____________________________ personally appeared before me and proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of _____________________________ that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature of Notary (Seal) My Commission Expires _____________________ [Exhibit "A": Description of Easements]