Fill and Sign the By Party Claiming an Outstanding or Adverse Interest Form

RATIFICATION OF OIL AND GAS LEASE (By Party Claiming an Outstanding or Adverse Interest) State: County: Lessor: (Name and Address) Lessee: (Name and Address) Effective Date: (Of Lease being Ratified) On (Date of Lease), ____, as Lessor, executed and delivered to Lessee, named above, an Oil and Gas Lease (the "Lease") recorded in Volume ____, page ____ of the ____ Records of the county and state named above. The Lease covers the following lands (the "Lands") in that county: (Description of Lands Covered by Lease) Lessor, named above, asserts a claim to an undivided (Percent or Fraction) mineral interest in the Lands adverse to the title claimed by the Lessor in the Lea se. However, Lessor desires to perfect title to Lessee's interest in the leasehold estate creat ed by the Lease by ratifying the Lease, to prevent any delay in Lessee's exploration and drilling activities on the Lands which may be impeded by Lessor's claim. For adequate consideration, and for the purpose of removing any cloud on the title to Lessee's leasehold estate interest in the Lease, Lessor ratifies, confirms, and adopt s the Lease and leases and lets all of Lessor's claimed mineral interest in the Lands, on t he same terms and conditions as set out in the Lease. By executing and delivering this Ratification, it is not Lessor's intent to impa ir, alter, relinquish, or diminish (his/her) claim, rights, and interests in the mineral estate in the Lands, which claim is restated by this Ratification. This Ratification is signed by Lessor as of the date of the acknowledgment below, but is effective for all purposes as of the Effective Date stated above. Lessor