Fill and Sign the Exv10w41 Secgov Form

CONSENT BY TENANT TO RIGHT OF WAY AGREEMENT State: ___________________ County: ___________________ Tenant: ___________________ (Name and Address) Grantee: ___________________ (Name and Address) Effective Date: ___________________ (Date of the Right of Way Agreement) Tenant, named above, is the lessee of the surface of the lands, described below, located in the county and state named above. ______________________________ (Description of Lands) For adequate consideration, Tenant consents to that Right of Way Agreement (the "Agreement") entered into by ___________________, as Grantor, with Grantee, named above, dated ___________________, recorded in Volume _______, page _______ of the ___________________ Records of the named county and state. Tenant's consent to and approval of the Agreement, and the full use and exercise of the rights granted to Grant ee in such Agreement, is subject to the condition that any and all damages sustained to Te nant's crops and other property, as a result of the exercise of Grantee's rights to make use of the surface of the lands as provided for in the Agreement, shall be paid to Tenant. This Consent is signed by Tenant as of the date of the acknowledgment below, but is deemed effective for all purposes as of the Effective Date stated above. ___________________________Tenant (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 _____________________