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Fill and Sign the Farmland Leasing Checklist Adapted by Robert Tigner Tim Form

Fill and Sign the Farmland Leasing Checklist Adapted by Robert Tigner Tim Form

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1. LEASE INFORMATION: (___________ of ___________ Leases on this Property) Seller Property No. Buyer Property No. _____ A.1.Fee Lease: YES_________ NO_________ Name of Original Lessor:___________________________________________________ Name of Original Lessee:___________________________________________________ Description of Lands Covered by Lease: _______________________________________ ________________________________________________________________________________________________________________________________________________ Acres: Gross:________________________ Net:________________________ Lease Date:_____________________ Primary Term:___________________________ Recording Data: _________________ Royalty: _______________________________ A.2. Federal/Other Lease YES______ NO______ (Select One) BLM, BIA, State, School, County, Local Government. Exact Name of Record Title Holder: __________________________________________ ________________________________________________________________________ Exact Name of Operating Rights Holder:_______________________________________ ________________________________________________________________________ MMS Account. Is royalty account current on HBP Federal Leases? YES______ NO______ B. Verify this lease is included on Exhibit “A” of the Purchase and Sale Agreement. YES______ NO______ C. Verify this lease description is accurately reflected on the Exhibit to the Conveya nce Documents (Lease Number, Lessor, Lessee, Recording Data). Note any depth limitations, exceptions or exclusions. ___________ Initial for Verification. D. Lessor’s Consent to Assign required? YES______ NO______ (List on Consent to Assign/Preferential Right to Assign in Section 2: Contract Summary) E. Depth Limitations in Lease: YES______ NO______ (Check Legal Description on Exhibit) Pugh Clause: Horizontal - YES_____ NO______ Vertical - YES_____ NO______ Unusual Pooling Clause? YES_____ NO______ NONE______ F. Lease Amendments: ______________________________________________________ G. Shut-in Provision? YES______ NO______ Shut-in Well: YES______ NO______ HBP______ HBU______ Are Shut-in payments due within next 6 months: YES______ NO______ H. Rentals properly paid? YES______ NO______ HBP______ HBU______ Paid Up Lease______ Next Rental Due Date __________________________

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