Fill and Sign the Knowlton Et Al V David H Arrington Oil Ampampamp Gas Inc No 4 Form

Draft, Form 1 CUSTOMER’S DRAFTDate: On approval by Drawee, of the Oil and Gas Lease described below, and on Title to the lands it covers no later than _____ banking days after arrival of this Draft at the Collecting Bank. Void after 90 days. Pay to the Order of : The Sum of ____ Dollars $ This Draft is drawn to pay for the Oil and Gas Lease dated _____, covering the following lands in _____ County, _____: The Drawee, Payee, and Endorsers of this Draft, and the Lessor(s) of the Oil and Gas Lease described above, constitute and appoint the named Collecting Bank as Escrow Agent, to hol d this Draft for the time specified above, subject only to the acceptance of payment of i t by Drawee, within the stated time, and without the right of the Drawer, Payee, and Endorsers, or Lessors i n the Oil and Gas Lease to recall or demand return of this Draft prior to the expi ration of the specified time, and Collecting Bank shall have no liability of any kind for refusa l to return it prior to the expiration of the stated period. In the event this Draft is not paid within the stated time, the Collecting B ank shall return it to the forwarding Bank and there shall not be any liability of any kind, including payment, attac hed to any party to this Draft. COLLECTING BANK - DRAWEE DRAWER [Company Name – Mailing Address] By: _______________________________ [Printed Name of Drawer When received, call: [CONTACT NAME AND PHONE NUMBER] ____________________________________________________________________________________ ENDORSEMENTS __________________________________________ (Name) SS# ______________________________________ Telephone # _______________________________ [Bank Name – Mailing Address]