Fill and Sign the Oil Gas and Mineral Deed Individual or Two Individuals to an Individual Form

After Recording Return to: __________________________ __________________________ __________________________ __________________________ ) ) ) ) ) ) ) ) -------- Above This Line Reserved For Official Use Only---------------- OIL, GAS AND MINERAL DEED FOR AND IN CONSIDERATION of the sum of Ten and No/ 100 Dollars ($10. 00), cash in hand paid, and other good and valuable considerations, the receipt and sufficiency of which are hereby acknowledged, I/we, ________________________ , and _______________________ hereinafter referred to as "Grantor(s)", whether one or more, do hereby grant, sell and convey, with limited warranty, unto __________________________ , hereinafter referred to as "Grantee," whether one or more, all of Grantor(s) mineral interest, including but not limited to oil, gas, carbon dioxide, and all other minerals in, on and under that certain property being situated in ________________________ County, ________________________ , and being more particularly described as follows, to - wit: SEE ATTACHED EXHIBIT “A” FOR DESCRIPTION By the acceptance of this deed, the Grantee(s) hereby agrees for Grantee(s), and Grantee(s) heirs, successors and assigns, that the damages recoverable against Grantor(s) for breach of the limited warranty stipulated in this Deed shall be limited solely to a return of that portion of the consideration received by the Grantor(s) whose interests have been sold, pledged, mortgaged, hypothecated or otherwise alienated in violation of said limited warranty. Grantor(s) do further convey to the Grantee(s) any and all income, benefits, rights and privileges that will hereafter be due to the owner of said mineral rights, including but not limited to, all lease bonus, delay rentals and royalties. Grantor(s) do further convey to the Grantee(s) all such rights and benefits as may be necessary or convenient to the Grantee(s) in the exploration, development, storage, transportation and production of said mineral rights, including, but not limited to, the right to enter into all leases, options, deeds, assignments and other contracts - 1 - covering said property, to drill wells, lay pipelines, erect derricks, build roads, install tanks, separators, heaters and refineries, and to pool and unitize interests. The aforesaid property does not constitute part of Grantors' homesteads. This conveyance covers _________________ net mineral acres. WITNESS OUR SIGNATURES on this the ____ day of _________________ , 20 ____ . ______________________________ Grantor ______________________________ Grantor - 2 - STATE OF _____________ COUNTY OF ___________ PERSONALLY APPEARED BEFORE ME, the undersigned authority in and for said County and State, ________________________, who acknowledged to me that he/she signed and delivered the above and foregoing instrument on the day and in the year therein shown. GIVEN UNDER MY HAND AND OFFICIAL SEAL, this the ____ day of ________________, 20__. _____________________________ NOTARY PUBLIC MY COMMISSION EXPIRES: ______________________ - 3 - STATE OF _____________ COUNTY OF ___________ PERSONALLY APPEARED BEFORE ME, the undersigned authority in and for said County and State, ________________________, who acknowledged to me that he/she signed and delivered the above and foregoing instrument on the day and in the year therein shown. GIVEN UNDER MY HAND AND OFFICIAL SEAL, this the ____ day of ________________, 20__. _____________________________ NOTARY PUBLIC MY COMMISSION EXPIRES: ______________________ - 4 -