Quitclaim Mineral Deed

NORTH DAKOTA QUITCLAIM MINERAL DEED [Individual to Trust]

Control Number: ND-024-77

QUITCLAIM MINERAL DEED

[Individual to a Trust]

This deed is made by Grantor, , a single person, to

as Trustee under the provisions of a trust agreement dated , 20 , and known as the Trust,

whose post office address is ,

Grantee.

For valuable consideration, Grantor grants and conveys to Grantee any and all of Grantor’s interest in the oil, gas and other minerals in and under and that may be produced from the following described lands situated in County, State of North Dakota, to-wit.

See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full

Legal Description:

containing acres, more or less, together with the rights of ingress and egress at all times for the purpose of mining, drilling, exploring, operating and developing said lands for oil, gas or other minerals, and storing, handling, transportation and marketing the same there from with the right to remove from said land all of Grantee's property and improvements.

This sale is made subject to any rights now existing to any lessee or assigns under any valid and subsisting oil and gas lease heretofore executed and now of legal record; it being understood and agreed that said Grantees shall have, receive and enjoy the herein granted undivided interest in and to all bonuses, rents, royalties and other benefits that may accrue thereunder from and after the date hereof, precisely as if the Grantees herein had been at the date of the making of said lease the owner of a similar undivided interest in and to the lands above described and none other and grantee one of the lessors therein.

Grantor agrees to execute such further assurances as may be requisite for the full and complete enjoyment of the rights herein granted and likewise agrees that Grantees herein shall have the right at any time to redeem for said Grantor by payment any mortgage, taxes, or other liens on the above described land, upon default in payment by Grantor, and can be subrogated to the rights of the holder hereof.

In addition to the foregoing, Grantor does hereby Transfer, Assign, and Set Over unto Grantees all of Grantor's interest in and to all monies, proceeds, income, and all other personal properties now on hand or in the possession of any third party, bank, trustee, or pipeline company, which have heretofore accrued to the mineral and/or royalty interest of Grantor in said land that has been herein conveyed to Grantees.

Grantor does hereby irrevocably appoint and constitute Grantees as Grantor’s agent and attorney-in-fact for the limited purpose only of executing division orders, transfer orders, and all instruments as may be necessary to make fully effective this conveyance of interests, so that Grantees may act in Grantor’s place and stead for this limited purpose only.

Dated this the of , 20

I certify the requirement for a report of statement of full consideration paid does not apply because this deed is for one of the transactions exempted by Subdivision of Subdivision 6 of Section 11-18-02.2 NDCC.

I certify that a report of the full consideration paid for the property described in this deed has been filed with the North Dakota State Board of Equalization.

I certify that the full consideration paid for the property described in this deed is $ .

(Check and complete one paragraph above.)

EXHIBIT A

Grantor:

Grantee Trust:

Trustee: