Fill and Sign the Royalty Form

ASSIGNMENT OF OIL, GAS AND MINERAL ROYALTY INTEREST STATE OF ___________ COUNTY OF ___________ KNOW ALL PERSONS BY THESE PRESENTS: That ______________, whose address is ____________, hereinafter referred to as "Assignor", for and in consideration of the sum of One Dollar ($1. 00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby grant, convey and assign one hundred percent of all Assignor's Oil, Gas and Mineral Royalty Interest in and to the properties described in Exhibit "A" attached hereto and made a part hereof, together with the rights incident thereto and a proportionate part of the personal property thereon, used or obtained in connection therewith unto _______, whose address is _____________________, hereinafter referred to as "Assignee". IT IS THE INTENT of Assignor to convey to Assignee all of its right, title and interest in all units, wells and real property standing its name in ___________ County, ___________, whether properly described in Exhibit "A", or not. THE ROYALTY INTEREST shall be free and clear of all drilling, developing and operating costs and expenses, however, Assignee shall pay all taxes, every kind whatsoever. ALL terms and provisions of this assignment shall extend to and be binding upon the parties thereto and their heirs, successors and assigns. This Assignment is made without warranty of title. EXECUTED AND DELIVERED this ____ day of _____, _____, but effective as of __________, _____. __________________ By: __________________ STATE OF __________ COUNTY OF ________ The foregoing instrument was acknowledged, signed and delivered, before me this ______ day of ______, ______, ______, by ____________________________. ______________________ NOTARY PUBLIC My Commission expires: