Fill and Sign the To Approve the Application Form

PURCHASE AND SALE AGREEMENT (Of Oil and Gas Properties and Related Assets)
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(c) purchase and sale agreement (oil and gas properties) — (i) purchase price (including an assessment of risks to the property) ............................................. ........................................ ........................................... .......................................... .............................................. ................ .............................................. ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ .............. ............................................. ............................................. ................................. ............................................. ............................................. ............................................. ....................................... ......................................... ............................................. ............................................. ............................................. ............................................. ............................................... ............................................. ............................................. ................................. (ii) seller to buyer's credit rating/liability rating ............... ..................................................... ..................................................... ..................................... ..................................................... ................................................. ................ ................ ................ ................ ............... ................................. ................................. ................................. ..... .............................................. .............................................. .............................................. .............................................. (iv) buyer of a real property (other than an interest in farmland) .......... ................................................... ................................................................. ............................................. ............................................. ............................................. ................................................. ................ ................................. ................. ................................. ................................. ................ ................ ................ ................ ................ ................ ................ ................ .............................................. ................ ................ ........... ................................. ................. .... .............. ................................. ................................. ................................. ................ ................ ................ ................ ..................................... ..................................................... ................ ................ ................. ................................. ................ ................................. ................ ................................................................. ................................. ................ .............. ................ ................ ................ ................ ................ ................................................................. ................................. .............. ................ ................ ................ ................. ................................. ................................... ......... ................................................... ................ ................................. ................................. ................ .................................................. ............... ........................................................ ................................. .................................................. ................ ..... ............... ................................................ ................................................. ............... ............ ................................................ ........ .......... .............................................. ..... ................................. .. ............................................... ................................................ ................................. ........................................................................ ................ .................. ................................. ................................. ................ ..... ................................. ................ ......................... ................. ..... ................................. ................ ................ ... ................. ................................. ......... ................ ......................... ........ ................. ... .......... ................ ................ ............... .......................................... ... ..... ....................... ........................................... ....................... .............. ................ .................... ......................... ................. .............. .... .............. ...... .............................