Commingle Pre-Application Form - 2014
Download a blank fillable Commingle Pre-Application Form - 2014 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Commingle Pre-Application Form - 2014 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2N
M
S
L
O
EW
EXICO
TATE
AND
FFICE
Commingle
PRE-Application
ONLINE Version
Please provide the following requested information so that the SLO staff can determine
whether or not you qualify to submit a commingle application package.
Name:_________________________________Company:_______________________________________
Address: ________________________________________________ City __________________________
Telephone: ________________ Fax: __________________
State ______Zip _____________
The State Land Office rule that applies to commingling oil and gas production from New
Mexico State Trust Lands is Rule 100.53. The rule is attached to the bottom of this form.
If you have any questions, please contact the Oil, Gas, and Minerals Division at 505-827-5791.
1. Briefly describe what you propose to do. ___________________________________________
________________________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
2. Fill in the following information for each well. [Attach additional pages if needed.]
Well name & number _________________________________________ Lease # ___________________
Lessee of Record __________________________________________________________________
Legal land description: Subdivisions_________________________________________________________
Sect ______T _______ R ______ NMPM _________________________________________County NM
Pool ________________________________________________________________________
Well name & number __________________________________________ Lease # __________________
Lessee of Record _________________________________________________________________
Legal land description: Subdivisions_______________________________________________________
Sect ______T _______ R ______ NMPM _________________________________________County NM
Pool ________________________________________________________________________
Well name & number ___________________________________________ Lease # _________________
Lessee of Record _________________________________________________________________
Legal land description: Subdivisions_______________________________________________________
Sect ______T _______ R ______ NMPM _________________________________________County NM
Pool ________________________________________________________________________
Note: When you provide a check as payment, you authorize the State of New Mexico to either use information from your check to
make a one-time electronic fund transfer from your account or to process the payment as a check transaction. Please be advised that
payments will be drafted from your account immediately upon receipt.
ONLINE version
Commingle – Preapplication
1
December 2014
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal