General Relinquishment, Release, And Quitclaim Deed Of Oil And Gas Lease Form - 2014

NEW MEXICO STATE LAND OFFICE

GENERAL RELINQUISHMENT, RELEASE, AND QUITCLAIM DEED

OF OIL AND GAS LEASE –

Online Version

KNOW ALL MEN BY THESE PRESENTS:

That _______________________________________________________________________________________________________________________________

(State whether married or single, or state of incorporation)

and ________________________________________________________________________________________________________________________________

(wife, if any)

of _________________________________________________________________________________________________________________________________

for consideration paid do (does) hereby relinquish, release, and quitclaim unto the State of New Mexico all their/its right, title, and interest in and to that certain Oil and Gas Lease No.

____________________________, issued by the State of New Mexico, and now held under Assignment No. _____________________ insofar as the same affects the following

described lands:

Section

Township

Range

Subdivision

Acres

WITNESS my/our hand(s) and sealed this _____________ day of _______________________, 20______.

ATTEST: _____________________________________________

______________________________________(Seal)

(for use by corporation)

______________________________________(Seal)

(PERSONAL ACKNOWLEDGEMENT)

STATE OF ___________________________)

) ss.

COUNTY OF _________________________)

The foregoing instrument was acknowledged before me this __________________ day of ________________________________, 20 ____________,

by __________________________________________________________________________________________________________________________________

My Commission Expires: _____________________________________

___________________________________________

Notary Public

(ACKNOWLEDGMENT BY ATTORNEY-IN-FACT)

STATE OF ___________________________)

) ss.

COUNTY OF _________________________)

The foregoing instrument was acknowledged before me this ____________________ day of ______________________________, 20 ____________,

by _________________________________________________________________________________________________________ as attorney-in-fact in behalf

of ________________________________________________________________________________________________________________________________

My Commission Expires: _________________________________________

______________________________________________

Notary Public

(ACKNOWLEDGMENT BY CORPORATION)

STATE OF ___________________________)

) ss.

COUNTY OF _________________________)

The foregoing instrument was acknowledged before me this ____________________ day of __________________________, 20 ______________,

by__________________________________________, ___________________________________, _______________________________________________

(Name)

(Title)

(Corporation)

a ____________________________________________________________ corporation, on behalf of said corporation.

My Commission Expires: _________________________________________

______________________________________________

Notary Public

*Recording and approval fee is $10.00 for leases issued before 06-14-85.

Recording and approval fee is $40.00 for leases issued or stipulated after 06-14-85.

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.

OG 31

ONLINE Version

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