Bid Form For Areawide Oil And Gas Lease Sale printable pdf download

(BID FORM FOR AREAWIDE OIL & GAS LEASE SALE)

(Revised 11/07)

STATE OF ALASKA

BID FOR OIL AND GAS LEASE

Competitive Areawide Oil & Gas Lease Sale

Lease Tract No.

Estimated acres

(Estimated acreage from Instructions to Bidders, Attachment A)

Total Bid Per Acre $

/acre

Total Estimated Bonus Bid $

(Total Bid per acre is controlling in case of discrepancy)

Enclosed is a deposit in cash, cashier's or certified check, money order, or combination thereof, in the

sum of $

which equals 20.00000% or more of the total cash estimated bonus bid as

required by the Instructions to Bidders.

The undersigned certify by signing this form that 1) this bid discloses the percentage interest of each person who has any

working interest in this bid or in any lease issued in response to it and 2) if awarded a lease pursuant to this bid, all

successful bidders who have a working interest in the lease at the time of the lease award notice will execute all copies of

the lease form specified in the Instructions to Bidders and comply with all other requirements of the award notice,

including the posting of any required bond, or shall forfeit the entire amount deposited with this bid.

The undersigned bidder(s) hereby designate:

Bidder or Bidder’s agent: ___________________________________________________________

Physical Address:

Mailing Address:

____________________________________

___________________________

Telephone Number: __________________________

E-mail

as the agent authorized to receive notices on behalf of all bidders in connection with this bid.

All lease-interest percentages must be represented by numbers with the fractional interest carried out

to no more than five decimal places. No bids with the lease-interest represented by fractions will be

accepted unless the fraction can be expressed in decimals of no more than five digits without rounding

off. The sum of the lease-interest ownerships covered by this bid should equal 100.00000 percent.

% Lease-

Qualification

Interest

File #

Name of Bidder

Authorized Signature

Date

_________