Bid Form For Areawide Oil & Gas Lease Sale - Alaska Department Of Natural Resources
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1
2STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURCES
DIVISION OF OIL AND GAS
BID FORM FOR AREAWIDE OIL & GAS LEASE SALE
Instructions on how to complete this form are available in the Sale Announcement and Instructions to
Bidders at
Areawide Oil & Gas
Lease Sale
Parcel
Lease Sale Name
Tract (LST)
(North Slope Only)
Each bidder listed below must be qualified in order to bid. All lease-interest percentages must be
expressed in percentages with the fractional interest carried out to no more than five decimal places. The
sum of the lease-interests covered by this bid must equal 100.00000 percent without rounding.
% Lease
Qualification
Individual Bidder or Bidder
Bidder
Interest
File No.
Bidder Name
Agent Authorized Signature
Date
No. 1
Agent Name and Title
(type or print):
No. 2
Agent Name and Title
(type or print):
No. 3
Agent Name and Title
(type or print):
No. 4
Agent Name and Title
(type or print):
Estimated Acreages for lease sale tracts are listed in Attachment A of the Sale Announcement and
Instructions to Bidders. The Total Bid Per Acre controls in case of a discrepancy.
Estimated Acreage
Total Bid Per Acre
Total Estimated Bonus Bid
Acres
X
$
/Acre
=
$
Enclosed is $_____________________, a bid deposit equal to or greater than the Minimum Bid Deposit,
which is 20% of the Total Estimated Bonus Bid, as required by the Sale Announcement and Instructions
to Bidders.
I/We certify by signing this form that 1) this bid discloses the percentage interest of each person or entity
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 Sale Announcement and
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.
AS 38.05.035(a) authorizes the director to decide what information is needed to process an application for the sale or use of state land and
resources. This information is made a part of the state public land records and becomes public information under AS 40.25.110 and
AS 40.25.120 (unless the information qualifies for confidentiality under AS 38.05.035(a)(9) and confidentiality is requested). Public information
is open to inspection by you or any member of the public. A person who is the subject of the information may challenge its accuracy or
completeness under AS 44.99.310, by giving a written description of the challenged information, the changes needed to correct it, and a name
and address where the person can be reached. False statements made in an application for a benefit are punishable under AS 11.56.210.
BID FORM FOR AREAWIDE OIL & GAS LEASE SALE
Page 1 of 2
Revised 3/2016
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