LEASE OFFER FORM
Date:
Company Name (Potential Lessee):
Address:
If accepted, lease will be mailed to above address unless another address is noted here:
Company Contact/Agent:
Phone:
E-mail:
Legal Description of acreage to bid: (attach an additional sheet if necessary)
State:
County:
Section:
Twp:
Range:
Legal:
Net Mineral Acres:
Gross Mineral Acres:
Term of Lease (5 years – Delay Rental* or 3 year Paid-up):
*annual delay rental is $1.00 per net acre or $20 whichever is greater
Royalty Rate:
(tracts with less than a 25% mineral interest require a 1/5th royalty)
Bonus Consideration (per net mineral acre): $
Authorized Signature: _________________________________________
Print Name:
Please note: Northwest FCS reserves the right to reject any or all offers.
Email Offer to: [email protected]
For questions contact: Julia Johnson, Minerals Director at 651-282-8419 or above email.