NOTICE OF CONFIDENTIALITY RIGHTS: IF YOU ARE A NATURAL PERSON, YOU MAY REMOVE OR STRIKE ANY OR ALL OF THE
FOLLOWING INFORMATION FROM ANY INSTRUMENT THAT TRANSFERS AN INTEREST IN REAL PROPERTY BEFORE IT IS FILED FOR
RECORD IN THE PUBLIC RECORDS: YOUR SOCIAL SECURITY NUMBER OR YOUR DRIVER'S LICENSE NUMBER.
OIL AND GAS LEASE
THIS LEASE entered into on the ____ day of__________, ________, between FNC Client, by, through, and under, FARMERS
NATIONAL COMPANY, AGENT, whose address is 5110 S. Yale Ave., Suite 400, Tulsa, Oklahoma 74135-7483 (hereinafter called "Lessor," whether one or
more), and LESSEE, whose address is, ____________________(hereinafter called “Lessee” whether one or more).
W I T N E SS E T H:
( 1) GRANTING CLAUSE: Lessor, in consideration of the royalties herein reserved and of the agreement of Lessee herein contained,
grants, leases and lets unto Lessee, for the purposes of investigating, exploring, prospecting, drilling and mining for and producing oil, gas, associated
liquid hydrocarbons, and the respective constituent products thereof (all other mineral substances are specifically excluded from this lease), conducting
seismic and/or geophysical operations, and laying pipelines, building tanks, power stations, telephone lines and other structures thereon to produce,
save, take care of, treat, refine, process, store, transport, own, sell and dispose of said oil, gas, and associated liquid hydrocarbons in and under the
leased premises situated in _______County, State of ________ (hereinafter “Leased Premises”), more particularly described as follows:
<< INSERT LEGAL DESCRIPTION or SEE EXHIBIT “A” ATTACHED HERETO AND MADE A PART HEREOF >>
Lessor reserves the right to use all depths below the surface for other operations consistent with the grant hereof including but not limited to the removal
of fresh water, removal of salt water, disposing of salt water, exploring for and producing oil, gas and other minerals from depths or acreage no longer
held by this lease and operations other than the production of oil, gas and other minerals from strata leased to and held by Lessee hereunder, provided
that no such operations by Lessor shall unduly interfere with Lessee’s operations on the Leased Premises.
The above legal description was prepared by Lessee. Lessor does not warrant the accuracy of the legal description.
( 2)
PAID UP LEASE: This is a paid-up lease and there shall be no requirement for Lessee to pay delay rentals.
( 3)
PRIMARY TERM: Subject to the other provisions herein contained, this Lease shall be for a primary term of three (3) years, which
expires at twelve o'clock (12:00) noon, Central Time, on _______, ____, 2017 (Primary Term), and as long thereafter as oil, gas, or associated liquid
hydrocarbons or any of them are produced from the Premises in paying quantities. Lessee may at any time and from time to time surrender this lease
as to all or any part or parts of the Leased Premises by delivering a release hereof to Lessor and by placing a release of record in the County Clerk’s
Office of the above referenced County.
( 4) ROYALTY: Subject to the right of election reserved to Lessor below to take its share of production in kind, the royalties to be paid by
Lessee are one-fourth (1/4) of eight-eighths of (a) the greater of the market value at the well or the amount realized at the point of sale on all oil and
liquid petroleum products recovered at the well, and (b) the market value at the well of gas sold, used off the Premises or delivered to Lessee at the
tailgate of the plant to which the gas is delivered, plus the market value of the products recovered when such gas is processed; provided that on gas sold
at the well by Lessee in an arm's length transaction, the royalty shall be the same percentage of the amount realized from any such sale. Royalty is to
be paid on all payments received by Lessee under or as a result of a gas purchase contract, including, but not limited to, reservation charges and,
subject to credit to Lessee when gas for which payment has been made earlier is eventually produced, take-or-pay or contract settlement proceeds and
amounts paid for gas not taken. Lessee shall have reasonable use of oil and gas for operations on the Premises, and the royalty on oil and gas shall be
computed after deducting any production so used.
Regardless of whether the oil, liquid petroleum products and gas produced from the Premises or land pooled therewith is sold or valued at the well, on
the Premises or off the Premises, and regardless of whether or not said oil, liquid petroleum products and gas is marketable at the wellhead, Lessor and
Lessee specifically agree that the royalties payable under this Lease shall be free and clear of all pre-production and post-production costs and/or
deductions for exploration, drilling, development, and production, including, but not limited to, costs of lifting, gathering, transportation, treating,
processing, marketing, dehydration, storage, compression, separation by mechanical means, and stabilization of the hydrocarbons. If Lessee treats
and/or processes its gas in a natural gas plant (either on or off the Premises), whether in Lessee's plant or in the plant of a third party, Lessee shall treat
and/or process or cause Lessor's gas to be treated and/or processed. In the event that any such treating and/or processing actually enhances the
marketable value of the gas and a justifiably higher price is obtained for Lessor’s gas, then notwithstanding the foregoing, Lessee shall be entitled to
deduct from the value of the products recovered by the treating and/or processing of the gas. As used in this paragraph, the term “justifiably higher
price” shall mean that Lessor’s net income, as calculated being based upon a premium price for any such enhanced gas, after all deductions, is actually
greater than Lessor’s net income, as calculated being based upon the market value at the wellhead.
Lessor hereby reserves the right to take its share of production in kind. Lessor shall give Lessee not less than sixty (60) days' notice of such election,
and shall take said royalty share in kind for a period of not less than six (6) months following the termination of said sixty (60) day period.
If there is a gas well on the Leased Premises or on land pooled therewith capable of producing in paying quantities, but from which gas is not being sold,
and in the absence of oil or other production from the Premises or on land pooled therewith sufficient to maintain this Lease in full force and effect, this
Lease shall be extended for a period of ninety (90) days from the date such well is or was shut-in, whereupon this Lease shall terminate unless Lessee
shall pay to Lessor as royalty, (i) a sum equal to twenty dollars ($20) per net mineral acre covered under this lease, per annum, or (ii) Five Hundred and
No/00 Dollars ($500.00) for each well located on the Leased Premises from which gas is not being sold, per annum, whichever is greater. Such
payment shall be made on or before the ninetieth (90th) day from and after the date on which such well is or was shut-in, and annually thereafter a
similar payment may be made on or before the anniversary date on which such well was shut-in. If such payment, or payments are timely made, it shall
be considered that gas is being produced in paying quantities from the Leased Premises under all the terms and provisions of this Lease (but only for so
long as the well continues to be capable of producing in paying quantities); however, this Lease may not be maintained by shut-in payments for more
than two (2) consecutive years or three (3) years during any five (5) year period. Lessee shall be obligated to use diligence to market gas capable of
being produced in paying quantities from a shut-in well, but shall be under no obligation to market same under terms, conditions or circumstances which
are unreasonable.
As used in this lease, the terms “oil and gas”, “oil and/or gas” “oil and gas, and associated hydrocarbons and by-products”, “oil, gas and other minerals”
and similar terms are defined to also include, without limitation, all condensate, distillate, natural gasoline, kerosene, methane, butane, ethane, propane
(ISO and normal), pentane and all other hydrocarbons and associated by-products, including sulphur and carbon dioxide produced incidentally with oil
and gas, and any other mixture or combination of liquid or liquefiable hydrocarbons, produced by Lessee from the Leased Premises or acreage pooled
therewith. Lessee agrees that all gas, including casinghead gas, produced from the Leased Premises or acreage pooled therewith, and not purified in
an extraction, recycling, cycling, absorption or treating plant, shall, before the same is sold or used for any purpose, or transported from the Leased
Premises or acreage pooled therewith, be passed through a standard mechanical oil field type separator system so as to effect the maximum
economical recovery of all free liquid and/or liquefiable hydrocarbons therefrom.
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Lessee hereby stipulates and agrees that no oil or gas produced from the Leased Premises, or acreage pooled therewith, shall ever be sold through or
to any marketing affiliate, subsidiary, division or other entity with which Lessee, its principals, officers or directors, are associated or affiliated with, or
control, in any manner without the express written permission of Lessor. It is the express intent of Lessor and Lessee that all oil and gas produced from
the Leased Premises, or acreage pooled therewith, be sold to third party pipelines or purchasers (unless otherwise agreed to in writing by Lessor.
This instrument and the royalty interest of Lessor reserved or created herein may also be construed as a security agreement and secured interest,
respectively. In the event of the bankruptcy or insolvency of Lessee, its successors or assigns, or any purchaser of the oil, gas and other minerals
produced from the Leased Premises, then payment of all royalties and/or proceeds attributable to the Lessor hereunder shall be deemed secured and
Lessor, their heirs, successors, and assigns will be recognized and treated as a priority creditor. Said lien shall be in addition to any statutory lien
provided by any State or Federal Code or Case Law, and this instrument, and any Memorandums of Oil, Gas and Mineral Lease and Notice of NonStandard Financing Statement and Security Agreement filed of record per the terms of this lease, shall constitute a Security Agreement and a Financing
Statement. Wherever necessary, the term “Lessor” shall also mean secured party and the term “Lessee” shall also mean debtor. It is expressly
understood and agreed that no lien, encumbrance, mortgage, deed of trust, financing agreement, security agreement, production payment or any other
similar instrument or filing securing payment for goods, services, capital, debt or any other obligation delivered to or for or on behalf of Lessee, its heirs,
successors, assigns, agents or employees, in connection with the operations on the Leased Premises, shall ever attach to or encumber in any manner
whatsoever Lessor’s royalty interest reserved or created herein. Lessee, in addition, grants Lessor a security interest in all “as extracted” minerals
attributed to Lessee’s working interest. Any such instrument purporting to encumber or attach to Lessor’s royalty interest herein shall be void as to such
encumbrance or attachment of or to Lessor’s said royalty interest. The above reservation by Lessor of the security interest in the Collateral shall be a
first and prior lien insofar as the Collateral and Lessee hereby agrees to maintain the priority of said security interest against all persons. All parties
acquiring an interest in the lease and/or personal property covered by this Security agreement, whether by assignment, merger, mortgage, operation of
law, or otherwise, shall be deemed to have taken such interest subject to the security interest in the Collateral as reserved herein. The addresses of
Lessor as Secured Party, and of Lessee, as Debtor, are set forth on page 1 of this Lease. The parties hereto agree that the provision of this paragraph
shall be a part of any Memorandum of this Lease, and when such a memorandum is recorded in the Official Records in the County or Counties where
the land covered hereby is located, this and the memorandum thereof shall be effective as a filed financing statement.
Lessee shall be responsible for the full and proper payment of all amounts due to Lessor during the portion of the term of this lease in which Lessee is
the Lessee hereof and to the extent of said leasehold interest of Lessee. Any assignee of this lease shall be responsible for the full and proper payment
of all payments due Lessor during the portion of the term of this lease which said assignee is a lessee thereof and to the extent of said leasehold interest
of said assignee. If Lessee fails to make royalty payments on oil and gas, and associated hydrocarbons and by-products, within ninety (90) days after
the last day of the month in which production occurred, then Lessor shall have the right, but not the responsibility, to demand and receive such payments
directly from the pipeline company or other purchaser of same. The provisions of this paragraph shall not in any way limit or preclude Lessor’s rights
and remedies described in this lease. Upon written request by Lessor, Lessee agrees to furnish Lessor the quantity of oil and/or gas produced,
purchased or transported from the Leased Premises or lands pooled therewith. Statements from any purchaser of said oil and/or gas shall satisfy this
covenant. Lessee agrees that payments for royalty on oil and gas, and associated hydrocarbons and by-products, reserved by Lessor herein and
payable to Lessor under the terms of this lease will be paid to Lessor no later than one hundred and eighty (180) days after the last day of the month in
which production occurred for the first royalty payment. Subsequent royalty payments after the first payment will be paid to Lessor no later than ninety
(90) days after the last day of the month in which production occurred. Payments made later than the aforestated shall bear daily compounding interest
at the prevailing prime rate plus two percent (2.00%). Upon failure to comply therewith and after thirty (30) days notice given by Certified Mail by Lessor
to Lessee at the address above written, if Lessee shall remain in default of any such royalty payment obligations, this lease shall, in Lessor’s sole
discretion, terminate and be of no further force and effect; however, in the event litigation shall have been instituted involving an adverse claim which
affects title to Lessor’s interest hereunder in a detrimental manner, Lessee may hold, with interest stipulated above, the amount credited to the owner
thereof until such suit has been settled. If a bona fide dispute or title defect exists as to title to the Leased Premises, then Lessee may deposit only such
disputed royalty amounts with a court of competent jurisdiction pending the prompt efforts of Lessee and/or Lessor to resolve such dispute or title defect,
and thereupon satisfy the obligations of timely payment of royalty.
If Lessor owns less than the full mineral estate in all or any part of the leased premises, the royalties and shut-in royalties payable hereunder for any well
on any part of the leased premises or lands pooled therewith shall be reduced to the proportion that Lessor’s interest in such part of the leased premises
bears to the full mineral estate in such part of the leased premises.
( 5) CONTINUOUS DRILLING: If Lessee is drilling a new well or reworking an old well at the expiration of the Primary Term, this Lease
shall continue in force as long as such drilling or reworking operations are prosecuted with no cessation for more than 90 days, and if such drilling or
reworking operations result in production of oil or gas or associated liquid hydrocarbons in paying quantities, then for so long thereafter as such
production in paying quantities continues. If production on this Lease ceases after the expiration of the Primary Term, this Lease shall continue in force
if drilling or reworking operations are commenced within sixty (60) days after such cessation of production; and if production is restored or new
production is discovered as a result of any such drilling or reworking operations conducted without cessation for more than ninety (90) days, this Lease
shall continue so long thereafter as production in paying quantities, or additional drilling or reworking operations are had without cessation of such
production, drilling or reworking operations for more than ninety (90) days. Lessee shall give Lessor written notice in the event production, once
obtained, ceases for a period of thirty (30) days or longer, from any well on the Leased Premises or land pooled therewith. Lessee shall make such
written notice to Lessor within five (5) days after any thirty (30) day period of cessation (i.e., within 35 days of cessation of production).
"Drilling operations", "operations for drilling", and similar terms shall mean and be confined to the erection of an actual rotary drilling rig on the Leased
Premises or lands pooled therewith of a sufficient size to reach a formation from which there exists a bona fide possibility for production of oil or gas in
paying quantities, and when such rig is rotating under power and actual drilling and "making hole" has started.
( 6) HORIZONTAL & VERTICAL PUGH: At the expiration of the Primary Term, this Lease shall automatically terminate as to: (a) all land
which is not located in a drill site spacing unit (as defined in Section 7 hereinafter) in which there is a well on the Leased Premises or on land pooled
therewith, producing oil or gas in paying quantities, or a shut-in gas well; and (b) those depths lying below the stratigraphic equivalent of the deepest
horizon producing oil or gas in paying quantities in each drill site spacing unit of land.
The initial and/or ongoing depth severances described and provided for in this paragraph may be delayed by the commencement and/or maintenance of
continuous drilling operations under Section 5 hereof. Notwithstanding said continuous drilling provision, the termination of this Lease as to nonproducing land and depths described above shall not be suspended for more than five (5) years from the expiration of the Primary Term hereof. If the
Leased Premises are included in a federal unit, then for the purposes of this provision the references to land pooled with the Leased Premises shall
include only that land which is included in an approved participating area.
Upon the expiration of any portion of this Lease, Lessee shall promptly record an appropriate, legally effective release or releases thereof and provide to
Lessor a copy of the recorded instrument within ninety (90) days of expiration or termination.
( 7) POOLING: If any unit is, or has been, formed, as to include all or any portion(s) of the Leased Premises, for any well for which
production has been obtained or for which drilling operations have actually been commenced prior to the effective date of this Lease, then this lease
shall terminate as of the effective date hereinabove stated.
Lessee, at its option, may pool or combine the Leasehold Estate or any portion thereof, as to oil and gas, or either of them, with any other lease or
leases, when in Lessee's judgment it is necessary or advisable to do so in order to properly develop and conduct operations. For purposes hereof, a drill
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site spacing unit is defined as the land included in the proration or production unit established for the well or attributed to the well by the state or federal
regulatory authority having jurisdiction. If no unit or spacing rule exists, then drill site spacing units shall be defined as the forty (40) acre tract
surrounding an oil well (other than a horizontal completion), and Lessee is permitted to pool the leasehold estate for the production of natural gas subject
to the following stipulations:
a)
Production Units for gas wells where the top of the deepest producing, or producible interval is between the surface of
the earth and 6,000 feet shall not exceed a total of 160 acres in size, plus a maximum acreage tolerance of 10%,
without the express written authorization of Lessor.
b)
Production Units for gas wells where the top of the deepest producing, or producible interval is below 6,000 feet and at
or above 11,000 feet shall not exceed a total of 320 acres in size, plus a maximum acreage tolerance of 10%, without
the express written authorization of Lessor.
c)
Production Units for gas wells where the top of the deepest producing, or producible interval is below 11,000 feet shall
not exceed a total of 640 acres in size, plus a maximum acreage tolerance of 10%, without the express written
authorization of Lessor.
For the purpose of the foregoing, the terms “oil well” and “gas well” shall have the meanings prescribed by applicable law or the appropriate
governmental authority, or, if no definition is so prescribed, “oil well” means a well with an initial gas-oil ratio of less than 100,000 cubic feet per barrel
and “gas well” means a well with an initial gas-oil ratio of 100,000 cubic feet or more per barrel, based on a 24-hour production test conducted under
normal producing conditions using standard lease separator facilities or equivalent testing equipment; and the term “horizontal completion” means a well
in which the horizontal component of the completion interval in the reservoir exceeds the vertical component in such interval. Units for any such
horizontal completion shall not exceed 640 acres plus a maximum acreage tolerance of 10%; provided, however, that a larger unit may be formed to
conform to any well spacing or density pattern that may be prescribed or permitted by any governmental authority having jurisdiction to do so.
The pooling in one or more instances shall not exhaust the right of Lessee to pool the Leasehold Estate, or portions thereof into other units.
The terms “Production Unit”, “Proration Unit”, “Drill Site Spacing Unit”, or terms of similar meaning shall be defined as including pooled units for all
purposes of this lease. In the absence of a prescribed unit formed by the State or Federal regulatory authority having jurisdiction, Lessee agrees that for
any Production Unit formed hereunder by the drilling and production of a gas well located on the Leased Premises or on acreage pooled therewith, the
acreage from the Leased Premises must comprise no less than one-half (1/2) of such pooled gas Production Unit; Provided, however, that sufficient
contiguous acreage from the Leased Premises is available to satisfy this requirement. If insufficient contiguous acreage from the Leased Premises is
available for pooling to satisfy the above requirement, then Lessee must include all of the remaining un-pooled contiguous acreage of this lease (only to
the extent same is contiguous) in such pooled gas Production Unit. Notwithstanding anything herein to the contrary, it is not the intention of Lessor to
prevent or hinder the placing of fractional or remaining acreage of lesser amounts in Production Units after the above requirements have been satisfied.
Notwithstanding anything to the contrary in this lease, Production Units for each producing gas or oil well completed by Lessee on the
Leased Premises or lands pooled therewith under the terms of this lease shall be in accordance with the unit sizes set forth, hereinabove
provided, however, that in no event shall any such Production Unit or Production Units for oil and gas wells be less than the area necessary
for a maximum allowable under the rulings or regulations of the state or federal regulatory authority having jurisdiction and the unit sizes
provided for in this Section 7 shall conform to the same.
( 8) NO WARRANTY OR REPRESENTATION: The rights granted by Lessor under this Lease are granted WITHOUT WARRANTY,
EXPRESS OR IMPLIED.
(9) INDEMNIFICATION: LESSEE AGREES TO INDEMNIFY, HOLD HARMLESS, AND DEFEND LESSOR FROM ANY AND ALL
CLAIMS, SUITS, COSTS, LOSSES, AND EXPENSES THAT MAY IN ANY MANNER RESULT FROM OR ARISE OUT OF LESSEE’S OPERATIONS
CONDUCTED PURSUANT TO THIS INSTRUMENT.
(10) BREACH: In the event of Lessee's breach of this Lease, Lessor shall notify Lessee by certified mail of such breach, and Lessee shall
have ninety (90) days from the receipt thereof to comply with this Lease. If Lessee fails to remedy a breach within such period, Lessor may, at its option,
terminate this Lease and be relieved from any obligation hereunder. Irrespective of whether Lessor elects to terminate this Lease or exercise any other
right or remedy under this Lease or at law, Lessor shall be entitled to other available remedies, including specific performance to require Lessee to (a)
abandon any well and/or restore the surface of the Premises to its condition existing prior to entry thereon by Lessee, (b) furnish any reports required
hereunder or information required hereunder from operations on the Premises or land pooled therewith, and/or (c) make any payment due hereunder.
Except as otherwise expressly provided in this Lease, any notices or other communications required or permitted hereunder shall be in writing and shall
be deemed given only when received by the party to whom the same is directed at the address shown on the top of page 1 of this Lease or to such other
address as is provided to the other party with proper notice.
(11) LESSOR’S ACCESS TO INFORMATION: At Lessor’s request, Lessee shall furnish to Lessor one (1) copy of each run sheet, title
opinion and/or abstract of title prepared by or for Lessee concerning all, or any portion or portions, of the Leased Premises.
(12) DIVISION ORDERS: None of the provisions of this Lease may be altered, amended, or ratified by any division order, transfer order or
any other instrument, unless such instrument expressly states its purpose as an alteration, amendment or ratification of this Lease and specifically
identifies the particular Lease provisions affected. Any division and transfer orders executed by Lessor shall be solely for the purpose of confirming the
extent of Lessor's interest in production from the Premises.
(13) NO PRODUCTION: As of the effective date hereof, Lessee represents that: a) the Leased Premises are not producing oil, gas,
casinghead gas or other gaseous substances or any other mineral substances covered by this lease; b) no physical operations for current and/or future
exploration and/or production of the Leased Premises have been commenced; c) no portion of said Premises is currently held by an active oil and gas
lease or is in a producing unit; and d) no production revenue from the Leased Premises is currently being held in suspense, its successors, or assigns,
for the benefit of the Lessor or its predecessors in title.
(14) DUE DILIGENCE: Lessee affirms to Lessor that Lessee or his agents have reviewed title to the Premises and that Lessor appears to
be the record owner of the oil and gas rights under the Premises.
(15) FAVORED NATIONS: In the event Lessee, it’s successors, or assigns pays a bonus amount greater than the amount paid to Lessor,
for an oil and gas lease, and/or pooling action with equal or higher royalty, whether covering multiple tracts or a single tract, within a one (1) mile radius
of the lands covered by this agreement within one (1) year prior to the effective date of this instrument, and through the expiration of the primary term
hereof, and/or any extension of primary term(s) thereof, Lessee agrees to pay the difference between the bonus amount already paid per acre, and the
amount per acre of the greater bonus paid, to Lessor; AND,
In the event Lessee, it’s successors, or assigns grants a royalty percentage greater than that negotiated by Lessor, for an oil and gas lease, and/or
pooling action with similar or greater bonus consideration, whether covering multiple tracts or a single tract, within a one (1) mile radius of the lands
covered by this agreement, within one (1) year prior to the effective date of this instrument, and through the expiration of the primary term hereof, and/or
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any extension of primary term(s) thereof, it is agreed and understood that this Lease shall be amended to confer such benefit to Lessor and the greater
of the royalty percentages will be used in Section 4 of this agreement and made a part of the terms and conditions hereof.
(16) SURFACE USE: Notwithstanding any provisions to the contrary contained in this lease, this Section 16 shall apply only in the event
Lessor, its successor, or assigns owns all or any part of the surface estate in and to the leased premises: Prior to conducting any operations on the
surface of the Leased Premises, the Surface Owner and Lessee shall enter into a separate agreement setting forth procedures and conditions for such
operations by executing an instrument styled “Surface Use Agreement”.
(17) NO WAIVER OF IMPLIED COVENANTS: Lessee is further obligated to duly uphold the implied covenants of this oil and gas lease,
including, but not limited to, the obligation to explore, the obligation to protect from drainage, the obligation to reasonably develop, the obligation to
further develop, the obligation to market diligently, the obligation to conduct operations with reasonable care and due diligence, the obligation to restore
the surface, and the duty to represent Lessor administratively.
(18) SURVIVAL: If any term or provision of this instrument, or any application of such term or provision, shall be declared invalid or
unenforceable, no other term or provision of this instrument shall be affected thereby, and such invalid or unenforceable term or provision, if any, shall
be deemed stricken without affecting the other terms and provisions hereof.
(19) HEADINGS: The paragraph headings in this lease are for convenience only, and shall not be considered an interpretation or
construction of any provision of this lease.
IN WITNESS WHEREOF, this lease is executed to be effective as of the date first written above, and upon execution shall be binding on the
signatory and the signatory’s heirs, devisees, executors, administrators, successors and assigns, whether or not this lease has been executed by all
parties hereinabove named as Lessor.
LESSOR:
(WHETHER ONE OR MORE)
FNC CLIENT, by, through, and under,
FARMERS NATIONAL COMPANY, AGENT
By: __________________________________________
Terry L. Young, Assistant Vice-President
LESSOR’S ACKNOWLEDGMENT
STATE OF OKLAHOMA
COUNTY OF TULSA
)
) ss.
)
On this _______ day of ___________, 2014 before me _______________, Notary Public in and for said County and State, personally
appeared Terry L. Young, Assistant Vice-President of FARMERS NATIONAL COMPANY, AGENT for, FNC CLIENT personally known to me (or proved
to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument, and acknowledged to me that he
executed the same in his authorized capacity and that by his signature on the instrument in person, or the entity upon behalf of which the person acted,
executed the instrument.
WITNESS my hand and official seal.
________________________________________
Notary Public
(SEAL)
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EXHIBIT “A”
To that certain oil and gas lease dated Month, Day, 2014, in _____ County, State
Between FNC CLIENT, FARMERS NATIONAL COMPANY, AGENT (Lessor),
and LESSEE NAME (Lessee).
*****************************************************************************************************************
End of Exhibit “A”
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