STATE OF NEW MEXICO Energy, Minerals and Natural Resources Department Mining and Minerals Division 1 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the 'Name of Company' in the designated field. Ensure that this is accurate as it identifies your business.
3. Fill in the 'Telephone' number and 'Address' of your company. This information is crucial for communication purposes.
4. Next, provide details about the mine, mill, or smelter including its 'Name', 'Location', and specific land descriptions such as 'County', 'Section', 'Township', and 'Range'.
5. If applicable, describe any changes to operations or ownership in the provided section. Be clear and concise to avoid confusion.
6. Complete the signature section with your name, title, address, and date signed. This confirms your acknowledgment of the information provided.

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