Assignment of Interest in a Geothermal Lease Packet - dog dnr alaska 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by completing Item 1 with the ADL number for the lease affected by this transfer.
3. In Item 2, insert the assignor’s name and in Item 3, provide their current address as listed in the qualification file.
4. For Item 4, enter the assignee’s name and in Item 5, their current address from the qualification file.
5. Complete Item 6 with the assignor’s current ownership percentage of working interest or overriding royalty interest.
6. In Item 7, specify the percentage of interest being transferred to the assignee. Ensure this is expressed as a percent of total lease interest.
7. Fill out Item 8 with the percentage of interest that will be retained by the assignor.
8. List lands affected by this assignment in Item 9, using Township, Range, and Meridian format. If necessary, attach Exhibit A for lengthy descriptions.
9. Ensure both parties sign on Page 2 before a notary public and include all required details such as printed names and titles.

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