Selling Operated Lease Click here to download a printable pdf version of this form Selling Operated Lease Seller Name Seller Address * Seller Address Seller Address Seller Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Seller Email * Seller Phone * Lease Name Field Name County State Legal Description Acres Gross Working Interest Net Revenue Interest Lease Number Previous year's taxes Operator Name Operator Address Operator Email Address Operator Phone Number Crude Purchaser Crude Purchaser Phone # Gas Purchaser Gas Purchaser Phone # Oil Gravity and/or Gas BTU Is this a SWD? Yes No Enter last MIT date: Well Data Well Number Producing Formation Spud Date Completion Date Gross BOPD Gross MCFD Gross BBL of H2O / Day Cumulative Oil Production Cumulative Gas Production Other Equipment Add another well Remove Equipment Data Surface Casing Production Casing Tubing Rods Pump Pumping Unit Engine Tank Battery Separator Treater Other Equipment Add more equipment Remove File Upload (Expenses, operating agreement, check stubs, etc.) Drop a file here or click to upload Choose File Maximum upload size: 128MB Seller Comments If you are human, leave this field blank. Submit
