Selling Partial Working Interest Click here to download a printable PDF version of this form Selling Partial Working Interest 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 Number * Item Lease Name State County Legal Location API# Operator Operator Address Operator City Operator State Operator Zip Oil and/or Gas Purchaser Oil and/or Gas Purchaser Address Oil and/or Gas Purchaser Phone Gross Working Interest Being Sold Net Revenue Interest Being Sold Acres Previous year's taxes 12 Month Income 12 Month Expense Seller Comments Add another PWI Remove File Upload (Expenses, operating agreement, check stubs, etc.) Drop a file here or click to upload Choose File Maximum upload size: 124MB If you are human, leave this field blank. Submit
