Assignment of Operating Rights Form

U.S. Department of the Interior

Bureau of Indian Affairs

Lease Number_______________________

ASSIGNMENT OF __________ LEASE

OPERATING RIGHTS

WHEREAS, for and in consideration of ______________ dollars ($ _________ ), the receipt of which is hereby acknowledged, the said __________________________________ ,

the owner of the above-described lease (hereafter called Assignor), does hereby bargain, sell, transfer, assign, and convey to ______________________________________________ ,

(hereafter called Assignee), right, title and interest in and to said operating rights, subject to the approval of the Secretary of the Interior, the following described interest to wit:

That Assignors interest in the lands is __________________, the interest being transferred is ________________ and the interest being retained is ____________. The Assignor reserves an overriding royalty in the amount of _______________________. Said assignment to be effective on and from the date of approval hereby by the Secretary of the Interior.

And for the same consideration the Assignor covenants with the Assignee, heirs, successors or assigns: That the Assignor is the lawful owner of and has good title to the interest above assigned in and to said lease, free and clear from all liens, encumbrances or adverse claims; That said lease is a valid and subsisting lease on the lands above described, and all rentals and royalties due thereunder have been paid and all conditions necessary to keep the same in full force have been duly performed.

Attach all appropriate documentation relevant to this document.

IN WITNESS WHEREOF, the said assignor has hereunto set ___________________________

hand and seal, this _______ day of ______________ , 20 ________ .

________________________________________

________________________________________

_______________________________________

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ACCEPTANCE BY ASSIGNEE

_________________________________________________ the assignee in the above and

foregoing assignment, made subject to the approval of the Secretary of the Interior, hereby

accepts such assignment, assumes full liability under the lease from its effective date and agrees to fulfill all the obligations, conditions, terms, restrictions and stipulations in said described indenture of lease, and the rules and regulations of the Secretary of the Interior applicable thereto, and to furnish proper bond guaranteeing a faithful compliance with said lease and this agreement. In addition assignee is in compliance to with all regulations and authorizing acts.

IN WITNESS WHEREOF, the said assignor has hereunto set _________________________

hand and seal, this _______ day of ______________ , 20 ________ .

_________________________________________

_________________________________________

_________________________________________

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CONSENT OF SURETY

The _______________________________________________, surety for _________________

____________________________________ on the bond accompanying the lease above described, hereby consents to the assignment and transfer of said lease as above made and agrees that said bond shall remain in force and effect covering obligations of assignee.

Dated at ________________________, this _______ day of ______________ , 20 ________.

__________________________________________

__________________________________________

__________________________________________

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ACKNOWLEDGEMENT OF CORPORATION

State of _______________)

)ss

County of _____________)

Before me, a notary public, in and for the County and State aforesaid, on this _____ day of

____________ A.D. 20 ___ , personally appeared _______________________________ , to

me known to be the identical person who subscribed the name of the foregoing instrument as its ___________________________________________________, and acknowledged to me

that ____________________ executed the same as a free and voluntary act and deed, as the free and voluntary act and deed of such corporation, for the uses and purposes therein set forth.

Given under my hand and seal of office the day and year last above written.

My Commission expires _________________

______________________________________

Notary Public

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ACKNOWLEDGEMENT OF INDIVIDUAL

State of _______________)

)ss

County of _____________)

Before me, a notary public, in and for the County and State aforesaid, on this _____ day of

____________ A.D. 20 ___ , personally appeared ___________________________________

_____________________________________________________________________________ ,

to me known to be the identical person who executed the within and foregoing instrument, and acknowledged to me that _________________ executed the same as ________________

free and voluntary act and deed, for the uses and purposes therein set forth.

Given under my hand and seal of office the day and year last above written.

My Commission expires _________________

______________________________________

Notary Public

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UNITED STATES

DEPARTMENT OF THE INTERIOR

____________ ____________________________________________

Date Approved Name and Title

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