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_09.40.19 e.m Oa-OB-2007 4 910241 6666 <br />From:Flenderson E~i~ment ~ '~ 970 241 66~ ~I~"'2007 ~:~ #22l P.004/004 <br />ci tPtPAtiT t:K)f`itMFNTS The following documerrttsl must be submitted with the assia_ttmenG as required: <br /> CORPORATION- aatcnt oeniticate of good sanding tlnNshcd by du Seeet:tary of State, Astit:la of 4korparation alon6 widf a lid of corporue <br /> offs diractdthotd deroms who the aM1' to b" the <br />~ SALE OF pRIVATII LAND -. o!!dterest estate ooaaaR <br /> DEATH OB ASSIG,NOR - of the death eea#tIcete and dowroarc the 've(s for the estate. <br /> FOREC[.09URE - of ilia ksoclasfee a ootgtottier. <br />THE FOLLOWING INFORItrIATION IS NECESSARY TO^PROCESS THIS APPLICATION. PLEASE ALLOW AT LEAST ~ DAYS <br />FROM THE DATE A COAH'LSTQ ASSIGNMENT APPLICATION PACKET IS RECEIVED BY THe STATE LAND BOARD'S <br />DISTRICT MATSA.GER FOP: THE STATE BOARD OF LAND COMMIS310rtER8 TO CONSIDER YOUR APrLICA'tION FOR <br />APPROVAL ANY INROR1VlATiON NOT PROVIDED WILL DELAY CON91D6RATION QF YOUR APPLICATION. <br />t. What is the reason for the assigtunent;~S~A /• sf- ~~ae ,Q,f YA~~-d- Vi /J6di+~iv• • <br />2. If this is an sssign~metu btxween fiesrtlty tnembera~ how is the Assignee rolabed to die Assignor? <br />3. if this is an~igttnent due to d~ sak of private h~ what is die ptschase price per >rs~e of die ~ivate land? <br />Now many >scres c-1pt[vate Tai d art: being sold? <br />What is the value of the improvetaenb an the private lmd? c CX?~ . <br />Wh1u is the catsidetsdots being paid by die Asalgnae to the As=igtsor for the assignnment ofthe kale? t~a~ ~" <br />4. What posRion of ilia ctxvldert~tion beioa oaid by this Assignee to the Assignor Sot die assignme~ repe+es~ die vaitte of <br />the Assignor's improvemeuri? S~¢ - <br />S • How much other lead will be used with this elate-trt>st lend? . <br />Total sasa+oag+s oartmd: K U y Total leased: 4 ~M-. y 4 <br />Leaud acreage owned by: (tstaotis, address s$ phone ao.) - <br />U.S. Forest 3ezvit:e pmmitted stares: <br />B.L.M. permitted attest: <br />6. What is the Itx~on of the other land to be used with dtis elate trust tend? <br />7_ Do you have: a ~1PY o£ the kale? ~ yes ^ ~ Have you reviewed the lease? 18 yes ^ no <br />8. Do you have any questions or concerns? Dyes RI no ' <br />If yea, please list; ' <br />APPROVAL OF AS'8IGNMENT ~ <br />This aiaigtunmt is approved Iby odex of the Smote Board of Land Commiasiotiers this ~ day of ~~ ~ .- <br />ALJT7~EORLZEi3 SIGMA FOR THE STATE BOARD OF LANiT <br />OFFICE USE ONLY / <br />CONSIDERATIONS , '~ -~ f - O ~ FEES S ./pQ [~ DA'I'S PAYMENT RECEIVIID , ~ /~ ~~ <br />DATE AS3IsiNMENT RIECORDED <br />OF LEASE REQUESTED BY DM OYES IR'No <br />REQUIRIrD ATTACHMENTS: RESOURCft MAIHAGEMEN'f Q1tFSTl~fl~fA1R8 ... - <br />N01V-RTO'•1AtDA8LE A~PLIGTiON E'EE OF SlOO.00 PLUS CONSIDBRA'1'tON OF SO% OF C~tJRREi~T <br />YEARS RENT Olt SOa/i'OF TIIE AMOUNT PAID FOR 7'IIE LEASE dY TAE ASStGNF.E, WIiICHEVER [9 <br />lkIIGHER. WIIIC[i WILL 6E RBEIJNDTD IF THlr ASSIGNtstENT D NOT APPROVED. <br />