AFFIDAVIT OF POSSESSION INFORMATION SHEET
AFFIDAVIT OF POSSESSION INFORMATION SHEET
I. BACKGROUND INFORMATION
A) Tract Name: ____________________________________________________________________________
B) Brief Tract Description: ___________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
C) County or Parish: ________________________________________________________________________
D) Date of Interview: _______________________________________________________________________
E) Affiant’s Full Name: _____________________________________________________________________
_________________________________________________________________________________________
F) Affiant’s Age: ___________________________________________________________________________
G) Affiant’s Date of Birth: ___________________________________________________________________
H) Affiant’s Place of Birth: ___________________________________________________________________
I) Affiant’s Current Address: __________________________________________________________________
J) Affiant’s Length of Residency at Current Address: _______________________________________________
K) Affiant’s Residence Relative to Subject Tract: _________________________________________________
II. PERTINENT QUESTIONS
A) Have there ever been any adverse claims against the tract in question? ______________________________
If the answer is yes, have affiant explain. ________________________________________________________
__________________________________________________________________________________________
B) Have there ever been any boundary disputes involving the tract in question? __________________________
If the answer is yes, have affiant explain. ________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
C) Have any wells ever been drilled on the tract in question? _________________________________________
Has the tract in question ever been unitized? ___________________________________________________
1) When was the well drilled? ______________________________________________________________
2) What was the total depth? _______________________________________________________________
3) Did the well produce or was it a dry hole? __________________________________________________
a) When did production cease? __________________________________________________________
b) Was the well plugged? ______________________________________________________________
c) When was the well plugged? __________________________________________________________
D) Has there ever been a search for any minerals other than Oil or Gas? ________________________________
If yes, explain ______________________________________________________________________________
__________________________________________________________________________________________
E) Are there any churches located on the tract in question? __________________________________________
1) What is the name of the Church? __________________________________________________________
2) Where is the approximate location relative to the tract in question? _______________________________
F) Are there any schools located on the tract in question? ___________________________________________
1) What is the name of the school? __________________________________________________________
2) Where is the approximate location relative to the tract in question? _______________________________
G) Are there any cemeteries located on the tract in question? ________________________________________
1) What is the name of the cemetery? ________________________________________________________
2) Where is the approximate location relative to the tract in question? _______________________________
_______________________________________________________________________________________
H) Are there any houses located on the tract in question? ____________________________________________
1) Where is the approximate location relative to the tract in question? _______________________________
_______________________________________________________________________________________
I) Are there any Barns located on the tract in question? _____________________________________________
1) Where is the approximate location relative to the tract in question? _______________________________
J) Are there any outbuildings located on the tract in question? ________________________________________
1) Where is the approximate location relative to the tract in question? _______________________________
K) Have there been any drainage or other soil conversation measures carried out on the tract in question? _____
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
L) What are the boundary lines of the tract in question? (include: kind, condition, who built, any repairs, position, etc.)
1) North: _______________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
2) East: ________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
3) South: _______________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
4) West: _______________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
5) Any additional boundary information: _____________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
M) What is the chain of title?
1) Occupancy
a) Who owned the tract in question? ______________________________________________________
____________________________________________________________________________________
b) Did they live on the tract in question? ___________________________________________________
c) How did they use the tract in question? (e. g. timber, farming, pasture, type crops, etc.) ____________
____________________________________________________________________________________
d) Were there any tenants on the tract in question? ___________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
e) When did the owner sell the tract in question? ____________________________________________
2) Occupancy
a) Who owned the tract in question? ______________________________________________________
____________________________________________________________________________________
b) Did they live on the tract in question? ___________________________________________________
c) How did they use the tract in question? (e. g. timber, farming, pasture, type crops, etc.) ____________
____________________________________________________________________________________
d) Were there any tenants on the tract in question? ___________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
e) When did the owner sell the tract in question? ____________________________________________
3) Occupancy
a) Who owned the tract in question? ______________________________________________________
____________________________________________________________________________________
b) Did they live on the tract in question? ___________________________________________________
c) How did they use the tract in question? (e. g. timber, farming, pasture, type crops, etc.) ____________
____________________________________________________________________________________
d) Were there any tenants on the tract in question? ___________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
e) When did the owner sell the tract in question? ____________________________________________
4) Occupancy
a) Who owned the tract in question? ______________________________________________________
____________________________________________________________________________________
b) Did they live on the tract in question? ___________________________________________________
c) How did they use the tract in question? (e. g. timber, farming, pasture, type crops, etc.) ____________
____________________________________________________________________________________
d) Were there any tenants on the tract in question? ___________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
e) When did the owner sell the tract in question? ____________________________________________
5) Occupancy
a) Who owned the tract in question? ______________________________________________________
____________________________________________________________________________________
b) Did they live on the tract in question? ___________________________________________________
c) How did they use the tract in question? (e. g. timber, farming, pasture, type crops, etc.) ____________
____________________________________________________________________________________
d) Were there any tenants on the tract in question? ___________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
e) When did the owner sell the tract in question? ____________________________________________
6) Occupancy
a) Who owned the tract in question? ______________________________________________________
____________________________________________________________________________________
b) Did they live on the tract in question? ___________________________________________________
c) How did they use the tract in question? (e. g. timber, farming, pasture, type crops, etc.) ____________
____________________________________________________________________________________
d) Were there any tenants on the tract in question? ___________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
e) When did the owner sell the tract in question? ____________________________________________
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