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? ____________________________________________

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download