* First Name

*Last Name

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**Please select an item.*** ** Enter Section/Township/Range or Legal Description of Minerals. If more than one, after each please include county/counties where minerals are located, acres owned (if known) and whether leased, open, or producing. If this information is unknown please enter N/A as this field is required. Please also click the "I'm Not a Robot" button before you press "Submit Request".

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