Bid Form

Board for Lease of University Lands
BID FORM
BID OPENING - WEDNESDAY, SEPTEMBER 18, 2013
OIL AND GAS LEASE SALE NO. 124
SEALED BID SALE

In accordance with Chapter 66 of the Texas Education Code, the Board for Lease of University Lands Rules and the
Notice of Oil and Gas Lease Sale, I hereby submit my bid for the following-described tract available for oil and gas lease:

COMPLETE ONE BID FORM FOR EACH TRACT
DESCRIBE EXACTLY AS IN THE TRACT LIST

Tract No.	County	Block	Section	Acres

Part:

I will abide by all the terms and conditions of the oil and gas lease for which this bid is submitted.

SEPARATE CHECKS FOR BONUS, 1.5% SPECIAL FEE AND PREPAID DELAY RENTAL PAYABLE TO:
THE UNIVERSITY OF TEXAS SYSTEM BOARD OF REGENTS
(Time or Sight Drafts are NOT acceptable)

I hereby bid and enclose as a bonus, the sum of:

()

A separate remittance of a prepaid delay rental payment of $25.00/acre as stated in the Tract List:

()

A separate remittance of the special fee which is one and one-half percent (1.5%) of the cash bonus as required by law in the amount of:

()

SUBMIT BID AND CHECKS TO:
UNIVERSITY LANDS
NO BID MAY BE WITHDRAWN AFTER SUBMITTAL.

MUST BE EXACT NAME AND ADDRESS TO BE SHOWN ON LEASE AGREEMENT

APPLICANT NAME:

MAILING ADDRESS	PHYSICAL ADDRESS
P.O. Box:	Street:
City:	City:
State: Zip Code:	State: Zip Code:
Phone:	Email:

Print Name:

Signature:

(Offeror/Authorized Representative or Agent)

Board for Lease of University Lands BID FORM BID OPENING - WEDNESDAY, SEPTEMBER 18, 2013 OIL AND GAS LEASE SALE NO. 124 SEALED BID SALE

Board for Lease of University Lands
BID FORM
BID OPENING - WEDNESDAY, SEPTEMBER 18, 2013
OIL AND GAS LEASE SALE NO. 124
SEALED BID SALE