Form of Bid for Leasing Division of Natural Resources Properties

West Virginia Mineral Development

Lessee Bid Submission Form
Application is hereby made to lease under the laws of West Virginia, the following described tract:
Tract Name:
Legal Description:
District:
Tax Map:
Parcel:
County:
Net Acres:
If it’s under the Ohio River, please provide the applicable mile post.
Please indicate approximate location of wellpad:
We offer a total cash bonus of $ (input cash bonus offer in below field) per acre if awarded a lease on the above described tract, and agree to execute and comply with all rules and regulations made and provided for in the regular lease form adopted by the Director of the Division of Natural Resources.
Total cash bonus per acre:
If awarded this lease, we request the lessee be designated as follows, to-wit:
Lessee:
Address:
Phone:
Email:
Should be Empty:

West Virginia Mineral Development