AFFIDAVIT OF POSSESSION INFORMATION SHEET
- BACKGROUND INFORMATION
A) Tract Name: ______
B) Brief Tract Description: ______
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C) County or Parish: ______
D) Date of Interview: ______
E) Affiant’s Full Name: ______
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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. ______
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B) Have there ever been any boundary disputes involving the tract in question? ______
If the answer is yes, have affiant explain. ______
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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 ______
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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? ______
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H) Are there any houses located on the tract in question? ______
1) Where is the approximate location relative to the tract in question? ______
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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? _____
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L) What are the boundary lines of the tract in question? (include: kind, condition, who built, any repairs, position, etc.)
1) North: ______
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2) East: ______
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3) South: ______
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4) West: ______
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5) Any additional boundary information: ______
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M) What is the chain of title?
1) Occupancy
a) Who owned the tract in question? ______
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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.) ______
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d) Were there any tenants on the tract in question? ______
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e) When did the owner sell the tract in question? ______
2) Occupancy
a) Who owned the tract in question? ______
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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.) ______
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d) Were there any tenants on the tract in question? ______
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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.) ______
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d) Were there any tenants on the tract in question? ______
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e) When did the owner sell the tract in question? ______
4) Occupancy
a) Who owned the tract in question? ______
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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.) ______
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d) Were there any tenants on the tract in question? ______
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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? ______
______
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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? ______
______
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e) When did the owner sell the tract in question? ______