STATE OF LOUISIANA
ASSIGNMENT OF SURFACE / SUBSURFACE LEASE
STATE OF LOUISIANA
KNOW ALL MEN BY THESE PRESENTS, THAT
WHEREAS, by instrument dated ______by and between the State of Louisiana represented by ______, Administrator of the State Land Office, Surface/Subsurface Lease No. ______was granted to ______for certain rights through and under State lands located in ______situated in the Parish of ______, State of Louisiana; and
WHEREAS, said instrument dated ______prohibited ______from assigning in whole or in part any rights accrued by virtue of said agreement unless the State of Louisiana granted consent and approval thereto; and
WHEREAS, ______has now requested the consent and approval of the State of Louisiana to assign all the rights of ______under the aforementioned Surface/Subsurface Lease No. ______to ______.
WHEREAS, it is to the mutual benefit and advantage of the parties that said agreement be approved; and
WHEREAS, all other stipulations and obligations in the original contract dated ______, are to be assumed by assigns and are to be maintained in force and effect.
NOW, THEREFORE, the State of Louisiana, represented byJonathan Robillard, Administrator of the State Land Office, approves the assignment of Surface/Subsurface Lease No. ______by ______to said ______.
IN WITNESS WHEREOF, the State of Louisiana, has executed this conveyance on this ______day of ______, ______.
WITNESSES to the signature of the
Administrator of the State Land Office:
______
Printed Name: Melanie Schulenberg ______
ADMINISTRATOR, STATE LAND OFFICE
Printed Name: Jonathan Robillard
______
Printed Name:______
ACKNOWLEDGMENT FOR THE ADMINISTRATOR OF THE STATE LAND OFFICE
STATE OF LOUISIANA
PARISH OF EAST BATON ROUGE
BEFORE ME, the undersigned authority, personally came and appeared Melanie Schulenberg, who by me being first duly sworn,
deposed and said:
That she is one of the witnesses to the execution of the foregoing instrument and that she saw Jonathan Robillard sign said
instrument as Administrator of the State Land Office, in the presence of appearer and the other subscribing witness.
Sworn to and subscribed before me on this the
______day of ______, ______.______
Signature of Witness
Printed Name: Melanie Schulenberg
______
Notary Public
IN WITNESS WHEREOF, ______has executed this conveyance on this ______
day of ______, ______.
WITNESSES:
______
Printed Name:______
(ASSIGNOR)
______BY______
Printed Name:______Printed Name:______
ACKNOWLEDGMENT FOR CORPORATE ASSIGNOR
STATE OF ______
______OF ______
BEFORE ME, the undersigned authority, personally came and appeared ______, who
by me being first duly sworn, deposed and said;
That he/she is one of the witnesses to the execution of the foregoing instrument and that he/she saw ______
execute said instrument as ______of ______as the free act and deed of
said corporation in the presence of appearer and the other subscribing witness.
Sworn to and subscribed before me on this the
______day of ______, ______.______
Signature of Witness
Printed Name:______
______
Notary Public
Printed Name:______
IN WITNESS WHEREOF, ______has executed this conveyance on this ______
day of ______, ______.
WITNESSES:
______
Printed Name:______
(ASSIGNEE)
______BY______
Printed Name:______Printed Name:______
ACKNOWLEDGMENT FOR CORPORATE ASSIGNEE
STATE OF ______
______OF ______
BEFORE ME, the undersigned authority, personally came and appeared ______, who
by me being first duly sworn, deposed and said:
That he/she is one of the witnesses to the execution of the foregoing instrument and that he/she saw ______
execute said instrument as ______of ______as the free act and deed of
said corporation in the presence of appearer and the other subscribing witness.
Sworn to and subscribed before me on this the
______day of ______, _____.______
Signature of Witness
Printed Name:______
______
Notary Public
Printed Name:______