File Code: / 5430
Date:
**, State Director
Attn: *
Bureau of Land Management
*

Dear *:

Pursuant to the authorities cited below and the Act of June 11, 1960 (74 Stat. 205), I certify that the National Forest exchange involving the land described below and serialized *, meets the requirements of law and regulations, and I, therefore, request that a patent be issued in conformity with the following data:

A.Name of Patentee:

*

B.Statutory Authority for Exchange:

Act of March 20, 1922 (42 Stat. 465; 16 U.S.C. 485, 486), as amended by the Act of February 28, 1925 (43 Stat. 1090); the Act of October 21, 1976, as amended (90 Stat. 2743; 43 U.S.C. 1715-1717); and the Act of August 20, 1988 (102 Stat. 1086; 43 U.S.C. 1716(note), 751(note)).

C.Forest Embracing National Forest Land:

*

D. National Forest Legal Description:

*

E.National Forest Acreage:

* acres, more or less.

F.Request for Issuance Without Reservation of Minerals:

The Bureau of Land Management reports that the National Forest and non-Federal lands have no value for any minerals covered by the mineral leasing laws and are not considered to be valuable or potentially valuable for geothermal resource development. A Forest Service mineral report substantiates this finding. By letter dated *, the State Director, Bureau of Land Management, approved the conveyance without a mineral reservation. I therefore, request issuance of a patent without a reservation of minerals.

  1. Reservations to the United States of America and Its Assigns:
  1. EXCEPTING AND RESERVING to the United States a right-of-way thereon for ditches or canals constructed by the authority of the United States (Act of August 30, 1890, 26 Stat. 391; 43 U.S.C. 945).
  1. (*Insert any additional reservations).
  1. Outstanding Rights:

1. (*Insert applicable outstanding rights)

I.Forest Embracing Non-Federal lands:

*

J.Non-Federal Legal Description:

See copy of Warranty Deed to the United States.

K.Non-Federal Acreage:

* acres, more or less.

  1. Non-Federal Reservations:

*

  1. Non-Federal Outstanding Rights:

*

The Office of the General Counsel, Department of Agriculture, has given a Preliminary Title Opinion dated ______for the non-Federal lands, a copy of which is enclosed. As soon as the necessary curative data has been completed and a Final Title Opinion given, two copies of the recorded deed will be sent for your records.

Please remove any balance of lands under Forest Service Exchange No. ______from its serialized and segregated status.

When the patent is issued, please send the original and one copy to me at
P.O. Box 7669, Missoula, MT 59807. If you have any questions, please contact me at (406) 329-3131.

Sincerely,

ROBIN R. EDWARDS

Regional Title Program Manager

Recreation, Minerals, Lands,

Heritage, and Wilderness

Enclosures:

Preliminary Title Opinion

Non-Federal Warranty Deed

cc:

* NF