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Get NADOA Division Order 2015

Ve Date: Oil _____ Gas _____ Other _____ Owner Name: Owner Number: Address: Type of Interest: Interest: The undersigned certifies the ownership of their decimal in production or proceeds as described above payable by (Payor). Payor shall be notified, in writing, of any change in ownership, decimal interest, or payment address. All such changes shall be effective the first day of the month following receipt of such notice. Payor is authorized to withhold payment pending resolution of a tit.

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