Economic Development, Investment, Trade

and Natural Resources
Petroleum Branch

SCHEDULE F

(Sections 21)

Form of Transfer of Part of a Lease Area

TRANSFER OF PART OF A LEASE AREA

Between

(name of transferor)

referred to in this document as “the transferor”;

and

(name of transferee)

Referred to in this document as “the transferee”;

The transferor, being the holder of a Lease	undivided interest in:

(number)

Hereby transfers to the transferee a part of the lease area contained in the Lease
The transferred part is described as follows:

(legal description)

The transferee hereby accepts the transfer.

This transfer is submitted for registration pursuant to The Oil and Gas Act.

The transferee’s address for service is:

(address)

Dated this day of	, .

(day)	(month)	(year)

____________________________	_____________________

(signature of witness, or seal)	(signature of transferor)

____________________________	_____________________

(signature of witness, or seal)	(signature of transferor)

Note: An affidavit of execution is required unless this document is executed under corporate seal.