Form 641 "Dnrc Ownership Update Divided Interest" - Montana

What Is Form 641?

This is a legal form that was released by the Montana Department of Natural Resources and Conservation - a government authority operating within Montana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2015;
  • The latest edition provided by the Montana Department of Natural Resources and Conservation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 641 by clicking the link below or browse more documents and templates provided by the Montana Department of Natural Resources and Conservation.

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Form No. 641 (U3-2015)
DNRC OWNERSHIP UPDATE
DIVIDED INTEREST
Complete one form for each water right that will be
FOR DEPARTMENT USE ONLY
divided. Your water right will be divided into separate water rights
Rec’d Date _____________________________________
based on the information provided.
Rec'd By _______________________________________
Submit all three pages of this form with the filing fee; a deed,
Fee Rec'd $ ____________ Check No.______________
contract for deed, or other recorded document; a water right
abstract; and a map.
Payor _________________________________________
Refund $ ______________ Date ________________
Contact your local DNRC Water Resources Regional Office if you
have any questions.
Deposit Receipt # _______________________________
Filing Fee $50.00
OUID # _______________________________________
If all interested parties wish to split the water right, each must fill out and sign either part B or part C of this
form. A water right can be split into several portions on one form for one $50 filing fee. All interested
parties must sign off on the split of water rights even if their portions are not split into individual rights.
PART A – GENERAL INFORMATION
1.
DATE OF LAND TRANSFER (SALE) ______________________________________________________________________
2.
WATER RIGHT BEING DIVIDED _________________________________________________________________________
3.
SELLER (Grantor) _____________________________________________________________________________________
MAILING ADDRESS ___________________________________________________________________________________
CITY _______________________________________ STATE __________
ZIP_________________________________
PHONE ____________________________________
EMAIL _________________________________________________
4.
BUYER (Grantee) _____________________________________________________________________________________
MAILING ADDRESS ___________________________________________________________________________________
CITY _______________________________________ STATE __________
ZIP_________________________________
PHONE ____________________________________
EMAIL _________________________________________________
5.
HOW IS THIS WATER RIGHT BEING DIVIDED? Please check only one.
The water right is being divided as specifically identified in a deed, contract for deed, or other recorded document.
(Attach a copy and underline the divided interest information.)
The water right is being divided proportionately between the buyer and seller based on the place of use described in
the water right. (Attach a copy of the deed, contract for deed, or other recorded document.)
6.
WATER RIGHT ABSTRACT
A current DNRC general abstract of the water right being divided must be submitted. To receive DNRC generated water
right abstracts, query the water right at the following web address:
http://www.nris.mt.gov/dnrc/waterrights/default.aspx
or
contact the regional office serving your area.
7.
MAP
A map must be provided. An aerial photo is preferred. You may also use a scaled map, county plat or quad map showing
township and range, section corners, and a north arrow. The following elements must be identified on the map:
a. The place of use the seller is retaining;
c. Point(s) of diversion; and
d.
The location of any irrigated acres.
b. The place of use the buyer is receiving;
IMPORTANT NOTES
If you want to change or add a point of diversion, place of use, place of storage, or purpose of use of a water right you must
first file a change application with the DNRC.
The combined portions of a divided water right cannot exceed the total flow rate, volume, or period of diversion of the
original right.
The DNRC has no jurisdiction concerning easement, right-of-way, and zoning matters. The buyer and seller must make
these provisions where necessary.
There may be ongoing court action regarding this water right and terms and conditions applicable to the exercise of the
.
divided right. The buyer should be familiar with all aspects of the right received
Form 641 DNRC Ownership Update – Divided Interest
Page 1
Form No. 641 (U3-2015)
DNRC OWNERSHIP UPDATE
DIVIDED INTEREST
Complete one form for each water right that will be
FOR DEPARTMENT USE ONLY
divided. Your water right will be divided into separate water rights
Rec’d Date _____________________________________
based on the information provided.
Rec'd By _______________________________________
Submit all three pages of this form with the filing fee; a deed,
Fee Rec'd $ ____________ Check No.______________
contract for deed, or other recorded document; a water right
abstract; and a map.
Payor _________________________________________
Refund $ ______________ Date ________________
Contact your local DNRC Water Resources Regional Office if you
have any questions.
Deposit Receipt # _______________________________
Filing Fee $50.00
OUID # _______________________________________
If all interested parties wish to split the water right, each must fill out and sign either part B or part C of this
form. A water right can be split into several portions on one form for one $50 filing fee. All interested
parties must sign off on the split of water rights even if their portions are not split into individual rights.
PART A – GENERAL INFORMATION
1.
DATE OF LAND TRANSFER (SALE) ______________________________________________________________________
2.
WATER RIGHT BEING DIVIDED _________________________________________________________________________
3.
SELLER (Grantor) _____________________________________________________________________________________
MAILING ADDRESS ___________________________________________________________________________________
CITY _______________________________________ STATE __________
ZIP_________________________________
PHONE ____________________________________
EMAIL _________________________________________________
4.
BUYER (Grantee) _____________________________________________________________________________________
MAILING ADDRESS ___________________________________________________________________________________
CITY _______________________________________ STATE __________
ZIP_________________________________
PHONE ____________________________________
EMAIL _________________________________________________
5.
HOW IS THIS WATER RIGHT BEING DIVIDED? Please check only one.
The water right is being divided as specifically identified in a deed, contract for deed, or other recorded document.
(Attach a copy and underline the divided interest information.)
The water right is being divided proportionately between the buyer and seller based on the place of use described in
the water right. (Attach a copy of the deed, contract for deed, or other recorded document.)
6.
WATER RIGHT ABSTRACT
A current DNRC general abstract of the water right being divided must be submitted. To receive DNRC generated water
right abstracts, query the water right at the following web address:
http://www.nris.mt.gov/dnrc/waterrights/default.aspx
or
contact the regional office serving your area.
7.
MAP
A map must be provided. An aerial photo is preferred. You may also use a scaled map, county plat or quad map showing
township and range, section corners, and a north arrow. The following elements must be identified on the map:
a. The place of use the seller is retaining;
c. Point(s) of diversion; and
d.
The location of any irrigated acres.
b. The place of use the buyer is receiving;
IMPORTANT NOTES
If you want to change or add a point of diversion, place of use, place of storage, or purpose of use of a water right you must
first file a change application with the DNRC.
The combined portions of a divided water right cannot exceed the total flow rate, volume, or period of diversion of the
original right.
The DNRC has no jurisdiction concerning easement, right-of-way, and zoning matters. The buyer and seller must make
these provisions where necessary.
There may be ongoing court action regarding this water right and terms and conditions applicable to the exercise of the
.
divided right. The buyer should be familiar with all aspects of the right received
Form 641 DNRC Ownership Update – Divided Interest
Page 1
PART B – SELLER’S PORTION
(Attach additional sheets if necessary)
1.
SELLER’S NAME ___________________________________________________________________________________
2.
PORTION OF WATER RIGHT RETAINED
If specifically identified in the attached recorded document, what flow rate will be retained by the Seller? _______
gpm
cfs
Unless specifically divided in the attached recorded document, both the Seller’s and Buyer’s water right will retain the full flow
rate and the use of the flow rate must be shared and/or alternated. Attach an additional sheet explaining how this will be done
such that, in combination, the flow rate of the original water right will not be exceeded.
Purpose of Use ____________________________
Volume (acre-feet) ___________________
Purpose of Use ____________________________
Volume (acre-feet) ___________________
3.
POINT OF DIVERSION (describe the location to the nearest 10 acres, three quarter sections)
_____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
Lot/Tract _________ Block _________
Subdivision Name __________________________________________________
COS ___________________ Gov’t Lot __________
County ________________________________________________
_____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
Lot/Tract _________ Block _________
Subdivision Name __________________________________________________
COS ___________________ Gov’t Lot __________
County ________________________________________________
4.
PLACE OF USE
Purpose of Use ____________________________________ County ______________________________________________
_____ acres _____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
_____ acres _____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
_____ acres _____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
_____ acres _____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
___________ Total Acres
Lot/Tract _________
Block _________
Subdivision Name ______________________________________________________
COS ___________________________________________ Gov’t Lot ________________________________________________
Geocodes(s) ______________________________________________________________________________________________
Purpose of Use ____________________________________ County ______________________________________________
_____ acres _____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
_____ acres _____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
_____ acres _____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
_____ acres _____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
___________ Total Acres
Lot/Tract _________
Block _________
Subdivision Name ______________________________________________________
COS ___________________________________________ Gov’t Lot ________________________________________________
Geocodes(s) ______________________________________________________________________________________________
5.
SIGNATURE
I DECLARE UNDER PENALTY OF PERJURY AND UNDER THE LAWS OF THE STATE OF MONTANA THAT THE
FOREGOING IS TRUE AND CORRECT.
Seller Signature: _____________________________________________________
Date: ________________________
Seller Signature: _____________________________________________________
Date: ________________________
Form 641 DNRC Ownership Update – Divided Interest
Page 2
PART C - BUYER’S PORTION
(Attach additional sheets if necessary. If more than one buyer, add sheets showing each buyer’s portion.)
1.
BUYER’S NAME ___________________________________________________________________________________
2.
PORTION OF WATER RIGHT ACQUIRED
Flow Rate (gpm/cfs) ______________ (Only if specifically identified in the attached recorded document—see Part B, Number 2)
Purpose of Use ____________________________ Volume (acre-feet) ___________________
Purpose of Use ____________________________ Volume (acre-feet) ___________________
3.
POINT OF DIVERSION (describe the location to the nearest 10 acres, three quarter sections)
_____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
Lot/Tract _________ Block _________
Subdivision Name __________________________________________________
COS ___________________ Gov’t Lot __________
County ________________________________________________
_____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
Lot/Tract _________ Block _________
Subdivision Name __________________________________________________
COS ___________________ Gov’t Lot __________
County ________________________________________________
4.
PLACE OF USE
Purpose of Use ____________________________________ County ______________________________________________
_____ acres _____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
_____ acres _____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
_____ acres _____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
_____ acres _____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
___________ Total Acres
Lot/Tract _________
Block _________
Subdivision Name ______________________________________________________
COS ___________________________________________ Gov’t Lot ________________________________________________
Geocodes(s) ______________________________________________________________________________________________
Purpose of Use ____________________________________ County ______________________________________________
_____ acres _____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
_____ acres _____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
_____ acres _____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
_____ acres _____1/4 _____1/4 _____ 1/4 Sec ________ TWP ________
N
S RGE ________
E
W
___________ Total Acres
Lot/Tract _________
Block _________
Subdivision Name ______________________________________________________
COS ___________________________________________ Gov’t Lot ________________________________________________
Geocodes(s) ______________________________________________________________________________________________
5.
SIGNATURE
I DECLARE UNDER PENALTY OF PERJURY AND UNDER THE LAWS OF THE STATE OF MONTANA THAT THE
FOREGOING IS TRUE AND CORRECT.
Buyer Signature: ____________________________________________
Date: ________________________
Buyer Signature: ____________________________________________
Date: ________________________
Form 641 DNRC Ownership Update – Divided Interest
Page 3
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BILLINGS:
AIRPORT INDUSTRIAL PARK, 1371 RIMTOP DR., BILLINGS MT 59105-1978
PHONE: 406-247-4415 FAX: 406-247-4416
SERVING: Big Horn, Carbon, Carter, Custer, Fallon, Powder River, Prairie, Rosebud, Stillwater, Sweet Grass, Treasure,
and Yellowstone Counties
BOZEMAN:
2273 BOOT HILL COURT, SUITE 110, BOZEMAN MT 59715
PHONE: 406-586-3136 FAX: 406-587-9726
SERVING: Gallatin, Madison, and Park Counties
GLASGOW:
222 6TH STREET SOUTH, PO BOX 1269, GLASGOW MT 59230-1269
PHONE: 406-228-2561 FAX: 406-228-8706
SERVING: Daniels, Dawson, Garfield, McCone, Phillips, Richland, Roosevelt, Sheridan, Valley, and Wibaux Counties
HAVRE:
210 6TH AVENUE, PO BOX 1828, HAVRE MT 59501-1828
PHONE: 406-265-5516 FAX: 406-265-2225
SERVING: Blaine, Chouteau, Glacier, Hill, Liberty, Pondera, Teton, and Toole Counties
HELENA:
1424 9TH AVE., PO BOX 201601, HELENA MT 59620-1601
PHONE: 406-444-6999 FAX: 406-444-9317
SERVING: Beaverhead, Broadwater, Deer Lodge, Jefferson, Lewis and Clark, Powell, and Silver Bow Counties
KALISPELL:
655 TIMBERWOLF PARKWAY, SUITE 4, KALISPELL MT 59901-1215
PHONE: 406-752-2288 FAX: 406-752-2843
SERVING: Flathead, Lake, Lincoln, and Sanders Counties
LEWISTOWN:
613 NORTHEAST MAIN ST., SUITE E, LEWISTOWN MT 59457-2020
PHONE: 406-538-7459 FAX: 406-538-7089
SERVING: Cascade, Fergus, Golden Valley, Judith Basin, Meagher, Musselshell, Petroleum, and Wheatland Counties
MISSOULA:
2705 SPURGIN RD. BLDG.C, PO BOX 5004, MISSOULA MT 59806-5004
PHONE: 406-721-4284 FAX: 406-542-5899
SERVING: Granite, Mineral, Missoula, and Ravalli Counties
MONTANA DEPARTMENT OF NATURAL RESOURCES AND CONSERVATION
Water Resources Division - Water Rights Bureau
WEBSITE: http://dnrc.mt.gov/wrd/
Form 641 DNRC Ownership Update – Divided Interest
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