Form 18 "Domestic Well Bond and Lien" - Montana

What Is Form 18?

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 October 1, 2009;
  • 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 18 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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Download Form 18 "Domestic Well Bond and Lien" - Montana

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FORM NO. 18 R 10/09
ARM: 36.22.307
36.22.1308
SUBMIT IN QUADRUPLICATE TO
MONTANA BOARD OF OIL AND GAS CONSERVATION
2535 ST JOHNS AVENUE
BILLINGS, MONTANA 59102
DOMESTIC WELL BOND AND LIEN
KNOW ALL MEN BY THESE PRESENTS, that we, ________________________________________________________
(Name and Mailing Address)
___________________________________________________________________________________________________________
(Telephone Number)
of the County of ________________________________________ in the State of __________________________________ hereby
assign to the State of Montana the hereinafter described real property in the County of ______________________, State of Montana:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
as security for the payment to the State of Montana of the sum of $ _______________ DOLLARS. The condition of the obligation is
that the principal proposes to acquire the above described non-commercial wells in the State of Montana.
NOW, THEREFORE, if the above principal shall comply with all of the provisions of the laws of the State of Montana and
the rules, regulations and orders of the Board of Oil and Gas Conservation of the State of Montana, especially with reference to the
proper plugging of said wells and filing with the Board of Oil and Gas Conservation of the State of Montana all notices and records
required by said Board, then this obligation is void; otherwise, the same shall be and remain in full force and effect.
WITNESS our hands and seals, this _______________ day of _________________________ , ______________
_________________________________________________________
_________________________________________________________
Principal
(If the principal is a corporation, the bond should be executed by its duly authorized officers, with the seal of the corporation affixed.
When principal executes this bond by agent, power of attorney or other evidence of authority must accompany the bond.)
FILED FOR RECORD THIS ___________________ DAY OF _______________________ , ________________
At _____________o’clock ______ M, and recorded in Book ___________ of ___________ on Page ____________ of the
County of ________________________________________, State of Montana.
_____________________________________________________
Clerk and Recorder
By: __________________________________________________
APPROVED BY
MONTANA BOARD OF OIL AND GAS CONSERVATION
______________________________________________________
Name / Title
______________________________________________________
Date
NOTE: THIS BOND AND LIEN MUST BE RECORDED PRIOR TO APPROVAL BY THE BOARD. IF THE WELLS ARE LOCATED IN MORE THAN ONE COUNTY THIS BOND
AND LIEN MUST BE RECORDED IN EACH OF SAID COUNTIES.
FORM NO. 18 R 10/09
ARM: 36.22.307
36.22.1308
SUBMIT IN QUADRUPLICATE TO
MONTANA BOARD OF OIL AND GAS CONSERVATION
2535 ST JOHNS AVENUE
BILLINGS, MONTANA 59102
DOMESTIC WELL BOND AND LIEN
KNOW ALL MEN BY THESE PRESENTS, that we, ________________________________________________________
(Name and Mailing Address)
___________________________________________________________________________________________________________
(Telephone Number)
of the County of ________________________________________ in the State of __________________________________ hereby
assign to the State of Montana the hereinafter described real property in the County of ______________________, State of Montana:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
as security for the payment to the State of Montana of the sum of $ _______________ DOLLARS. The condition of the obligation is
that the principal proposes to acquire the above described non-commercial wells in the State of Montana.
NOW, THEREFORE, if the above principal shall comply with all of the provisions of the laws of the State of Montana and
the rules, regulations and orders of the Board of Oil and Gas Conservation of the State of Montana, especially with reference to the
proper plugging of said wells and filing with the Board of Oil and Gas Conservation of the State of Montana all notices and records
required by said Board, then this obligation is void; otherwise, the same shall be and remain in full force and effect.
WITNESS our hands and seals, this _______________ day of _________________________ , ______________
_________________________________________________________
_________________________________________________________
Principal
(If the principal is a corporation, the bond should be executed by its duly authorized officers, with the seal of the corporation affixed.
When principal executes this bond by agent, power of attorney or other evidence of authority must accompany the bond.)
FILED FOR RECORD THIS ___________________ DAY OF _______________________ , ________________
At _____________o’clock ______ M, and recorded in Book ___________ of ___________ on Page ____________ of the
County of ________________________________________, State of Montana.
_____________________________________________________
Clerk and Recorder
By: __________________________________________________
APPROVED BY
MONTANA BOARD OF OIL AND GAS CONSERVATION
______________________________________________________
Name / Title
______________________________________________________
Date
NOTE: THIS BOND AND LIEN MUST BE RECORDED PRIOR TO APPROVAL BY THE BOARD. IF THE WELLS ARE LOCATED IN MORE THAN ONE COUNTY THIS BOND
AND LIEN MUST BE RECORDED IN EACH OF SAID COUNTIES.
State of: ________________________
County of: ______________________
On this _______ day of _____________________________ personally appeared ___________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
known to me __________________________________________________________________________________
(or proved to me on oath of _________________________________________)
to be the person(s) whose names(s) subscribed to the within instrument and acknowledged to me that ___________
executed the same.
(name/title) before me a notary public for the State of ____________________________.
_____________________________________
Notary Public
Residing at: ___________________________
My commission expires: _________________
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