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- 'T�. ': Thi - - ::•J'•" <br />T�f <br />A. Type of Transacllon: <br />d Lease 13 Sub -Lease <br />B. Duration of lease: <br />from January 1, 2015 to December 31, 2016 <br />® For leases with a term of one year or logo, check here If you would like this application to serve as the memorandum of lease regrdred <br />under § 711.330 of the EAA rules. If not, please attach a separate memorandum of lease or the executed lease agreement. <br />Please note, a copy of the recorded lease agreement or recorded memorandum of lease containing the off lclat county clerk <br />document slantp Is required for leases with a term greater than one year. <br />C. Type of Transfer (check all applicable): <br />® Right to Withdraw 11 Change of Point of Withdrawal ❑ AddlUon of Point of WUhdrawal <br />• Change of purpose of Use ® Change of Place of Use O Other <br />0. Total Transfer Amount: 165.00 Acre -Feet Near <br />If Irrigation, please specify amount being transferred as follows: <br />_Acre-FeeUYear of 'Base Irdgalion Groundwatee w1thdrawat rights <br />_____Acre-FeeUYear of'Unrestdcted lydgallon Groundwaler' withdrawal rights <br />E. Transfer Price: $ NIA /acre-foot (opilonaq <br />F. Notes to staff regarding this transfer: _ <br />Transferor'sCerliflcallon: ***NOTE: AO NOT SIGN ON THIS PAGE -SIGNATURE PAGES FOLLOW*** <br />I hereby certify that the Information given herein this application Is true and accurate to the best of my knowledge and belief. <br />XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX <br />Printed Name of Transferor or Agent <br />STATE OF TEXAS <br />COUNTY OF x%xx=0(aax <br />XXXXXXXXXXXXXXXXXXXXXXXXX <br />Signature of Transferor or Agent <br />Subscribed and sworn before me thIs.XXXXXXXXXXXXXXXdayofXXXXXXXXXXXXXXX . 20 xxxx <br />XXXXXXXXXXXXXXXXXXXXXXXX <br />Notary Public's Signature <br />Date Commisslon Expires: <br />Transferee's Certification: <br />1 hereby certify that the Information given hereln this application Is true and accurate to the best of my knowledge and belief. <br />XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX <br />Printed Name of Transferee or Agent <br />STATE OF TEXAS <br />COUNTY OF <br />XXXXXXXXXXXXXXXXXXXXXXXX <br />Signature of Transferee or Agent <br />Subscribed and swom before me this XXXXXXXXXXXXXX day of XXXXXXXXXXXXXXXX, 20 XXX <br />XXXXXXXXXXXXXXXXXXXXX <br />Notary Public's Signature <br />Date Commission Exolres: <br />If you need assistance, please contact Me Pennfls %ant of (210) 222-2204 or (800J 202-1041. <br />