Patent Mineral Reservation Guarantee
Order No.: ________________
Guarantee No.: ____________
Date of Guarantee: _________
1) Description of the land:
2) According to the Public Records and the records of the State Office of the Bureau of Land Management, there are no mineral reservations contained in any patent (or Act authorizing the issuance thereof) issued by the United States of America affecting the land other than those shown below as Exceptions.
3) That only the hereafter named parties appear to have an interest showing in the public records affecting the land necessitating their execution of the named proposed plat or map are as follows:
For issuing guidelines on this form, see Guidelines.