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.