Statement Of Mineral Claim
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Statement Of Mineral Claim Form. This is a Wisconsin form and can be use in Register Of Deeds Statewide.
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Tags: Statement Of Mineral Claim, Wisconsin Statewide, Register Of Deeds
STATEMENT OF MINERAL CLAIM Document Number (TYPE OR PRINT CLEARLY IN BLACK INK) BY THIS INSTRUMENT, CLAIMANT(S), whose (name is) (names are): AND whose address is: Recording Area Name and Return Address Claims an interest in the minerals in the following described real estate in ___________________________________County, State of Wisconsin: Parcel Identification Number (PIN)Document No. _______________________________, Volume ________________ Page ______________ of the instrument recorded on(date) ________________________________________ created the interest in the minerals. Dated this ______________ day of __________________________, ___________ (Year). Signature_______________________________________________ Signature__________________________________________________ *______________________________________________________ *_________________________________________________________ Signature_______________________________________________ Signature__________________________________________________ *______________________________________________________ *_________________________________________________________ AUTHENTICATION or ACKNOWLEDGEMENT The above named person(s) personally came before me on (date)_______________________________________________Signature of notary or other person authorized to administer an oath (as per 706.06, 706.07) _______________________________________________State of Wisconsin, County of ____________________________________ Print or type name _____________________________________________Title_________________________________________________________ Date commission Expires________________________________________This instrument was drafted by: *Names of persons signing in any capacity must be typed or printed below their signature.NOTE: A Wisconsin Real Estate Transfer Return is required for instruments that convey real property.
