Full Name *

Phone *

Email *

Address

Street Address

City

State

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Postal Code

Basin / Area (If Known) *

Type of Interest *

Is the asset currently producing? *

Are you receiving royalty payments?

Estimated monthly royalty (if applicable)

Do you know your Net Mineral Acres (NMA)?

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Are you considering a sale of this interest?

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By Checking This Box & submitting this information, I acknowledge and consent that JadenCash Enterprises, JadenCash Energy Capital, and their affiliated partners may review, verify, and evaluate the information provided, including obtaining and reviewing relevant public records and commercially available data sources related to the submitted asset. I represent and warrant that the information submitted is accurate to the best of my knowledge and that I am the owner of, or authorized to submit information regarding, the referenced mineral rights or interests. I understand that providing false or misleading information may have legal consequences.