Black Mountain Royalty - Request An Offer

To receive a free, no obligation offer, please contact us at (866)720-8588, or complete the following form:

First Name	Last Name
City	State	Country
Email	Phone - -
I prefer to be contacted by: Email Phone

Please provide a summary of the amounts you actually received for the past three months. This information can generally be obtained from your check stubs or tax forms:

Most recent month's net check amount:	Date of Check / /
One month prior net check amount	Date of Check / /
Two months prior net check amount	Date of Check / /

Please provide as much of the following information as possible, as it will help us to provide a more accurate cash offer.

Lease Name	Location County, State
Your Decimal Interest	Operator Name
Type of Interest Royalty Overriding Royalty Working Interest

Legal Description (if available)