Pay Sheet Regal Petroleum Company Inc.P.O. Box 52975Knoxville, TN 37950Phone: 1-888-492-9738 Fax:865-521-5066Pay Sheet InformationOperator:* Address:* Phone:*Fax*Contact:* Email:* Lease Name:* County:* State:*ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYWell Number:* Permit #:* The undersigned ("Operating Company") certifies that the ownership in production or proceeds as described below is true and correct. The operating company hereby agrees to indemnify and holds harmless Regal Petroleum from any and all cause of auctions, claims, or damages resulting from any misrepresentation or incorrect information provided herein to Regal Petroleum. Official Division Orders will be prepared from information listed below. Regal Petroleum shall be promptly notified in writing of any changes in ownership, interests, or payment addresses. Regal Petroleum will not be responsible for any changes not reported or any changes reported after the fact.Tanks*Please enter the volume for each tank on the property. Hit the "Plus" symbol to add more tanks.(enter volume in barrels. Example: "115 barrels") List*NameS.S. Number / Federal I.D. NumberAddressType R O W% Owner / Operator:* Quick Pay* Yes No By selecting ‘yes’ on quick pay, you agree to be charged an additional fee of $1.50/barrel and be paid on the following Wednesday. In addition, you will be paid a base rate of the daily spot price the day your oil is picked up as opposed to the monthly average price. Also, banking info (wire or EFT) needs to be included if you select quick pay.Files Drop files here or Select files Accepted file types: pdf, xls, doc, jpg, png, bmp, zip, Max. file size: 50 MB. Please include any files you need to submit to us that might be helpful. The maximum file size to upload is 50MB. You may include PDF, XLS, DOC, JPG, PNG, BMP or ZIP files.