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  • 0a-Change of Address Form

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    Jackson kayla
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    The letter requests that the owner verify and submit their old and new mailing addresses in writing in order to change the address on their royalty account. It notes that for security, address changes must be submitted directly by the owner or their legal agent, and proper documentation is required if an agent is submitting the request. The owner is asked to print and sign the form, including all account details and both old and new addresses, and return it to the provided address or email for processing.

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    0A-change of address form

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    The letter requests that the owner verify and submit their old and new mailing addresses in writing in order to change the address on their royalty account. It notes that for security, address changes must be submitted directly by the owner or their legal agent, and proper documentation is required if an agent is submitting the request. The owner is asked to print and sign the form, including all account details and both old and new addresses, and return it to the provided address or email for processing.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    85 views1 page

    0a-Change of Address Form

    Uploaded by

    Jackson kayla
    The letter requests that the owner verify and submit their old and new mailing addresses in writing in order to change the address on their royalty account. It notes that for security, address changes must be submitted directly by the owner or their legal agent, and proper documentation is required if an agent is submitting the request. The owner is asked to print and sign the form, including all account details and both old and new addresses, and return it to the provided address or email for processing.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    4901 LBJ Freeway, Suite 300 • Dallas, TX 75244

    • www.scoutep.com

    Dear Owner:

    In an effort to maintain our integrity and the confidence and confidentiality of our royalty owners, we scrutinize
    requests to change account information. Therefore, please verify your old and new address in the space
    provided below. Be sure to sign and date this letter before mailing the form to:
    Note: For your protection, address change requests may only be submitted by the actual owner or the
    owner’s legally recognized agent (trustee, attorney-in-fact, etc.). If you are acting as an Agent, please attach
    documentation verifying your right to act as an agent on behalf of owner of record.

    Scout Energy Partners LP


    Attention: Owner Relations
    4901 LBJ Freeway, Suite 300
    Dallas, TX 75244-6107

    You may also fax it to 214-292-9558 or email it to OwnerRelations@scoutep.com you have any questions
    regarding this request, please feel free to contact me at 214-945-1149

    Please change my mailing address to the following (PLEASE PRINT):

    Owner Name:

    Owner Number: #

    E-mail Address:

    Social Security/Tax ID Number:

    Telephone Number:
    Person Completing Form (if not owner): ___________________________

    OLD ADDRESS: ___________________________ NEW ADDRESS: ______________________________


    (Please Print) ___________________________ (Please Print) ______________________________
    ______________________________
    ___________________________ ______________________________

    Owner Signature Date

    Owner Signature Date


    *Second signature is for accounts listed with more than one owner (i.e. John and June Smith) both signatures are required.

    IF ALL FIELDS ARE NOT COMPLETE OR DO NOT MATCH OUR RECORDS, NO CHANGES WILL BE MADE. YOUR
    FORM WILL BE RETURNED TO YOU AT THE ADDRESS WE HAVE ON FILE.

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