Street Address
City
Zip Code
Country
Email
Work #
Fax #
Individual, Company, Partnership or Trust Name
c/o or Attn
Applicant/Official Company Name
Authorized Agent
Country
Email
Zip Code
City
Street Address
c/o or Attn
Work # Mobile #
Individual, Company, Partnership or Trust Name
Company Contact
(Title, First Name, Last Name, Salutation)
Agent/Company Contact
(Title, First Name, Last Name, Salutation)
Company Contact
Send contracts to Agent/
Company Contact
State
State
State of Texas
Texas General Land Office
Application for State Land Use Lease
Surface Lease (SL) - Uplands
Type of Business
If LP Name Of General Partner
State of Domicile
Tax Id #
Description of State Land You Desire to Lease - Approximate Location
Section Block Township Survey Acres File #
County
Do you own land adjacent to State land?
Yes No
Yes No
Does the State land you are requesting a lease for have a perimeter fence?
Yes No
Does the State land have public road access?
NOTE: The use of this land for any purpose other than that specifically granted by the General Land Office is not permitted. No rights may be assigned or subleased by the Lessee
without prior written authorization of the General Land Office. Surface Leases convey no claim to, or control over, hunting rights unless it is expressly granted in the lease.
PURPOSE FOR LEASE
Grazing Hunting Agricultural
Recreational Other (indicated)
New SL Number
Renewal or SL Number
Expires
FOR GLO USE ONLY