Common use of AGENCY REPRESENTATION Clause in Contracts

AGENCY REPRESENTATION. Xxxxx and Xxxxxx understand and agree that (leave blank if no independent agent representing Buyer) is involved in this transaction on behalf of Xxxxx and that Bottles Real Estate Auctions, LLC, an Idaho limited liability company, is involved in this transaction on behalf of Seller, and that no other broker or agent was the procuring cause of the transaction contemplated by this Agreement. REPRESENTATION CONFIRMATION: Check one (1) box in section 1 below and one (1) box in section 2 below to confirm that in this transaction, the brokerage(s) involved had the following relationship(s) with the BUYER(S) and SELLER(S). A. The brokerage working with the BUYER(S) is acting as an AGENT for the BUYER(S). B. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT for the BUYER(S), without an ASSIGNED AGENT. C. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT/NONAGENT for the BUYER(S), and has an ASSIGNED AGENT acting solely on behalf of the BUYER(S). D. The brokerage working with the BUYER(S) is acting as a NONAGENT for the BUYER(S). A. The brokerage working with the SELLER(S) is acting as an AGENT for the SELLER(S). B. The brokerage working with the SELLER(S) is acting as a LIMITED DUAL AGENT for the SELLER(S), without an ASSIGNED AGENT. C. The brokerage working with the SELLER(S) is acting as LIMITED DUAL AGENT for the SELLER(S), and has an ASSIGNED AGENT acting solely on behalf of SELLER(S). D. The brokerage working with the SELLER(S) is acting as a NONAGENT for the SELLER(S). Each party signing this document confirms that he or she has received, read and understood the Agency Disclosure brochure and has elected the relationship confirmed above. In addition, each party confirms that the brokerage’s agency office policy was made available for inspection and review. EACH PARTY UNDERSTANDS THAT HE OR SHE IS A “CUSTOMER” AND IS NOT REPRESENTED BY A BROKERAGE UNLESS THERE IS A SIGNED WRITTEN AGREEMENT FOR AGENCY REPRESENTATION. Responsible and Listing Broker: Mark Bottles, Broker of Bottles Real Estate Auctions, LLC Selling Broker: _ _ _ DRAFT [End of text – Signatures follow on next page] Executed effective the date first set forth above. SELLER: IDAHO DEPARTMENT OF LANDS Dated: Xxxxxx X. Xxxxxx Its: Director Seller's Address: 000 Xxxxx 0xx Xxxxxx, Xxxxx 000 P.O. Box 83720 Boise, ID 83720-0050 Dated: Signature (Print Name) Dated: Signature DRAFT (Print Name) If Buyer is an Entity, Please fill out the Following Name and Type of Entity (i.e, LLC, Inc., etc.): Representative Capacity of Signer: (i.e, Trustee, Manager, President): State of Incorporation or Organization: Buyer's Address: Telephone: E-mail: Buyer’s Agent/Representative Information: Telephone: E-mail: EXHIBIT A STATEMENT OF NON-COLLUSION The undersigned, as the successful bidder for state lands acquired at public auction on the below date offered for sale by the Idaho Department of Lands (“IDL”), hereby attests that the undersigned has not, nor has anyone to the undersigned’s knowledge on the undersigned’s behalf, ever intimidated, hindered, prevented or attempted to intimidate, hinder or prevent, any person from: 1) filing an application to lease or to purchase any state lands or to enter any bid for the lease or purchase thereof; or, 2) attending or submitting any bid at any public auction held to lease or purchase any state lands, or any portion thereof. The undersigned has not offered, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, to accept, nor has the undersigned accepted, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease, or purchase, any state-owned lands or timber, minerals, or other interest, or for foregoing a right to bid at any auction for the sale or lease of any state lands. The undersigned has not offered to pay or paid, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease or purchase any state-owned lands or timber, minerals, or other interest, or to cause or attempt to cause another person, firm, partnership or corporation to forego a right to bid at any auction for the sale or lease of any state lands. The undersigned has not and shall not engage in any of the above-stated behaviors or activities over the course of this auction process or through the completion or closing of any disposal of state lands. DRAFT The undersigned understands that a false statement by the undersigned in this statement or in any application to lease or bid on any auction to lease or purchase any state lands shall constitute a breach of any lease which the undersigned may have for any state lands as well as a breach of any purchase or acquisition of state lands that the undersigned has acquired or may acquire; and the undersigned understands that any false statement shall constitute a breach of any such lease subject to the immediate termination of any such lease of state lands; and that any such breach may result in the nullification of any state lands purchased or acquired by the undersigned. The undersigned further understands that a false statement by the undersigned in this statement or in any application to lease or bid on any lease or purchase of any state lands may result in the undersigned’s guilt of an offense against the State of Idaho in accordance with Idaho Code § 58-154, and is punishable by a fine of not less than One Hundred Dollars ($100), or by a fine not exceeding One Thousand Dollars ($1,000), or by imprisonment in the County jail for not less than three (3) months nor more than one (1) year, or by imprisonment in the state penitentiary for a period not exceeding three (3) years. The undersigned further understands that a false oath shall constitute the crime of perjury against the State of Idaho in accordance with Idaho Code § 18- 5409, which is punishable by imprisonment in the state penitentiary for not less than one (1) or more than fourteen

AGENCY REPRESENTATION. Xxxxx Buyer and Xxxxxx Seller understand and agree that (leave blank if no independent agent representing Buyer) is involved in this transaction on behalf of Xxxxx and that Bottles Real Estate Auctions, LLC, an Idaho limited liability company, is involved in this transaction on behalf of Seller, and that no other broker or agent was the procuring cause of the transaction contemplated by this Agreement. REPRESENTATION CONFIRMATION: Check one (1) box in section 1 below and one (1) box in section 2 below to confirm that in this transaction, the brokerage(s) involved had the following relationship(s) with the BUYER(S) and SELLER(S).that A. The brokerage working with the BUYER(S) is acting as an AGENT for the BUYER(S). B. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT for the BUYER(S), without an ASSIGNED AGENT. C. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT/NONAGENT for the BUYER(S), and has an ASSIGNED AGENT acting solely on behalf of the BUYER(S). D. The brokerage working with the BUYER(S) is acting as a NONAGENT for the BUYER(S). A. The brokerage working with the SELLER(S) is acting as an AGENT for the SELLER(S). B. The brokerage working with the SELLER(S) is acting as a LIMITED DUAL AGENT for the SELLER(S), without an ASSIGNED AGENT. C. The brokerage working with the SELLER(S) is acting as LIMITED DUAL AGENT for the SELLER(S), and has an ASSIGNED AGENT acting solely on behalf of SELLER(S). D. The brokerage working with the SELLER(S) is acting as a NONAGENT for the SELLER(S). Each party signing this document Agreement confirms that he or she has received, read and understood the Agency Disclosure brochure brochure, a copy of which is attached hereto as Exhibit D, and has elected the relationship confirmed above. In addition, each party confirms that the brokerage’s agency office policy was made available for inspection and review. EACH PARTY UNDERSTANDS THAT HE OR SHE IS A “CUSTOMER” AND IS NOT REPRESENTED BY A BROKERAGE UNLESS THERE IS A SIGNED WRITTEN AGREEMENT FOR AGENCY REPRESENTATION. Responsible and Listing Broker: Mark Bottles, Broker of Bottles Real Estate Auctions, LLC Selling Broker: _ _ _ DRAFT [End of text – Signatures follow on next page] Executed effective the date first set forth above. SELLERDate: IDAHO DEPARTMENT OF LANDS Dated: Xxxxxx X. Xxxxxx Its: Director Seller's Address: 000 Xxxxx 0xx Xxxxxx, Xxxxx 000 P.O. Box 83720 BoiseX.X. Xxx 00000 Xxxxx, ID 83720XX 00000-0050 Dated0000 Telephone: Signature (Print 000-000-0000 Facsimile: 000-000-0000 Date: By: Printed Name) Dated: Signature DRAFT (Print Title: Date: By: Printed Name) If Buyer is an Entity, Please fill out the Following Name and Type of Entity (i.e, LLC, Inc., etc.): Representative Capacity of Signer: (i.e, Trustee, Manager, President): State of Incorporation or OrganizationTitle: Buyer's Address: Telephone: E-mail: Buyer’s Agent/Representative Information: Printed Name: Title: Telephone: E-mail: EXHIBIT A STATEMENT OF NON-COLLUSION Xxx 0 xx Xxxxx 0 xx Xxxxxxx Subdivision, according to the plat thereof, filed in Book 80 of Plats at Page(s) 8598 and 8599, records of Ada County, Idaho. The undersigned, as the successful bidder for state lands acquired at public auction on the below date offered for sale by the Idaho Department of Lands (“IDL”), hereby attests that the undersigned has not, nor has anyone to the undersigned’s knowledge on the undersigned’s behalf, ever intimidated, hindered, prevented or attempted to intimidate, hinder or prevent, any person from: 1) filing an application to lease or to purchase any state lands or to enter any bid for the lease or purchase thereof; or, 2) attending or submitting any bid at any public auction held to lease or purchase any state lands, or any portion thereof. The undersigned has not offered, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, to accept, nor has the undersigned accepted, accepted compensation of any type in exchange for the withdrawal of a bid, ; or for the withdrawal of an application to bid, lease, or purchase, any state-owned lands or timber, minerals, or other interest, ; or for foregoing a right to bid at any auction for the sale or lease of any state lands. The undersigned has not offered to pay or paid, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, compensation of any type in exchange for the withdrawal of a bid, ; or for the withdrawal of an application to bid, lease or purchase any state-owned lands or timber, minerals, or other interest, ; or to cause or attempt to cause another person, firm, partnership or corporation to forego a right to bid at any auction for the sale or lease of any state lands. The undersigned has not and shall not engage in any of the above-stated behaviors or activities over the course of this auction process or through the completion or closing of any disposal of state lands. DRAFT The undersigned understands that a false statement by the undersigned in this statement or in any application to lease or bid on any auction to lease or purchase any state lands shall constitute a breach of any lease which the undersigned may have for any state lands as well as a breach of any purchase or acquisition of state lands that the undersigned has acquired or may acquire; and the undersigned understands that any false statement shall constitute a breach of any such lease subject to the immediate termination of any such lease of state lands; and and, that any such breach may result in the nullification of any state lands purchased or acquired by the undersigned. The undersigned further understands that a false statement by the undersigned in this statement or in any application to lease or bid on any lease or purchase of any state lands may result in the undersigned’s guilt of an offense against the State of Idaho in accordance with Idaho Code § 58-154, and is punishable by a fine of not less than One Hundred Dollars ($100), or by a fine not exceeding One Thousand Dollars ($1,000), or by imprisonment in the County jail for not less than three (3) months nor more than one (1) year, or by imprisonment in the state penitentiary for a period not exceeding three (3) years. The undersigned further understands that a false oath shall constitute the crime of perjury against the State of Idaho in accordance with Idaho Code § 18- 5409, which is punishable by imprisonment in the state penitentiary for not less than one (1) or more than fourteen

AGENCY REPRESENTATION. Xxxxx and Xxxxxx understand and agree that (leave blank if no independent agent representing Buyer) is involved in this transaction on behalf of Xxxxx and that Bottles Real Estate Auctions, LLC, an Idaho limited liability company, is involved in this transaction on behalf of Seller, and that no other broker or agent was the procuring cause of the transaction contemplated by this Agreement. REPRESENTATION CONFIRMATION: Check one (1) box in section 1 below and one (1) box in section 2 below to confirm that in this transaction, the brokerage(s) involved had the following relationship(s) with the BUYER(S) and SELLER(S). A. The brokerage working with the BUYER(S) is acting as an AGENT for the BUYER(S). B. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT for the BUYER(S), without an ASSIGNED AGENT. C. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT/NONAGENT for the BUYER(S), and has an ASSIGNED AGENT acting solely on behalf of the BUYER(S). D. The brokerage working with the BUYER(S) is acting as a NONAGENT for the BUYER(S). A. The brokerage working with the SELLER(S) is acting as an AGENT for the SELLER(S). B. The brokerage working with the SELLER(S) is acting as a LIMITED DUAL AGENT for the SELLER(S), without an ASSIGNED AGENT. C. The brokerage working with the SELLER(S) is acting as LIMITED DUAL AGENT for the SELLER(S), and has an ASSIGNED AGENT acting solely on behalf of SELLER(S). D. The brokerage working with the SELLER(S) is acting as a NONAGENT for the SELLER(S). Each party signing this document confirms that he or she has received, read and understood the Agency Disclosure brochure and has elected the relationship confirmed above. In addition, each party confirms that the brokerage’s agency office policy was made available for inspection and review. EACH PARTY UNDERSTANDS THAT HE OR SHE IS A “CUSTOMER” AND IS NOT REPRESENTED BY A BROKERAGE UNLESS THERE IS A SIGNED WRITTEN AGREEMENT FOR AGENCY REPRESENTATION. Responsible and Listing Broker: Mark BottlesXxxx Xxxxxxx, Broker of Bottles Real Estate Auctions, LLC Selling Broker: _ _ _ DRAFT [End of text – Signatures follow on next page] Executed effective the date first set forth above. SELLER: IDAHO DEPARTMENT OF LANDS Dated: Xxxxxx X. Xxxxxx Its: Director Seller's Address: 000 Xxxxx 0xx Xxxxxx, Xxxxx 000 P.O. Box 83720 Boise, ID 83720-0050 Dated: Signature (Print Name) Dated: Signature DRAFT (Print Name) If Buyer is an Entity, Please fill out the Following Name and Type of Entity (i.e, LLC, Inc., etc.): Representative Capacity of Signer: (i.e, Trustee, Manager, President): State of Incorporation or Organization: Buyer's Address: Telephone: E-mail: Buyer’s Agent/Representative Information: Telephone: E-mail: EXHIBIT A STATEMENT OF NON-COLLUSION The undersigned, as the successful bidder for state lands acquired at public auction on the below date offered for sale by the Idaho Department of Lands (“IDL”), hereby attests that the undersigned has not, nor has anyone to the undersigned’s knowledge on the undersigned’s behalf, ever intimidated, hindered, prevented or attempted to intimidate, hinder or prevent, any person from: 1) filing an application to lease or to purchase any state lands or to enter any bid for the lease or purchase thereof; or, 2) attending or submitting any bid at any public auction held to lease or purchase any state lands, or any portion thereof. The undersigned has not offered, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, to accept, nor has the undersigned accepted, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease, or purchase, any state-owned lands or timber, minerals, or other interest, or for foregoing a right to bid at any auction for the sale or lease of any state lands. The undersigned has not offered to pay or paid, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease or purchase any state-owned lands or timber, minerals, or other interest, or to cause or attempt to cause another person, firm, partnership or corporation to forego a right to bid at any auction for the sale or lease of any state lands. The undersigned has not and shall not engage in any of the above-stated behaviors or activities over the course of this auction process or through the completion or closing of any disposal of state lands. DRAFT The undersigned understands that a false statement by the undersigned in this statement or in any application to lease or bid on any auction to lease or purchase any state lands shall constitute a breach of any lease which the undersigned may have for any state lands as well as a breach of any purchase or acquisition of state lands that the undersigned has acquired or may acquire; and the undersigned understands that any false statement shall constitute a breach of any such lease subject to the immediate termination of any such lease of state lands; and that any such breach may result in the nullification of any state lands purchased or acquired by the undersigned. The undersigned further understands that a false statement by the undersigned in this statement or in any application to lease or bid on any lease or purchase of any state lands may result in the undersigned’s guilt of an offense against the State of Idaho in accordance with Idaho Code § 58-154, and is punishable by a fine of not less than One Hundred Dollars ($100), or by a fine not exceeding One Thousand Dollars ($1,000), or by imprisonment in the County jail for not less than three (3) months nor more than one (1) year, or by imprisonment in the state penitentiary for a period not exceeding three (3) years. The undersigned further understands that a false oath shall constitute the crime of perjury against the State of Idaho in accordance with Idaho Code § 18- 5409, which is punishable by imprisonment in the state penitentiary for not less than one (1) or more than fourteen

AGENCY REPRESENTATION. Xxxxx Buyer and Xxxxxx Seller understand and agree that (leave blank if no independent agent representing Buyer) is involved in this transaction on behalf of Xxxxx and that Bottles Real Estate Auctions, LLC, an Idaho limited liability company, is involved in this transaction on behalf of Seller, and that no other broker or agent was the procuring cause of the transaction contemplated by this Agreement. REPRESENTATION CONFIRMATION: Check one (1) box in section 1 below and one (1) box in section 2 below to confirm that in this transaction, the brokerage(s) involved had the following relationship(s) with the BUYER(S) and SELLER(S). A. The brokerage working with the BUYER(S) is acting as an AGENT for the BUYER(S). B. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT for the BUYER(S), without an ASSIGNED AGENT. C. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT/NONAGENT for the BUYER(S), and has an ASSIGNED AGENT acting solely on behalf of the BUYER(S). D. The brokerage working with the BUYER(S) is acting as a NONAGENT for the BUYER(S). A. The brokerage working with the SELLER(S) is acting as an AGENT for the SELLER(S). B. The brokerage working with the SELLER(S) is acting as a LIMITED DUAL AGENT for the SELLER(S), without an ASSIGNED AGENT. C. The brokerage working with the SELLER(S) is acting as LIMITED DUAL AGENT for the SELLER(S), and has an ASSIGNED AGENT acting solely on behalf of SELLER(S). D. The brokerage working with the SELLER(S) is acting as a NONAGENT for the SELLER(S). Each party signing this document confirms that he or she has received, read and understood the Agency Disclosure brochure and has elected the relationship confirmed above. In addition, each party confirms that the brokerage’s agency office policy was made available for inspection and review. EACH PARTY UNDERSTANDS THAT HE OR SHE IS A “CUSTOMER” AND IS NOT REPRESENTED BY A BROKERAGE UNLESS THERE IS A SIGNED WRITTEN AGREEMENT FOR AGENCY REPRESENTATION. Responsible and Listing Broker: Mark Xxxx Bottles, Broker of Xxxxxxx Bottles Real Estate AuctionsMarketing, LLC Selling Broker: _ _ _ DRAFT [End of text – Signatures follow on next page] Executed effective the date first set forth above. SELLER: IDAHO DEPARTMENT OF LANDS Dated: Xxxxxx X. Xxxxxx Its: Director Seller's Address: 000 Xxxxx 0xx Xxxxxx, Xxxxx 000 P.O. Box 83720 BoiseX.X. Xxx 00000 Xxxxx, ID 83720XX 00000-0050 0000 Telephone: 000-000-0000 Facsimile: 000-000-0000 Dated: Signature (Print Name) Dated: Signature DRAFT (Print Name) If Buyer is an Entity, Please fill out the Following Name and Type of Entity (i.e, LLC, Inc., etc.): Representative Capacity of Signer: (i.e, Trustee, Manager, President): State of Incorporation or Organization: Buyer's Address: Telephone: E-mail: Buyer’s Agent/Representative Information: Telephone: E-mail: EXHIBIT A STATEMENT OF NON-COLLUSION The undersigned, as the successful bidder for state lands acquired at public auction on the below date offered for sale by the Idaho Department of Lands (“IDL”), hereby attests that the undersigned has not, nor has anyone to the undersigned’s knowledge on the undersigned’s behalf, ever intimidated, hindered, prevented or attempted to intimidate, hinder or prevent, any person from: 1) filing an application to lease or to purchase any state lands or to enter any bid for the lease or purchase thereof; or, 2) attending or submitting any bid at any public auction held to lease or purchase any state lands, or any portion thereof. The undersigned has not offered, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, to accept, nor has the undersigned accepted, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease, or purchase, any state-owned lands or timber, minerals, or other interest, or for foregoing a right to bid at any auction for the sale or lease of any state lands. The undersigned has not offered to pay or paid, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease or purchase any state-owned lands or timber, minerals, or other interest, or to cause or attempt to cause another person, firm, partnership or corporation to forego a right to bid at any auction for the sale or lease of any state lands. The undersigned has not and shall not engage in any of the above-stated behaviors or activities over the course of this auction process or through the completion or closing of any disposal of state lands. DRAFT The undersigned understands that a false statement by the undersigned in this statement or in any application to lease or bid on any auction to lease or purchase any state lands shall constitute a breach of any lease which the undersigned may have for any state lands as well as a breach of any purchase or acquisition of state lands that the undersigned has acquired or may acquire; and the undersigned understands that any false statement shall constitute a breach of any such lease subject to the immediate termination of any such lease of state lands; and that any such breach may result in the nullification of any state lands purchased or acquired by the undersigned. The undersigned further understands that a false statement by the undersigned in this statement or in any application to lease or bid on any lease or purchase of any state lands may result in the undersigned’s guilt of an offense against the State of Idaho in accordance with Idaho Code § 58-154, and is punishable by a fine of not less than One Hundred Dollars ($100), or by a fine not exceeding One Thousand Dollars ($1,000), or by imprisonment in the County jail for not less than three (3) months nor more than one (1) year, or by imprisonment in the state penitentiary for a period not exceeding three (3) years. The undersigned further understands that a false oath shall constitute the crime of perjury against the State of Idaho in accordance with Idaho Code § 18- 5409, which is punishable by imprisonment in the state penitentiary for not less than one (1) or more than fourteen

AGENCY REPRESENTATION. Xxxxx and Xxxxxx understand and agree that (leave blank if no independent agent representing Buyer) is involved in this transaction on behalf of Xxxxx and that Bottles Real Estate Auctions, LLC, an Idaho limited liability company, is involved in this transaction on behalf of Seller, and that no other broker or agent was the procuring cause of the transaction contemplated by this Agreement. REPRESENTATION CONFIRMATION: Check one (1) box in section 1 below and one (1) box in section 2 below to confirm that in this transaction, the brokerage(s) involved had the following relationship(s) with the BUYER(S) and SELLER(S). A. The brokerage working with the BUYER(S) is acting as an AGENT for the BUYER(S). B. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT for the BUYER(S), without an ASSIGNED AGENT. C. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT/NONAGENT for the BUYER(S), and has an ASSIGNED AGENT acting solely on behalf of the BUYER(S). D. The brokerage working with the BUYER(S) is acting as a NONAGENT for the BUYER(S). A. The brokerage working with the SELLER(S) is acting as an AGENT for the SELLER(S). B. The brokerage working with the SELLER(S) is acting as a LIMITED DUAL AGENT for the SELLER(S), without an ASSIGNED AGENT. C. The brokerage working with the SELLER(S) is acting as LIMITED DUAL AGENT for the SELLER(S), and has an ASSIGNED AGENT acting solely on behalf of SELLER(S). D. The brokerage working with the SELLER(S) is acting as a NONAGENT for the SELLER(S). Each party signing this document confirms that he or she has received, read and understood the Agency Disclosure brochure and has elected the relationship confirmed above. In addition, each party confirms that the brokerage’s agency office policy was made available for inspection and review. EACH PARTY UNDERSTANDS THAT HE OR SHE IS A “CUSTOMER” AND IS NOT REPRESENTED BY A BROKERAGE UNLESS THERE IS A SIGNED WRITTEN AGREEMENT FOR AGENCY REPRESENTATION. Responsible and Listing Broker: Mark BottlesXxxx Xxxxxxx, Broker of Bottles Real Estate Auctions, LLC Selling Broker: _ _ _ DRAFT [End of text – Signatures follow on next page] Executed effective the date first set forth above. SELLER: IDAHO DEPARTMENT OF LANDS Dated: Xxxxxx X. Xxxxxx Its: XXXXXX X XXXXXX, Director Seller's Address: 000 Xxxxx 0xx Xxxxxx, Xxxxx 000 P.O. Box 83720 Boise, ID 83720-0050 Dated: Signature (Print Name) «Lessee_of_Record» Dated: Signature DRAFT (Print Name) «Spouse» Xxxxx's Address: «Mailing_Address» Telephone:«Home_Phone»«Cell_Phone» E-mail: «Email_addresses_separate_with_semicolon» Buyer’s Agent/Representative Information: Telephone: E-mail: If Buyer is an Entity, Please fill out the Following Name and Type of Entity (i.e, LLC, Inc., etc.): Representative Capacity of Signer: (i.e, Trustee, Manager, President): State of Incorporation or Organization: Buyer's Address: Telephone: E-mail: Buyer’s Agent/Representative Information: Telephone: E-mail: EXHIBIT A STATEMENT OF NON-COLLUSION The undersigned, as the successful bidder for state lands acquired at public auction on the below date offered for sale by the Idaho Department of Lands (“IDL”), hereby attests that the undersigned has not, nor has anyone to the undersigned’s knowledge on the undersigned’s behalf, ever intimidated, hindered, prevented or attempted to intimidate, hinder or prevent, any person from: 1) filing an application to lease or to purchase any state lands or to enter any bid for the lease or purchase thereof; or, 2) attending or submitting any bid at any public auction held to lease or purchase any state lands, or any portion thereof. The undersigned has not offered, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, to accept, nor has the undersigned accepted, accepted compensation of any type in exchange for the withdrawal of a bid, ; or for the withdrawal of an application to bid, lease, or purchase, any state-owned lands or timber, minerals, or other interest, ; or for foregoing a right to bid at any auction for the sale or lease of any state lands. The undersigned has not offered to pay or paid, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, compensation of any type in exchange for the withdrawal of a bid, ; or for the withdrawal of an application to bid, lease or purchase any state-owned lands or timber, minerals, or other interest, ; or to cause or attempt to cause another person, firm, partnership or corporation to forego a right to bid at any auction for the sale or lease of any state lands. The undersigned has not and shall not engage in any of the above-above stated behaviors or activities over the course of this auction process or through the completion or closing of any disposal of state lands. DRAFT The undersigned understands that a false statement by the undersigned in this statement or in any application to lease or bid on any auction to lease or purchase any state lands shall constitute a breach of any lease which the undersigned may have for any state lands as well as a breach of any purchase or acquisition of state lands that the undersigned has acquired or may acquire; and the undersigned understands that any false statement shall constitute a breach of any such lease subject to the immediate termination of any such lease of state lands; and that any such breach may result in the nullification of any state lands purchased or acquired by the undersigned. The undersigned further understands that a false statement by the undersigned in this statement or in any application to lease or bid on any lease or purchase of any state lands may result in the undersigned’s guilt of an offense against the State of Idaho in accordance with Idaho Code § 58-154, and is punishable by a fine of not less than One Hundred Dollars ($100), or by a fine not exceeding One Thousand Dollars ($1,000), or by imprisonment in the County jail for not less than three (3) months nor more than one (1) year, or by imprisonment in the state penitentiary for a period not exceeding three (3) years. The undersigned further understands that a false oath shall constitute the crime of perjury against the State of Idaho in accordance with Idaho Code § 18- 5409, which is punishable by imprisonment in the state penitentiary for not less than one (1) or more than fourteen

AGENCY REPRESENTATION. Xxxxx Buyer and Xxxxxx Seller understand and agree that (leave blank if no independent agent representing Buyer) is involved in this transaction on behalf of Xxxxx and that Bottles Real Estate Auctions, LLC, an Idaho limited liability company, is involved in this transaction on behalf of Seller, and that no other broker or agent was the procuring cause of the transaction contemplated by this Agreement. REPRESENTATION CONFIRMATION: Check one (1) box in section 1 below and one (1) box in section 2 below to confirm that in this transaction, the brokerage(s) involved had the following relationship(s) with the BUYER(S) and SELLER(S). A. The brokerage working with the BUYER(S) is acting as an AGENT for the BUYER(S). B. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT for the BUYER(S), without an ASSIGNED AGENT. C. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT/NONAGENT for the BUYER(S), and has an ASSIGNED AGENT acting solely on behalf of the BUYER(S). D. The brokerage working with the BUYER(S) is acting as a NONAGENT for the BUYER(S). A. The brokerage working with the SELLER(S) is acting as an AGENT for the SELLER(S). B. The brokerage working with the SELLER(S) is acting as a LIMITED DUAL AGENT for the SELLER(S), without an ASSIGNED AGENT. C. The brokerage working with the SELLER(S) is acting as LIMITED DUAL AGENT for the SELLER(S), and has an ASSIGNED AGENT acting solely on behalf of SELLER(S). D. The brokerage working with the SELLER(S) is acting as a NONAGENT for the SELLER(S). Each party signing this document confirms that he or she has received, read and understood the Agency Disclosure brochure and has elected the relationship confirmed above. In addition, each party confirms that the brokerage’s agency office policy was made available for inspection and review. EACH PARTY UNDERSTANDS THAT HE OR SHE IS A “CUSTOMER” AND IS NOT REPRESENTED BY A BROKERAGE UNLESS THERE IS A SIGNED WRITTEN AGREEMENT FOR AGENCY REPRESENTATION. Responsible and Listing Broker: Mark Xxxx Bottles, Broker of Xxxxxxx Bottles Real Estate AuctionsMarketing, LLC Selling Broker: _ __ _ DRAFT [End of text – Signatures follow on next page] Executed effective the date first set forth above. SELLER: IDAHO DEPARTMENT OF LANDS Dated: Xxxxxx X. Xxxxxx Its: Director Seller's Address: 000 Xxxxx 0xx Xxxxxx, Xxxxx 000 P.O. Box 83720 BoiseX.X. Xxx 00000 Xxxxx, ID 83720XX 00000-0050 0000 Telephone: 000-000-0000 Facsimile: 000-000-0000 Dated: Signature (Print Name) Dated: Signature DRAFT (Print Name) If Buyer is an Entity, Please fill out the Following Name and Type of Entity (i.e, LLC, Inc., etc.): Representative Capacity of Signer: (i.e, Trustee, Manager, President): State of Incorporation or Organization: Buyer's Address: Telephone: E-mail: Buyer’s Agent/Representative Information: Telephone: E-mail: EXHIBIT A STATEMENT OF NON-COLLUSION The undersigned, as the successful bidder for state lands acquired at public auction on the below date offered for sale by the Idaho Department of Lands (“IDL”), hereby attests that the undersigned has not, nor has anyone to the undersigned’s knowledge on the undersigned’s behalf, ever intimidated, hindered, prevented or attempted to intimidate, hinder or prevent, any person from: 1) filing an application to lease or to purchase any state lands or to enter any bid for the lease or purchase thereof; or, 2) attending or submitting any bid at any public auction held to lease or purchase any state lands, or any portion thereof. The undersigned has not offered, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, to accept, nor has the undersigned accepted, accepted compensation of any type in exchange for the withdrawal of a bid, ; or for the withdrawal of an application to bid, lease, or purchase, any state-owned lands or timber, minerals, or other interest, ; or for foregoing a right to bid at any auction for the sale or lease of any state lands. The undersigned has not offered to pay or paid, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, compensation of any type in exchange for the withdrawal of a bid, ; or for the withdrawal of an application to bid, lease or purchase any state-owned lands or timber, minerals, or other interest, ; or to cause or attempt to cause another person, firm, partnership or corporation to forego a right to bid at any auction for the sale or lease of any state lands. The undersigned has not and shall not engage in any of the above-stated behaviors or activities over the course of this auction process or through the completion or closing of any disposal of state lands. DRAFT The undersigned understands that a false statement by the undersigned in this statement or in any application to lease or bid on any auction to lease or purchase any state lands shall constitute a breach of any lease which the undersigned may have for any state lands as well as a breach of any purchase or acquisition of state lands that the undersigned has acquired or may acquire; and the undersigned understands that any false statement shall constitute a breach of any such lease subject to the immediate termination of any such lease of state lands; and and, that any such breach may result in the nullification of any state lands purchased or acquired by the undersigned. The undersigned further understands that a false statement by the undersigned in this statement or in any application to lease or bid on any lease or purchase of any state lands may result in the undersigned’s guilt of an offense against the State of Idaho in accordance with Idaho Code § 58-154, and is punishable by a fine of not less than One Hundred Dollars ($100), or by a fine not exceeding One Thousand Dollars ($1,000), or by imprisonment in the County jail for not less than three (3) months nor more than one (1) year, or by imprisonment in the state penitentiary for a period not exceeding three (3) years. The undersigned further understands that a false oath shall constitute the crime of perjury against the State of Idaho in accordance with Idaho Code § 18- 5409, which is punishable by imprisonment in the state penitentiary for not less than one (1) or more than fourteen

AGENCY REPRESENTATION. Xxxxx Buyer and Xxxxxx Sellers understand and agree that (leave blank if no independent agent representing Buyer) is involved in this transaction on behalf of Xxxxx and that Bottles Real Estate Auctions, LLC, an Idaho limited liability company, is involved in this transaction on behalf of Seller, and that no other broker or agent was the procuring cause of the transaction contemplated by this Agreement. REPRESENTATION CONFIRMATION: Check one (1) box in section 1 below and one (1) box in section 2 below to confirm that in this transaction, the brokerage(s) involved had the following relationship(s) with the BUYER(S) and SELLER(S).that A. The brokerage working with the BUYER(S) is acting as an AGENT for the BUYER(S). B. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT for the BUYER(S), without an ASSIGNED AGENT. C. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT/AGENT NONAGENT for the BUYER(S), and has an ASSIGNED AGENT acting solely on behalf of the BUYER(S). D. The brokerage broker working with the BUYER(S) is acting as a NONAGENT for the BUYER(S). A. The brokerage working with the SELLER(S) is acting as an AGENT for the SELLER(S). B. The brokerage working with the SELLER(S) is acting as a LIMITED DUAL AGENT for the SELLER(S), without an ASSIGNED AGENT. C. The brokerage working with the SELLER(S) is acting as LIMITED DUAL AGENT for the SELLER(S), and has an ASSIGNED AGENT acting solely on behalf of SELLER(S). D. The brokerage working with the SELLER(S) is acting as a NONAGENT for the SELLER(S). Each party signing this document confirms that he or she has received, read and understood the Agency Disclosure brochure and has elected the relationship confirmed above. In addition, each party confirms that the brokerage’s agency office policy was made available for inspection and review. EACH PARTY UNDERSTANDS THAT HE OR SHE IS A “CUSTOMER” AND IS NOT REPRESENTED BY A BROKERAGE UNLESS THERE IS A SIGNED WRITTEN AGREEMENT FOR AGENCY REPRESENTATION. Responsible and Listing Broker: Mark Bottles, Broker of Xxxxxxx Bottles Real Estate AuctionsMarketing, LLC Selling Broker: _ _ _ DRAFT [End of text – Signatures follow on next page] Executed effective the date first set forth above. SELLER: IDAHO DEPARTMENT OF LANDS Dated: Xxxxxx X. Xxxxxx Its: Director Seller's Address: 000 Xxxxx 0xx XxxxxxText, Xxxxx 000 P.O. Box 83720 Boise, ID 83720-0050 Dated: Signature (Print Name) Dated: Signature DRAFT (Print Name) If Buyer is an Entity, Please fill out the Following Name and Type of Entity (i.e, LLC, Inc., etc.): Representative Capacity of Signer: (i.e, Trustee, Manager, President): State of Incorporation or Organization: Buyer's Address: Telephone: E-mail: Buyer’s Agent/Representative Information: Telephone: E-mail: EXHIBIT A STATEMENT OF NON-COLLUSION The undersigned, as the successful bidder for state lands acquired at public auction on the below date offered for sale by the Idaho Department of Lands (“IDL”), hereby attests that the undersigned has not, nor has anyone to the undersigned’s knowledge on the undersigned’s behalf, ever intimidated, hindered, prevented or attempted to intimidate, hinder or prevent, any person from: 1) filing an application to lease or to purchase any state lands or to enter any bid for the lease or purchase thereof; or, 2) attending or submitting any bid at any public auction held to lease or purchase any state lands, or any portion thereof. The undersigned has not offered, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, to accept, nor has the undersigned accepted, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease, or purchase, any state-owned lands or timber, minerals, or other interest, or for foregoing a right to bid at any auction for the sale or lease of any state lands. The undersigned has not offered to pay or paid, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease or purchase any state-owned lands or timber, minerals, or other interest, or to cause or attempt to cause another person, firm, partnership or corporation to forego a right to bid at any auction for the sale or lease of any state lands. The undersigned has not and shall not engage in any of the above-stated behaviors or activities over the course of this auction process or through the completion or closing of any disposal of state lands. DRAFT The undersigned understands that a false statement by the undersigned in this statement or in any application to lease or bid on any auction to lease or purchase any state lands shall constitute a breach of any lease which the undersigned may have for any state lands as well as a breach of any purchase or acquisition of state lands that the undersigned has acquired or may acquire; and the undersigned understands that any false statement shall constitute a breach of any such lease subject to the immediate termination of any such lease of state lands; and that any such breach may result in the nullification of any state lands purchased or acquired by the undersigned. The undersigned further understands that a false statement by the undersigned in this statement or in any application to lease or bid on any lease or purchase of any state lands may result in the undersigned’s guilt of an offense against the State of Idaho in accordance with Idaho Code § 58-154, and is punishable by a fine of not less than One Hundred Dollars ($100), or by a fine not exceeding One Thousand Dollars ($1,000), or by imprisonment in the County jail for not less than three (3) months nor more than one (1) year, or by imprisonment in the state penitentiary for a period not exceeding three (3) years. The undersigned further understands that a false oath shall constitute the crime of perjury against the State of Idaho in accordance with Idaho Code § 18- 5409, which is punishable by imprisonment in the state penitentiary for not less than one (1) or more than fourteenPage Follows]

AGENCY REPRESENTATION. Xxxxx and Xxxxxx understand and agree that (leave blank if no independent agent representing Buyer) is involved in this transaction on behalf of Xxxxx and that Bottles Real Estate Auctions, LLC, an Idaho limited liability company, is involved in this transaction on behalf of Seller, and that no other broker or agent was the procuring cause of the transaction contemplated by this Agreement. REPRESENTATION CONFIRMATION: Check one (1) box in section 1 below and one (1) box in section 2 below to confirm that in this transaction, the brokerage(s) involved had the following relationship(s) with the BUYER(S) and SELLER(S). A. The brokerage working with the BUYER(S) is acting as an AGENT for the BUYER(S). B. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT for the BUYER(S), without an ASSIGNED AGENT. C. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT/NONAGENT for the BUYER(S), and has an ASSIGNED AGENT acting solely on behalf of the BUYER(S). D. The brokerage working with the BUYER(S) is acting as a NONAGENT for the BUYER(S). A. The brokerage working with the SELLER(S) is acting as an AGENT for the SELLER(S). B. The brokerage working with the SELLER(S) is acting as a LIMITED DUAL AGENT for the SELLER(S), without an ASSIGNED AGENT. C. The brokerage working with the SELLER(S) is acting as LIMITED DUAL AGENT for the SELLER(S), and has an ASSIGNED AGENT acting solely on behalf of SELLER(S). D. The brokerage working with the SELLER(S) is acting as a NONAGENT for the SELLER(S). Each party signing this document confirms that he or she has received, read and understood the Agency Disclosure brochure and has elected the relationship confirmed above. In addition, each party confirms that the brokerage’s agency office policy was made available for inspection and review. EACH PARTY UNDERSTANDS THAT HE OR SHE IS A “CUSTOMER” AND IS NOT REPRESENTED BY A BROKERAGE UNLESS THERE IS A SIGNED WRITTEN AGREEMENT FOR AGENCY REPRESENTATION. Responsible and Listing Broker: Mark Bottles, Broker of Xxxxxxx Bottles Real Estate AuctionsMarketing, LLC Selling Broker: _ _ _ DRAFT [End of text – Signatures follow on next page] Executed effective the date first set forth above. SELLER: IDAHO DEPARTMENT OF LANDS Dated: Xxxxxx X. Xxxxxx Its: Director Seller's Address: 000 Xxxxx 0xx Xxxxxx, Xxxxx 000 P.O. Box 83720 BoiseX.X. Xxx 00000 Xxxxx, ID 83720XX 00000-0050 0000 Telephone: 000-000-0000 Facsimile: 000-000-0000 Dated: Signature (Print Name) Dated: Signature DRAFT (Print Name) If Buyer is an Entity, Please fill out the Following Name and Type of Entity (i.e, LLC, Inc., etc.): Representative Capacity of Signer: (i.e, Trustee, Manager, President): State of Incorporation or Organization: Buyer's Address: Telephone: E-mail: Buyer’s Agent/Representative Information: Telephone: E-mail: EXHIBIT A STATEMENT OF NON-COLLUSION The undersigned, as the successful bidder for state lands acquired at public auction on the below date offered for sale by the Idaho Department of Lands (“IDL”), hereby attests that the undersigned has not, nor has anyone to the undersigned’s knowledge on the undersigned’s behalf, ever intimidated, hindered, prevented or attempted to intimidate, hinder or prevent, any person from: 1) filing an application to lease or to purchase any state lands or to enter any bid for the lease or purchase thereof; or, 2) attending or submitting any bid at any public auction held to lease or purchase any state lands, or any portion thereof. The undersigned has not offered, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, to accept, nor has the undersigned accepted, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease, or purchase, any state-owned lands or timber, minerals, or other interest, or for foregoing a right to bid at any auction for the sale or lease of any state lands. The undersigned has not offered to pay or paid, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease or purchase any state-owned lands or timber, minerals, or other interest, or to cause or attempt to cause another person, firm, partnership or corporation to forego a right to bid at any auction for the sale or lease of any state lands. The undersigned has not and shall not engage in any of the above-stated behaviors or activities over the course of this auction process or through the completion or closing of any disposal of state lands. DRAFT The undersigned understands that a false statement by the undersigned in this statement or in any application to lease or bid on any auction to lease or purchase any state lands shall constitute a breach of any lease which the undersigned may have for any state lands as well as a breach of any purchase or acquisition of state lands that the undersigned has acquired or may acquire; and the undersigned understands that any false statement shall constitute a breach of any such lease subject to the immediate termination of any such lease of state lands; and that any such breach may result in the nullification of any state lands purchased or acquired by the undersigned. The undersigned further understands that a false statement by the undersigned in this statement or in any application to lease or bid on any lease or purchase of any state lands may result in the undersigned’s guilt of an offense against the State of Idaho in accordance with Idaho Code § 58-154, and is punishable by a fine of not less than One Hundred Dollars ($100), or by a fine not exceeding One Thousand Dollars ($1,000), or by imprisonment in the County jail for not less than three (3) months nor more than one (1) year, or by imprisonment in the state penitentiary for a period not exceeding three (3) years. The undersigned further understands that a false oath shall constitute the crime of perjury against the State of Idaho in accordance with Idaho Code § 18- 5409, which is punishable by imprisonment in the state penitentiary for not less than one (1) or more than fourteenSignature

AGENCY REPRESENTATION. Xxxxx Buyer and Xxxxxx Seller understand and agree that (leave blank if no independent agent representing Buyer) is involved in this transaction on behalf of Xxxxx and that Bottles Real Estate Auctions, LLC, an Idaho limited liability company, is involved in this transaction on behalf of Seller, and that no other broker or agent was the procuring cause of the transaction contemplated by this Agreement. REPRESENTATION CONFIRMATION: Check one (1) box in section 1 below and one (1) box in section 2 below to confirm that in this transaction, the brokerage(s) involved had the following relationship(s) with the BUYER(S) and SELLER(S). A. The brokerage working with the BUYER(S) is acting as an AGENT for the BUYER(S). B. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT for the BUYER(S), without an ASSIGNED AGENT. C. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT/NONAGENT for the BUYER(S), and has an ASSIGNED AGENT acting solely on behalf of the BUYER(S). D. The brokerage working with the BUYER(S) is acting as a NONAGENT for the BUYER(S). A. The brokerage working with the SELLER(S) is acting as an AGENT for the SELLER(S). B. The brokerage working with the SELLER(S) is acting as a LIMITED DUAL AGENT for the SELLER(S), without an ASSIGNED AGENT. C. The brokerage working with the SELLER(S) is acting as LIMITED DUAL AGENT for the SELLER(S), and has an ASSIGNED AGENT acting solely on behalf of SELLER(S). D. The brokerage working with the SELLER(S) is acting as a NONAGENT for the SELLER(S). Each party signing this document confirms that he or she has received, read and understood the Agency Disclosure brochure and has elected the relationship confirmed above. In addition, each party confirms that the brokerage’s agency office policy was made available for inspection and review. EACH PARTY UNDERSTANDS THAT HE OR SHE IS A “CUSTOMER” AND IS NOT REPRESENTED BY A BROKERAGE UNLESS THERE IS A SIGNED WRITTEN AGREEMENT FOR AGENCY REPRESENTATION. Responsible and Listing Broker: Mark Xxxx Bottles, Broker of Xxxxxxx Bottles Real Estate AuctionsMarketing, LLC Selling Broker: _ _ _ DRAFT [End of text – Signatures follow on next page] Executed effective the date first set forth above. SELLER: IDAHO DEPARTMENT OF LANDS Dated: Xxxxxx X. Xxxxxx ItsBy: Director Seller's Address: 000 Xxxxx 0xx Xxxxxx, Xxxxx 000 P.O. Box 83720 BoiseX.X. Xxx 00000 Xxxxx, ID 83720XX 00000-0050 Dated0000 Telephone: 000-000-0000 Facsimile: 000-000-0000 Signature (Print Name) Dated: Signature DRAFT (Print Name) If Buyer is an Entity, Please fill out the Following Name and Type of Entity (i.e, LLC, Inc., etc.): Representative Capacity of Signer: (i.e, Trustee, Manager, President): State of Incorporation or Organization: Buyer's Address: Telephone: E-mail: Buyer’s Agent/Representative Information: Telephone: E-mail: EXHIBIT A STATEMENT OF NON-COLLUSION The undersigned, as the successful bidder for state lands acquired at public auction on the below date offered for sale by the Idaho Department of Lands (“IDL”), hereby attests that the undersigned has not, nor has anyone to the undersigned’s knowledge on the undersigned’s behalf, ever intimidated, hindered, prevented or attempted to intimidate, hinder or prevent, any person from: 1) filing an application to lease or to purchase any state lands or to enter any bid for the lease or purchase thereof; or, 2) attending or submitting any bid at any public auction held to lease or purchase any state lands, or any portion thereof. The undersigned has not offered, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, to accept, nor has the undersigned accepted, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease, or purchase, any state-owned lands or timber, minerals, or other interest, or for foregoing a right to bid at any auction for the sale or lease of any state lands. The undersigned has not offered to pay or paid, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease or purchase any state-owned lands or timber, minerals, or other interest, or to cause or attempt to cause another person, firm, partnership or corporation to forego a right to bid at any auction for the sale or lease of any state lands. The undersigned has not and shall not engage in any of the above-stated behaviors or activities over the course of this auction process or through the completion or closing of any disposal of state lands. DRAFT The undersigned understands that a false statement by the undersigned in this statement or in any application to lease or bid on any auction to lease or purchase any state lands shall constitute a breach of any lease which the undersigned may have for any state lands as well as a breach of any purchase or acquisition of state lands that the undersigned has acquired or may acquire; and the undersigned understands that any false statement shall constitute a breach of any such lease subject to the immediate termination of any such lease of state lands; and that any such breach may result in the nullification of any state lands purchased or acquired by the undersigned. The undersigned further understands that a false statement by the undersigned in this statement or in any application to lease or bid on any lease or purchase of any state lands may result in the undersigned’s guilt of an offense against the State of Idaho in accordance with Idaho Code § 58-154, and is punishable by a fine of not less than One Hundred Dollars ($100), or by a fine not exceeding One Thousand Dollars ($1,000), or by imprisonment in the County jail for not less than three (3) months nor more than one (1) year, or by imprisonment in the state penitentiary for a period not exceeding three (3) years. The undersigned further understands that a false oath shall constitute the crime of perjury against the State of Idaho in accordance with Idaho Code § 18- 5409, which is punishable by imprisonment in the state penitentiary for not less than one (1) or more than fourteen

AGENCY REPRESENTATION. Xxxxx Buyer and Xxxxxx Seller understand and agree that (leave blank if no independent agent representing Buyer) is involved in this transaction on behalf of Xxxxx and that Bottles Real Estate Auctions, LLC, an Idaho limited liability company, is involved in this transaction on behalf of Seller, and that no other broker or agent was the procuring cause of the transaction contemplated by this Agreement. REPRESENTATION CONFIRMATION: Check one (1) box in section 1 below and one (1) box in section 2 below to confirm that in this transaction, the brokerage(s) involved had the following relationship(s) with the BUYER(S) and SELLER(S).that A. The brokerage working with the BUYER(S) is acting as an AGENT for the BUYER(S). B. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT for the BUYER(S), without an ASSIGNED AGENT. C. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT/NONAGENT for the BUYER(S), and has an ASSIGNED AGENT acting solely on behalf of the BUYER(S). D. The brokerage working with the BUYER(S) is acting as a NONAGENT for the BUYER(S). A. The brokerage working with the SELLER(S) is acting as an AGENT for the SELLER(S). B. The brokerage working with the SELLER(S) is acting as a LIMITED DUAL AGENT for the SELLER(S), without an ASSIGNED AGENT. C. The brokerage working with the SELLER(S) is acting as LIMITED DUAL AGENT for the SELLER(S), and has an ASSIGNED AGENT acting solely on behalf of SELLER(S). D. The brokerage working with the SELLER(S) is acting as a NONAGENT for the SELLER(S). Each party signing this document confirms that he or she has received, read and understood the Agency Disclosure brochure and has elected the relationship confirmed above. In addition, each party confirms that the brokerage’s agency office policy was made available for inspection and review. EACH PARTY UNDERSTANDS THAT HE OR SHE IS A “CUSTOMER” AND IS NOT REPRESENTED BY A BROKERAGE UNLESS THERE IS A SIGNED WRITTEN AGREEMENT FOR AGENCY REPRESENTATION. Responsible and Listing Broker: Mark Xxxx Bottles, Broker of Xxxxxxx Bottles Real Estate AuctionsMarketing, LLC Selling Broker: _ _ _ DRAFT [End of text – Signatures follow on next page] Executed effective the date first set forth above. SELLERDate: IDAHO DEPARTMENT OF LANDS Dated: Xxxxxx X. Xxxxxx Its: Xxxxx Xxxxxxxx, Director Seller's Address: 000 Xxxxx 0xx Xxxxxx, Xxxxx 000 P.O. Box 83720 BoiseX.X. Xxx 00000 Xxxxx, ID 83720XX 00000-0050 Dated0000 Telephone: Signature 000-000-0000 Facsimile: 000-000-0000 Date: (Print Name) Dated: Signature DRAFT (Print Name) If Buyer is an Entity, Please fill out the Following Name and Type of Entity (i.e, LLC, Inc., etc.): Representative Capacity of Signer: (i.e, Trustee, Manager, President): State of Incorporation or Organization: Buyer's Address: Telephone: E-mail: Buyer’s Agent/Representative Information: Telephone: E-mail: EXHIBIT A STATEMENT OF NON-COLLUSION The undersigned, as the successful bidder for state lands acquired at public auction on the below date offered for sale by the Idaho Department of Lands (“IDL”), hereby attests that the undersigned has not, nor has anyone to the undersigned’s knowledge on the undersigned’s behalf, ever intimidated, hindered, prevented or attempted to intimidate, hinder or prevent, any person from: 1) filing an application to lease or to purchase any state lands or to enter any bid for the lease or purchase thereof; or, 2) attending or submitting any bid at any public auction held to lease or purchase any state lands, or any portion thereof. The undersigned has not offered, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, to accept, nor has the undersigned accepted, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease, or purchase, any state-owned lands or timber, minerals, or other interest, or for foregoing a right to bid at any auction for the sale or lease of any state lands. The undersigned has not offered to pay or paid, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease or purchase any state-owned lands or timber, minerals, or other interest, or to cause or attempt to cause another person, firm, partnership or corporation to forego a right to bid at any auction for the sale or lease of any state lands. The undersigned has not and Applicant shall not engage in any of the above-above stated behaviors or activities over the course of this auction process or through the completion or closing of any disposal of state landsprocess. DRAFT The undersigned understands that a false statement by the undersigned in this statement or in any application to lease or bid on any auction to lease or purchase of any state lands shall constitute a breach of any lease which the undersigned may have for any state lands as well as a breach of any purchase or acquisition of state lands that the undersigned has acquired or may acquire; and the undersigned understands that any false statement shall constitute a breach of any such lease subject to the immediate termination of any such lease of state lands; and that any such breach may result in the nullification of any state lands purchased or acquired by the undersigned. The undersigned further understands that a false statement by the undersigned in this statement or in any application to lease or bid on any lease or purchase of any state lands may result in the undersigned’s guilt of an offense against the State of Idaho in accordance with Idaho Code § 58-154, and is punishable by a fine of not less than One Hundred Dollars ($100), or by a fine not exceeding One Thousand Dollars ($1,000), or by imprisonment in the County jail for not less than three (3) months nor more than one (1) year, or by imprisonment in the state penitentiary for a period not exceeding three (3) years. The undersigned further understands that a false oath shall constitute the crime of perjury against the State of Idaho in accordance with Idaho Code § 18- 5409, which is punishable by imprisonment in the state penitentiary for not less than one (1) or more than fourteen

AGENCY REPRESENTATION. Xxxxx Buyer and Xxxxxx Seller understand and agree that (leave blank if no independent agent representing Buyer) is involved in this transaction on behalf of Xxxxx and that Bottles Real Estate Auctions, LLC, an Idaho limited liability company, is involved in this transaction on behalf of Seller, and that no other broker or agent was the procuring cause of the transaction contemplated by this Agreement. REPRESENTATION CONFIRMATION: Check one (1) box in section 1 below and one (1) box in section 2 below to confirm that in this transaction, the brokerage(s) involved had the following relationship(s) with the BUYER(S) and SELLER(S).that A. The brokerage working with the BUYER(S) is acting as an AGENT for the BUYER(S). B. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT for the BUYER(S), without an ASSIGNED AGENT. C. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT/AGENT NONAGENT for the BUYER(S), and has an ASSIGNED AGENT acting solely on behalf of the BUYER(S). D. The brokerage broker working with the BUYER(S) is acting as a NONAGENT for the BUYER(S). A. The brokerage working with the SELLER(S) is acting as an AGENT for the SELLER(S). B. The brokerage working with the SELLER(S) is acting as a LIMITED DUAL AGENT for the SELLER(S), without an ASSIGNED AGENT. C. The brokerage working with the SELLER(S) is acting as LIMITED DUAL AGENT for the SELLER(S), and has an ASSIGNED AGENT acting solely on behalf of SELLER(S). D. The brokerage working with the SELLER(S) is acting as a NONAGENT for the SELLER(S). Each party signing this document confirms that he or she has received, read and understood the Agency Disclosure brochure and has elected the relationship confirmed above. In addition, each party confirms that the brokerage’s agency office policy was made available for inspection and review. EACH PARTY UNDERSTANDS THAT HE OR SHE IS A “CUSTOMER” AND IS NOT REPRESENTED BY A BROKERAGE UNLESS THERE IS A SIGNED WRITTEN AGREEMENT FOR AGENCY REPRESENTATION. Responsible and Listing Broker: Mark Bottles, Broker of Xxxxxxx Bottles Real Estate AuctionsMarketing, LLC Selling Broker: _ _ _ DRAFT [End of text – Signatures follow on next page] Executed effective the date first set forth above. SELLER: IDAHO DEPARTMENT OF LANDS Dated: Xxxxxx X. Xxxxxx Its: Director Seller's Address: 000 Xxxxx 0xx XxxxxxText, Xxxxx 000 P.O. Box 83720 Boise, ID 83720-0050 Dated: Signature (Print Name) Dated: Signature DRAFT (Print Name) If Buyer is an Entity, Please fill out the Following Name and Type of Entity (i.e, LLC, Inc., etc.): Representative Capacity of Signer: (i.e, Trustee, Manager, President): State of Incorporation or Organization: Buyer's Address: Telephone: E-mail: Buyer’s Agent/Representative Information: Telephone: E-mail: EXHIBIT A STATEMENT OF NON-COLLUSION The undersigned, as the successful bidder for state lands acquired at public auction on the below date offered for sale by the Idaho Department of Lands (“IDL”), hereby attests that the undersigned has not, nor has anyone to the undersigned’s knowledge on the undersigned’s behalf, ever intimidated, hindered, prevented or attempted to intimidate, hinder or prevent, any person from: 1) filing an application to lease or to purchase any state lands or to enter any bid for the lease or purchase thereof; or, 2) attending or submitting any bid at any public auction held to lease or purchase any state lands, or any portion thereof. The undersigned has not offered, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, to accept, nor has the undersigned accepted, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease, or purchase, any state-owned lands or timber, minerals, or other interest, or for foregoing a right to bid at any auction for the sale or lease of any state lands. The undersigned has not offered to pay or paid, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease or purchase any state-owned lands or timber, minerals, or other interest, or to cause or attempt to cause another person, firm, partnership or corporation to forego a right to bid at any auction for the sale or lease of any state lands. The undersigned has not and shall not engage in any of the above-stated behaviors or activities over the course of this auction process or through the completion or closing of any disposal of state lands. DRAFT The undersigned understands that a false statement by the undersigned in this statement or in any application to lease or bid on any auction to lease or purchase any state lands shall constitute a breach of any lease which the undersigned may have for any state lands as well as a breach of any purchase or acquisition of state lands that the undersigned has acquired or may acquire; and the undersigned understands that any false statement shall constitute a breach of any such lease subject to the immediate termination of any such lease of state lands; and that any such breach may result in the nullification of any state lands purchased or acquired by the undersigned. The undersigned further understands that a false statement by the undersigned in this statement or in any application to lease or bid on any lease or purchase of any state lands may result in the undersigned’s guilt of an offense against the State of Idaho in accordance with Idaho Code § 58-154, and is punishable by a fine of not less than One Hundred Dollars ($100), or by a fine not exceeding One Thousand Dollars ($1,000), or by imprisonment in the County jail for not less than three (3) months nor more than one (1) year, or by imprisonment in the state penitentiary for a period not exceeding three (3) years. The undersigned further understands that a false oath shall constitute the crime of perjury against the State of Idaho in accordance with Idaho Code § 18- 5409, which is punishable by imprisonment in the state penitentiary for not less than one (1) or more than fourteenPage Follows]

AGENCY REPRESENTATION. Xxxxx Buyer and Xxxxxx Seller understand and agree that (leave blank if no independent agent representing Buyer) is involved in this transaction on behalf of Xxxxx and that Bottles Real Estate Auctions, LLC, an Idaho limited liability company, is involved in this transaction on behalf of Seller, and that no other broker or agent was the procuring cause of the transaction contemplated by this Agreement. REPRESENTATION CONFIRMATION: Check one (1) box in section 1 below and one (1) box in section 2 below to confirm that in this transaction, the brokerage(s) involved had the following relationship(s) with the BUYER(S) and SELLER(S).that A. The brokerage working with the BUYER(S) is acting as an AGENT for the BUYER(S). B. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT for the BUYER(S), without an ASSIGNED AGENT. C. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT/NONAGENT for the BUYER(S), and has an ASSIGNED AGENT acting solely on behalf of the BUYER(S). D. The brokerage working with the BUYER(S) is acting as a NONAGENT for the BUYER(S). A. The brokerage working with the SELLER(S) is acting as an AGENT for the SELLER(S). B. The brokerage working with the SELLER(S) is acting as a LIMITED DUAL AGENT for the SELLER(S), without an ASSIGNED AGENT. C. The brokerage working with the SELLER(S) is acting as LIMITED DUAL AGENT for the SELLER(S), and has an ASSIGNED AGENT acting solely on behalf of SELLER(S). D. The brokerage working with the SELLER(S) is acting as a NONAGENT for the SELLER(S). Each party signing this document confirms that he or she has received, read and understood the Agency Disclosure brochure and has elected the relationship confirmed above. In addition, each party confirms that the brokerage’s agency office policy was made available for inspection and review. EACH PARTY UNDERSTANDS THAT HE OR SHE IS A “CUSTOMER” AND IS NOT REPRESENTED BY A BROKERAGE UNLESS THERE IS A SIGNED WRITTEN AGREEMENT FOR AGENCY REPRESENTATION. Responsible and Listing Broker: Mark Bottles, Broker of Bottles Real Estate Auctions, LLC Selling Broker: _ _ _ DRAFT [End of text – Signatures follow on next page] Executed effective the date first set forth above. SELLERBy: IDAHO DEPARTMENT OF LANDS Dated: Xxxxxx X. Xxxxxx Its: Director Seller's Address: 000 Xxxxx 0xx Xxxxxx, Xxxxx 000 P.O. Box 83720 BoiseX.X. Xxx 00000 Xxxxx, ID 83720XX 00000-0050 Dated0000 Telephone: Signature (Print Name) Dated000-000-0000 Facsimile: Signature DRAFT (Print Name) If Buyer is an Entity, Please fill out the Following Name and Type of Entity (i.e, LLC, Inc., etc.): Representative Capacity of Signer: (i.e, Trustee, Manager, President): State of Incorporation or Organization: 000-000-0000 Buyer's Address: Telephone: E-mail: Buyer’s Agent/Representative Information: Telephone: E-mail: EXHIBIT A STATEMENT OF NON-COLLUSION The undersigned, as the successful bidder for state lands acquired at public auction on the below date offered for sale by the Idaho Department of Lands (“IDL”), hereby attests that the undersigned has not, nor has anyone to the undersigned’s knowledge on the undersigned’s behalf, ever intimidated, hindered, prevented or attempted to intimidate, hinder or prevent, any person from: 1) filing an application to lease or to purchase any state lands or to enter any bid for the lease or purchase thereof; or, 2) attending or submitting any bid at any public auction held to lease or purchase any state lands, or any portion thereof. The undersigned has not offered, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, to accept, nor has the undersigned accepted, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease, or purchase, any state-owned lands or timber, minerals, or other interest, or for foregoing a right to bid at any auction for the sale or lease of any state lands. The undersigned has not offered to pay or paid, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease or purchase any state-owned lands or timber, minerals, or other interest, or to cause or attempt to cause another person, firm, partnership or corporation to forego a right to bid at any auction for the sale or lease of any state lands. The undersigned has not and shall not engage in any of the above-stated behaviors or activities over the course of this auction process or through the completion or closing of any disposal of state lands. DRAFT The undersigned understands that a false statement by the undersigned in this statement or in any application to lease or bid on any auction to lease or purchase of any state lands shall constitute a breach of any lease which the undersigned may have for any state lands as well as a breach of any purchase or acquisition of state lands that the undersigned has acquired or may acquire; and the undersigned understands that any false statement shall constitute a breach of any such lease subject to the immediate termination of any such lease of state lands; and that any such breach may result in the nullification of any state lands purchased or acquired by the undersigned. The undersigned further understands that a false statement by the undersigned in this statement or in any application to lease or bid on any lease or purchase of any state lands may result in the undersigned’s guilt of an offense against the State of Idaho in accordance with Idaho Code § 58-154, and is punishable by a fine of not less than One Hundred Dollars one hundred dollars ($100), or by a fine not exceeding One Thousand Dollars one thousand dollars ($1,000), or by imprisonment in the County jail for not less than three (3) months nor more than one (1) year, or by imprisonment in the state penitentiary for a period not exceeding three (3) years. The undersigned further understands that a false oath shall constitute the crime of perjury against the State of Idaho in accordance with Idaho Code § 18- 18-5409, which is punishable by imprisonment in the state penitentiary for not less than one (1) or more than fourteenfourteen (14) years. BUYER: Date: Date: Subscribed and sworn to before me on the above date, a notary in and for the State of Idaho. (seal) Notary for State of Idaho Residing at: My Commission Expires: THIS STATE DEED (“Deed”) is made this day of , 2015, by and between the STATE BOARD OF LAND COMMISSIONERS, whose mailing address is X.X. Xxx 00000, Xxxxx, Xxxxx 00000- 0050 (hereinafter referred to as "Grantor"), and , whose mailing address is (hereinafter referred to as "Grantee").

AGENCY REPRESENTATION. Xxxxx and Xxxxxx understand and agree that (leave blank if no independent agent representing Buyer) is involved in this transaction on behalf of Xxxxx and that Bottles Real Estate Auctions, LLC, an Idaho limited liability company, is involved in this transaction on behalf of Seller, and that no other broker or agent was the procuring cause of the transaction contemplated by this Agreement. DRAFT REPRESENTATION CONFIRMATION: Check one (1) box in section Section 1 below and one one (1) box in section Section 2 below to confirm that in this transaction, the brokerage(s) involved had the following relationship(s) with the BUYER(S) and SELLER(S).): A. The brokerage working with the BUYER(S) is acting as an AGENT for the BUYER(S). B. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT for the BUYER(S), without an ASSIGNED AGENT. C. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT/AGENT NONAGENT for the BUYER(S), and has an ASSIGNED AGENT acting solely on behalf of the BUYER(S). D. The brokerage broker working with the BUYER(S) is acting as a NONAGENT for the BUYER(S). A. The brokerage working with the SELLER(S) is acting as an AGENT for the SELLER(S). B. The brokerage working with the SELLER(S) is acting as a LIMITED DUAL AGENT for the SELLER(S), without an ASSIGNED AGENT. C. The brokerage working with the SELLER(S) is acting as LIMITED DUAL AGENT for the SELLER(S), and has an ASSIGNED AGENT acting solely on behalf of SELLER(S). D. The brokerage working with the SELLER(S) is acting as a NONAGENT for the SELLER(S). Each party signing this document confirms that he or she has received, read and understood the Agency Disclosure brochure and has elected the relationship confirmed above. In addition, each party confirms that the brokerage’s agency office policy was made available for inspection and review. EACH PARTY UNDERSTANDS THAT HE OR SHE IS A “CUSTOMER” AND IS NOT REPRESENTED BY A BROKERAGE UNLESS THERE IS A SIGNED WRITTEN AGREEMENT FOR AGENCY REPRESENTATION. DRAFT Responsible and Listing Broker: Mark Bottles, Broker of Xxxxxxx Bottles Real Estate AuctionsMarketing, LLC Selling Broker: _ _ _ DRAFT [End of text – Signatures follow on next page] Executed effective the date first set forth above. SELLERBy: IDAHO DEPARTMENT OF LANDS DatedName (if applicable): Title (if applicable): Date: Xxxxxx X. Xxxxxx Its: Director Seller's Address: 000 Xxxxx 0xx Xxxxxx, Xxxxx 000 P.O. Box 83720 Boise, ID 83720-0050 DatedPhone No.: Signature (Print Fax No.: Email: By: Name) Dated: Signature DRAFT (Print Name) If Buyer is an Entity, Please fill out the Following Name and Type of Entity (i.e, LLC, Inc., etc.): Representative Capacity of SignerTitle: (i.e, Trustee, Manager, President): State of Incorporation or OrganizationDate: Buyer's Address: TelephoneDRAFT Phone No.: E-mailFax No.: Buyer’s Agent/Representative InformationEmail: Telephone: E-mail: EXHIBIT A STATEMENT OF NON-COLLUSION The undersigned, as the successful bidder for state lands acquired at public auction on the below date offered for sale by the Idaho Department of Lands (“IDL”), hereby attests that the undersigned has not, nor has anyone to the undersigned’s knowledge on the undersigned’s behalf, ever intimidated, hindered, prevented or attempted to intimidate, hinder or prevent, any person from: DRAFT 1) filing an application to lease or to purchase any state lands or to enter any bid for the lease or purchase thereof; or, 2) attending or submitting any bid at any public auction held to lease or purchase any state lands, or any portion thereof. The undersigned has not offered, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, to accept, nor has the undersigned accepted, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease, or purchase, any state-owned lands or timber, minerals, or other interest, or for foregoing a right to bid at any auction for the sale or lease of any state lands. The undersigned has not offered to pay or paid, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, compensation of any type in exchange for the withdrawal of a bid, or for the withdrawal of an application to bid, lease or purchase any state-owned lands or timber, minerals, or other interest, or to cause or attempt to cause another person, firm, partnership or corporation to forego a right to bid at any auction for the sale or lease of any state lands. The undersigned has not and shall not engage in any of the above-stated behaviors or activities over the course of this auction process or through the completion or closing of any disposal of state lands. DRAFT The undersigned understands that a false statement by the undersigned in this statement or in any application to lease or bid on any auction to lease or purchase any state lands shall constitute a breach of any lease which the undersigned may have for any state lands as well as a breach of any purchase or acquisition of state lands that the undersigned has acquired or may acquire; and the undersigned understands that any false statement shall constitute a breach of any such lease subject to the immediate termination of any such lease of state lands; and that any such breach may result in the nullification of any state lands purchased or acquired by the undersigned. The undersigned further understands that a false statement by the undersigned in this statement or in any application to lease or bid on any lease or purchase of any state lands may result in the undersigned’s guilt of an offense against the State of Idaho in accordance with Idaho Code § 58-154, and is punishable by a fine of not less than One Hundred Dollars ($100), or by a fine not exceeding One Thousand Dollars ($1,000), or by imprisonment in the County jail for not less than three (3) months nor more than one (1) year, or by imprisonment in the state penitentiary for a period not exceeding three (3) years. The undersigned further understands that a false oath shall constitute the crime of perjury against the State of Idaho in accordance with Idaho Code § 18- 5409, which is punishable by imprisonment in the state penitentiary for not less than one (1) or more than fourteenINCLUSIONS:

AGENCY REPRESENTATION. Xxxxx and Xxxxxx understand and agree that (leave blank if no independent agent representing Buyer) is involved in this transaction on behalf of Xxxxx and that Bottles Real Estate Auctions, LLC, an Idaho limited liability company, is involved in this transaction on behalf of Seller, and that no other broker or agent was the procuring cause of the transaction contemplated by this Agreement. REPRESENTATION CONFIRMATION: Check one (1) box in section 1 below and one (1) box in section 2 below to confirm that in this transaction, the brokerage(s) involved had the following relationship(s) with the BUYER(S) and SELLER(S). A. The brokerage working with the BUYER(S) is acting as an AGENT for the BUYER(S). B. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT for the BUYER(S), without an ASSIGNED AGENT. C. The brokerage working with the BUYER(S) is acting as a LIMITED DUAL AGENT/NONAGENT for the BUYER(S), and has an ASSIGNED AGENT acting solely on behalf of the BUYER(S). D. The brokerage working with the BUYER(S) is acting as a NONAGENT for the BUYER(S). A. The brokerage working with the SELLER(S) is acting as an AGENT for the SELLER(S). B. The brokerage working with the SELLER(S) is acting as a LIMITED DUAL AGENT for the SELLER(S), without an ASSIGNED AGENT. C. The brokerage working with the SELLER(S) is acting as LIMITED DUAL AGENT for the SELLER(S), and has an ASSIGNED AGENT acting solely on behalf of SELLER(S). D. The brokerage working with the SELLER(S) is acting as a NONAGENT for the SELLER(S). Each party signing this document confirms that he or she has received, read and understood the Agency Disclosure brochure and has elected the relationship confirmed above. In addition, each party confirms that the brokerage’s agency office policy was made available for inspection and review. EACH PARTY UNDERSTANDS THAT HE OR SHE IS A “CUSTOMER” AND IS NOT REPRESENTED BY A BROKERAGE UNLESS THERE IS A SIGNED WRITTEN AGREEMENT FOR AGENCY REPRESENTATION. Responsible and Listing Broker: Mark Bottles, Broker of Bottles Real Estate Auctions, LLC Selling Broker: _ _ __ DRAFT [End of text – Signatures follow on next page] Executed effective the date first set forth above. SELLER: IDAHO DEPARTMENT OF LANDS Dated: Xxxxxx XXXXXX X. Xxxxxx XXXXXX Its: Director Seller's Address: 000 Xxxxx 0xx Xxxxxx, Xxxxx 000 P.O. Box 83720 Boise, ID 83720-0050 Dated: Signature (Print Name) Dated: Signature DRAFT (Print Name) If Buyer is an Entity, Please fill out the Following Name and Type of Entity (i.e, LLC, Inc., etc.): Representative Capacity of Signer: (i.e, Trustee, Manager, President): State of Incorporation or Organization: Buyer's Address: Telephone: E-mail: Buyer’s Agent/Representative Information: Telephone: E-mail: EXHIBIT A STATEMENT OF NON-COLLUSION The undersigned, as the successful bidder for state lands acquired at public auction on the below date offered for sale by the Idaho Department of Lands (“IDL”), hereby attests that the undersigned has not, nor has anyone to the undersigned’s knowledge on the undersigned’s behalf, ever intimidated, hindered, prevented or attempted to intimidate, hinder or prevent, any person from: 1) filing an application to lease or to purchase any state lands or to enter any bid for the lease or purchase thereof; or, 2) attending or submitting any bid at any public auction held to lease or purchase any state lands, or any portion thereof. The undersigned has not offered, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, to accept, nor has the undersigned accepted, accepted compensation of any type in exchange for the withdrawal of a bid, ; or for the withdrawal of an application to bid, lease, or purchase, any state-owned lands or timber, minerals, or other interest, ; or for foregoing a right to bid at any auction for the sale or lease of any state lands. The undersigned has not offered to pay or paid, on the undersigned’s own behalf or on behalf of any other person, firm, partnership or corporation, compensation of any type in exchange for the withdrawal of a bid, ; or for the withdrawal of an application to bid, lease or purchase any state-owned lands or timber, minerals, or other interest, ; or to cause or attempt to cause another person, firm, partnership or corporation to forego a right to bid at any auction for the sale or lease of any state lands. DRAFT The undersigned has not and shall not engage in any of the above-stated behaviors or activities over the course of this auction process or through the completion or closing of any disposal of state lands. DRAFT The undersigned understands that a false statement by the undersigned in this statement or in any application to lease or bid on any auction to lease or purchase any state lands shall constitute a breach of any lease which the undersigned may have for any state lands as well as a breach of any purchase or acquisition of state lands that the undersigned has acquired or may acquire; and the undersigned understands that any false statement shall constitute a breach of any such lease subject to the immediate termination of any such lease of state lands; and and, that any such breach may result in the nullification of any state lands purchased or acquired by the undersigned. The undersigned further understands that a false statement by the undersigned in this statement or in any application to lease or bid on any lease or purchase of any state lands may result in the undersigned’s guilt of an offense against the State of Idaho in accordance with Idaho Code § 58-154, and is punishable by a fine of not less than One Hundred Dollars ($100), or by a fine not exceeding One Thousand Dollars ($1,000), or by imprisonment in the County jail for not less than three (3) months nor more than one (1) year, or by imprisonment in the state penitentiary for a period not exceeding three (3) years. The undersigned further understands that a false oath shall constitute the crime of perjury against the State of Idaho in accordance with Idaho Code § 18- 5409, which is punishable by imprisonment in the state penitentiary for not less than one (1) or more than fourteen