Landowner Information Form

Chesapeake appreciates your interest in leasing. For landowners who have already provided your information via the website, we will be contacting you in regards to our level of interest in leasing your property. Due to the high volume of responses to this website, processing your information may take up to two weeks. Please, be assured we will be in touch with you as soon as we can via regular mail, email and/or telephone regarding our level of interest in leasing your property.

Full Name   
(as it should appear on the lease (i.e. Steven S. Smith and Debra D. Smith))
Address
  City  State  Zip
Phone
Cell
Email  
Comments

County Township
   

Insert your parcel number and associated net acres below. If you own more than one parcel, please enter a new record for each parcel.(i.e. Parcel Number = 10-073.0-140-00-00-00 and Acres = 8.6)

Parcel NumberAcres 

The information provided herein shall be held confidential by Chesapeake and not disclosed to any party not associated, affiliated or connected to Chesapeake.


For questions or more information concerning Chesapeake’s Marcellus Shale operations, please call 1-877-CHK-1GAS.

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