File No. hamlilt Wins Cianniiiii NEW MEXICO OFFICE OF THE STATE ENGINEER CHANGE OF OWNERSHIP OF 72-12-1 PERMIT FOR (check one) D Individual El Corporation 1. OWNER OF RECORD (Seller) Name: Zorro Trust Name: Phone: Phone (Work): Home M Cell Phone: 9 Home Phone (Work): • Cell a. Owner of Record File No: E-05509 b. Sub-file No.: c. Cause No.: 2. NEW OWNER (Buyer) Note: If more owners need to be listed, attach a separate sheet. Attached? 0 Yes Name: Cypress, Inc. Name: Contact or Agent: Jeffrey Epstein check here if Agent MI Contact or Agent: check here if Agent • Mailing Address: 9100 HavensIght, Pon of Sale, Suite 15/16 Mailing Address: City: St. Thomas City: State: VI Zip Code: 00802 State: Zip Code: Phone: Phone (Work): M Home E Cell Phone: Phone (Work): • Home • Cell E-mail (optional): E-mail (optional): Required: Submit warranty deed(s) or other Instrument(s) of conveyance properly recorded with the county clerk's office. 3. AMOUNT CONVEYED Amount of Water (acre-feet per annum): 3.000 acre-feet 4. LIST ALL KNOWN POINT(S) OF DIVERSION (POD) FOR THE 72-12-1 PERMIT CONVEYED OSE POD No. Subdivision Section Township Range E-5509 SE 1/4 SE 114 22 12N 9E FOR OSE INTERNAL USE Change of Ownership. Form wr•02d. Revised 8/25/11 File Number: Tm Number: Trans Description (optional): SitBasin: Page I of 2 EFTA00298500