This might help some:

The claimant (You) certifies that they intend to hold all claims and/or sites listed in your document for the
calendar year in which the assessment year ends, and that they have filed or will file a Notice of Intent to Hold in the
county where the claim(s) is located.


THIS WILL MOST LIKELY COVER EVERYTHING. I PULLED THIS FROM MY OLD FILES. Don't worry about the dates on the letter, use current and next.

BLM Reminds Miners to File Notice of Intent to Hold by December 31, 2012

The Bureau of Land Management (BLM) today reminds certain mining claimants that the
deadline to file a Notice of Intent to Hold (NOI) their claims or sites is December 31, 2012.
Miners who paid maintenance fees for the assessment year ending September 1, 2012, who then
elected to file a Maintenance Fee Waiver Certification, or fee waiver, for the 2013 assessment
year must now file a NOI for their mining claims or sites. The BLM will accept any filings
delivered in person or postmarked on or before Monday, December 31, 2012.

The NOI must be filed in the proper BLM office for the state where the mining claims or sites
are located and must include all of the following: (1) A letter or other notice with signatures of
one or more claimants or their agent stating the intention to hold the mining claims or sites for
the calendar year 2013, and that a notice of intent to hold has or will be filed in the county where
the claim or site is located; (2) a statement that a Notice of Intent to Hold is being filed because
maintenance fees for the 2012 assessment year were paid and no assessment work was required
between September 1, 2011 and September 1, 2012; (3) the name and BLM serial numbers of all
mining claims or sites listed on the fee waiver filed by September 1, 2012; (4) any known
changes in the mailing addresses of the claimants; and (5) a processing fee of $10 for each
mining claim or site affected.

Claimants who fail to file the required NOI on time will forfeit the affected mining claims or
sites. Any questions regarding the NOI requirements should be directed to the Information
Access Center in the BLM State Office for the state where the claims or sites are located. A
directory of BLM State Offices can be found at:

Then of course there is the BLM Legal fine print.

Pursuant to 43 U.S.C. 1212 and 18 U.S.C. Section 1001, the filing or recording of a false, fictitious, or fraudulent document with the Bureau of Land
Management may result in a fine of up to $250,000, a prison term not to exceed five years, or both. This information is being collected to enable BLM to
determine which claims their owner(s) wish to continue to hold under applicable Federal statute. A response is required to obtain a benefit in accordance with
Section 314 of the Federal Land and Policy Management Act of 1976, as amended, 43 U.S.C. 299, and 30 U.S.C. 28f-k, as amended. This authority to collect
personal information may be found in DOI Privacy Act System Notice LLM-32. The name and address are required for filing and retrieval purposes.
Additional authority: 43 U.S.C. 1601, 43 U.S.C. 1701, and 42 U.S.C. 4601.