Fill and Sign the And Hereinafter Referred to Form

- Quitclaim Deed - Page 1 - This document prepared by (and after recording return to): ) ) ) ) ) ) ) ) ) ) -------- Above This Line Reserved For Official Use O nly ------------- Name: Firm/Company: Address: Address 2: City, State, Zip: Phone: QUITCLAIM DEED (Two Individuals to Corporation) STATE OF __________________ PARISH OF __________________ KNOW ALL MEN BY THESE PRESENTS THAT: FOR VALUABLE CONSIDERATION OF TEN DOLLARS ($10.00), and other good and valuable consideration , cash in hand paid, the receipt and sufficiency of which is hereby acknowledged, ______________________________ , and ______________________________ , hereinafter referred to as “Ve ndors”, do hereby quitclaim, give, grant, sell, convey, and deliver unto ______________________ , a Corporation organized under the laws of the state of _______________ , locat ed at the following address ______________________ , hereinafter “Vendee” , the following lands and property, together with all improvements located thereon, lying in the Parish of ______________________ , State of Louisiana, to - wit: Describe Property of State "SEE DESCRIPTION ATTACHED" Prior instrument reference: Book ______ , Page ______ , Document No. ______ , of the Recorder of ______________________ Parish, Louisiana. LESS AND EXCEPT all oil, gas and minerals, on and under the above described property owned by Vendors, if any, which are reserved by Vendors. SUBJECT to all easements, rights -of-way, protective covenants and mineral reservations of record, if any. TO HAVE AND TO HOLD unto said Vendee and Vendee’s heirs and assigns forever, with no warranty of title but full subrogation of all rights against fo rmer Vendors. The certificate of mortgage is hereby waived by the parties, and evidence of the payment of taxes produced, and the Notary is relieved of the requirement of filing this instrument. - Quitclaim Deed - Page 2 - DONE AND PASSED at my office in ______________________________ Parish, State of Louisiana , in the presence of ______________________ and ______________________ lawful witnesses on this ______ day of __ ____ , 20 ______ . ATTEST: ______________________ ______________________ ______________________ ______________________ __________________________________ Vendor {Type Name} __________________________________ Vendor {Type Name} Signed, Sealed and Delivered in the presence of: __________________________________ Witness __________________________________ Witness - Quitclaim Deed - Page 3 - STATE OF ____________________ PARISH OF ____________________ On this _________ day of _________________________ , ________ , before me personally appeared _______________________________ , to me known to be the person (or persons) described in and who executed the foregoing instrument, and acknowledged that (he/she/they) executed it as (his/her/their) free act and deed. _________________________________ Notary Public Print Name: ____________________ My commission expires: ___ _________________ Vendor(s) Name, Address, phone: Vendee(s) Name, Address, phone: SEND TAX STATEMENTS TO VENDEE