Fill and Sign the Hereinafter Referred to as Grantor Does Convey Grant Sell Bargain and Form

- Quitclaim Deed - Page 1 - This document prepared by (and after recording return to): Name: Firm/Company: Address: Address 2: City, State, Zip: Phone: ) )))))))))--------Above This Line Reserved For Official Use Only------------- QUITCLAIM DEED (Corporation to LLC) 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, ______________________________ , a Corporation organized under the laws of the state of ______________________, hereinafter referred to as “Grantor”, does convey, grant, sell, bargain, and quitclaim unto ______________________________ , a Limited Liability Company organized under the laws of the state of _______________, hereinafter “Grantee”, the following lands and property, together with all improvements located thereon, lying in the County of ______________________, State of Nebraska, to-wit: Describe Property of State "SEE DESCRIPTION ATTACHED" Prior instrument reference: Book ______, Page ______, Document No. ______, of the Recorder of ______________________ County, Nebraska. LESS AND EXCEPT all oil, gas and minerals, on and under the above described property owned by Grantors, if any, which are reserved by Grantor. SUBJECT to all easements, rights-of-way, protective covenants and mineral reservations of record, if any. TO HAVE AND TO HOLD same unto Grantee, and unto Grantee’s heirs and assigns forever, with all appurtenances thereunto belonging. IN WITNESS WHEREOF, this deed was executed by the undersigned on this the ____ day of __________________, 20___. - Quitclaim Deed - Page 2 - {Name of Corporation} __________________________________ BY: {Type Name] TITLE:{Title with Corporation} STATE OF _________________ COUNTY OF _________________ The foregoing instrument was acknowledged before me this ________________________ (date) by ______________________________________ (name of officer or agent, title of officer or agent) of _____________________________________________ (name of corporation acknowledging) a ______________________________________ (state or place of incorporation) corporation, on behalf of the corporation. _________________________________ Notary Public Printed Name: ________________________ My Commission Expires: ________________________ Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE