Fill and Sign the Hereinafter Referred to as Grantor Does Hereby Convey Grant Bargain Sell 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 Husband and Wife) 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 hereby convey, grant, bargain, sell, and quitclaim unto ______________________________ and ______________________________ , Husband and Wife, as joint tenants with rights of survivorship, hereinafter “Grantees”, 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 Grantor, 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 Grantees, and unto Grantees’ heirs and assigns forever, with all appurtenances thereunto belonging. TO HAVE AND TO HOLD to the said Grantees as joint tenants, with right of survivorship, their heirs, personal representatives, executors and assigns forever: it being the intention of the parties to this conveyance, that (unless the joint tenancy hereby created is severed or terminated during the joint lives of the grantees herein) in the event one Grantee herein survives the other, the entire interest in fee simple shall pass to the surviving Grantee, and if one does not survive the other, then the heirs and assigns of the Grantees herein shall take as tenants in common. - Quitclaim Deed - Page 2 - IN WITNESS WHEREOF, this deed was executed by the undersigned on this the ____ day of __________________, 20___. {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: ________________________ - Quitclaim Deed - Page 3 - Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE