Fill and Sign the Hereinafter Referred to as Grantor Does Hereby Grant Release and Form

- Warranty 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------------- WARRANTY DEED (Husband to Himself 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, ______________________________ , hereinafter referred to as “Grantor”, does hereby grant, release, and warrant unto ______________________ and ______________________, Husband and Wife, as joint tenants with rights of survivorship and not as tenants in common, hereinafter “Grantees”, the foll owing lands and property, together with all improvements located thereon, lying in the County of ______________________, State of New York, to-wit: Describe Property of State "SEE DESCRIPTION ATTACHED" Prior instrument reference: Book ______, Page ______, Document No. ______, of the Recorder of ______________________ County, New York. 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’ assigns forever, with all appurtenances thereunto belonging. GRANTOR does for Grantor and Grantor’s heirs, personal representatives, executors and assigns forever hereby covenant with GRANTEES that Grantor is lawfully seized in fee simple of said premises; that the premises are free from all encumbrances, unless otherwise noted above; that Grantor has a good right to sell and convey the same as aforesaid; and to forever warrant and defend the t itle to the said lands against all claims whatever. WITNESS Grantor(s) hand(s) this the ____ day of ________________, 20____. - Warranty Deed - Page 2 - __________________________________ Grantor {Type Name} CERTIFICATE OF ACKNOWLEDGMENT Use Within the State of New York Use Outside the State of New York State of New York State of New York County of County of On ________________________, before me, the undersigned, personally appeared ______________________________ personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. On ________________________, before me, the undersigned, personally appeared ______________________________ personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument and that such individual made such appearance before the undersigned in ________________________ (insert city or political subdivision and state or county or other place acknowledgment taken ) (signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) Type or Print Name Type or Print Name Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE