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

Quitclaim Deed Page 1 of 3 Excise Tax Recording Time, Book and Page Mail after recording to: ______________________ This instrument was prepared by: ______________________ Brief description for the Index: ______________________ _____________________________________________________________________________________ QUITCLAIM DEED (Corporation to Individual) Grantor(s): ______________________________________________________ Grantee(s): ______________________________________________________ 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 release, convey, and forever quitclaim unto ______________________________ , married unmarried, hereinafter “Grantee”, the following lands and property, together with all improvements located thereon, lying in t he County of ______________________, State of North Carolina, to-wit: See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description: Quitclaim Deed Page 2 of 3 Prior instrument reference: Book ______, Page ______, Document No. ______, of the Recorder of ______________________ County, North Carolina. 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 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___. CORPORATION NAME Attest: Secretary By: Signature and Title Type or Print Name STATE OF _______________________ COUNTY OF _______________________ I, __________________________________ (Name of officer taking acknowledgment), ________________________________________ (Official title of officer taking acknowledgment) certify that ________________________________________ (Name of attesting official) personally came before me this day and acknowledged that he/she is ________________________________________ (Title of attesting official) of ________________________________________, a corporation, and that by authority duly given and as the act of the corporation, the foregoing instrument was signed in its name by its _______________________, (Title of Official), sealed with its corporate seal, and attested by himself (or herself) as its ________________________________________ (Title of attesting official). Witness my hand and official seal, this the ________ day of _________________, (Month) __________ (Year). ______________________________ Notary Public Printed Name: _________________ My Commission Expires: _________________ Quitclaim Deed Page 3 of 3 Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE Quitclaim Deed Exhibit A EXHIBIT A