Fill and Sign the 1 This Deed of Dedication and Easement Made This Form

- Warranty Deed - Page 1 - -------- Above This Line Reserved For Official Use Only ------------- WARRANTY DEED (Individual to Individual) THIS DEED OF CONVEYANCE made and entered into this ______ day of __________________ , 20 ___ , by and between ______________________________ , an Individual, unmarried married, whose address is ______________________ , hereinafter referred to as “Grantor”, and ______________________ , an Individual, whose address is ______________________ hereinafter referred to as “Grantee. WITNESSETH that for and in consideration of the total sum of One Dollar ($1.00), cash in hand paid, and other good and valuable consideration, the receipt of which is hereby acknowledged, Grantor has bargained and s old and by these presents does hereby grant, bargain, transfer, convey, and warrant unto the Grantee, his/her heirs and assigns forever all of his/her right, title, and interest in the following lands and property, together with all improvements located th ereon, lying in the County of ______________________ , State of Kentucky, to -wit: Describe Property of State "SEE DESCRIPTION ATTACHED" Prior instrument reference: Book ______ , Page ______ , Document No. ______ , of the Recorder of ______________________ County, Kentucky. LESS AND EXCEPT all oil, gas and minerals, on and under the above described property owned by Grantor, if any, which are res erved by Grantor. SUBJECT to all easements, rights -of-way, protective covenants and mineral reservations of record, if any. TO HAVE AND TO HOLD the described real estate, unto the Grantee, in fee simple, his/her heirs and assigns forever, with covenant of general warranty of title. GRANTOR AND GRANTEE, being duly sworn, do certify that the transfer effected in this deed is a gift or a bona fide sale and that the estimated fair cash value of the property described is ______________________ Dollars ($ __ ____________________ ). The Grantee joins in this deed for the sole purpose of certifying the consideration pursuant to KRS 382.135. - Warranty Deed - Page 2 - IN TESTIMONY WHEREOF, witness the names of Grantor(s) and the Grantee(s) herein the day and year first above written. __________________________________ Grantor {Type Name} Commonwealth of _______________ County of ______________________ The foregoing instrument was subscribed, sworn, and ac knowledged before me this ____________ (date) by ______________________________ (name of person(s) acknowledged). _______________________ _______ Notary Public Title (and Rank): ______________________ Print Name: ______________________ (Seal, if any) My commission expires: ______________________ ______________________________ Grantee(s) Print Name(s): ______________________ This document prepared by (and after recording return to): Name: Firm/Company: Address: Address 2: City, State, Zip: Phone: - Warranty Deed - Page 3 - Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE