Fill and Sign the 1 This Deed of Easement Made This Day of 20 Form

1THIS DEED OF EASEMENT is made this day of , 20 , by and between , a (“Owner”); and either of whom may act (hereinafter referred to as “ Trustees”); and the TOWN OF (((( ,VIRGINIA, a Virginia Municipal Corporation (“Town”). W I T N E S S E T H :WHEREAS, the Owner is the owner and proprietor of certain real property (“theProperty”) as shown on plat number dated , and revised through , entitled “ ” and prepared by of , Virginia, certified land surveyors (the “Plat”) which is attached hereto; andWHEREAS, the Property is situate in County, Virginia, Owner having acquired the Property be deed recorded in Deed Book , at page , among the land records of County, Virginia; andWHEREAS, it is the desire and intent of the Owner to grant and convey unto the Town the easement in the location shown on the Plat and as hereinafter provided;NOW THEREFORE, in consideration of the premises and the sum of One Dollar ($1.00) cash in hand paid, receipt of which is hereby acknowledged, Owner does hereby dedicate, grant and convey to the Town, its successors and assigns, an easement for ingress and egress, for construction and maintenance of , and for the purpose of continued access to the . The Town and its agents shall have full and free use of the easement for the purposes named, and shall have all rights and privileges reasonably necessary to the exercise of the easement. The Town shall have the right to trim, cut, and remove trees, shrubbery, fences, structures, or other obstructions or facilities in or near the easement, deemed by it to interfere with the permitted use of the easement. THIS DEED FURTHER WITNESSETH that in consideration of the premises and the sum of One Dollar ($1.00), cash in hand paid, receipt of which is hereby acknowledged,the Trustees (as authorized to act by , as shown by its execution hereto) (as authorized to act without the joinder of their secured party) do hereby subordinate the said lien to the easement herein conveyed. IN WITNESS WHEREOF, the parties hereto have caused this Deed to be executed,under seal.FURTHER WITNESS the following signatures and seals.(Owner)by: (SEAL)Name: Title: 2 (SEAL) , Trustee.TOWN OF , VIRGINIABy: Authorized to accept this easement by Town Council resolution Approved as to form: , Town Attorney