Fill and Sign the A Corporation Duly Organized Incorporated and Existing under and by Virtue of the Laws of the Form

- Quitclaim Deed - Page 1 - This document prepared by (and after recording return to): ) ) ) ) ) ) ) ) ) ) -------- Above This Line Reserved For Official Use Only ------------- Name: Firm/Company: Address: Address 2: City, State, Zip: Phone: QUITCLAIM DEED (Corporation to LLC) This Instrument was filed for record on the ______ day of ______________________ , A.D., 20 ______ , at ______ o’clock ______ M., and duly recorded in book ___ ___ of Deeds, at page ______ . ______________________ Register of Deeds By ______________________ Deputy FEES Register of Deeds, for recording, $ ______________________ County Clerk, for Transfer ______________________ Total, $ ______________________ Entered in Transfer Record in my office ______ day of ______ , A.D., 20 ___ . ______________________ County Clerk - Quitclaim Deed - Page 2 - A corporation duly organized incorporated and existing under and by virtue of the laws of the State of , ______________________ , and having its principal place of business at ______________________ County of ______________________ , in the State of ______________________ , hereinafter referred to as “Grantor”, for the sum of Ten Dollars ($10.00) conveys and quitclaims to ____________ __________ , a Limited Liability Company, having its principal place of business at ______________________ County of ______________________ , in the State of ______________________ , hereinafter referred to as “Grantee”, all the following described real estate in the County of ______________________ , and the State of Kansas, to -wit: Describe Property of State "SEE DESCRIPTION ATTACHED" Prior instrument reference: Book ______ , Page ______ , Document No. ______ , of the Recorder of ______________________ County, Kansas. LESS AND EXCEPT all oil, gas and minerals, on and under the above described property owned by Grantors, if any, which are reserved by Grantor. SUBJECT to all easements, rights -of-way, protective covenants and minera l 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 WH EREOF, the Grantor has hereunto caused this deed to be signed on its behalf by its ________________ thereunto duly authorized so to do, and has caused its corporate seal to be hereunto affixed this day and year first above written. {SEAL} Attest: {Name of Corporation} BY: BY: Its: TITLE: - Quitclaim Deed - Page 3 - STATE OF ______________________ COUNTY OF _______________ Be it remembered, that on this ______ day of ________________ , A.D., _________ , before me, the undersigned, a Notary Public in and for the County and State aforesaid, came ___________________________ , ________________ of ___________________________ , a corporation duly organized, incorporated and existing under and by virtue of the laws of ___________________________ , and ___________________________ ________________ of said corporation, who are personally known to me to be such officers, and who are personally known to me to be the same persons who executed, as such officers, the within instrument on behalf of said c orporation, and such persons duly acknowledged the execution of the same to be the free act and deed of said corporation by authority of its Board of Directors. In witness whereof, I have hereunto set my hand and affixed my official seal, the day and year last above written. ___________________________________ Notary Public, State of Kansas My Commission Expires: ______________________ Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE