Fill and Sign the Acknowledged an Unmarried Person Hereinafter Referred to as Form

- Quitclaim 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------------- QUITCLAIM DEED (Individual to Corporation) KNOW ALL MEN BY THESE PRESENTS THAT: FOR AND IN 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, ______________________________ , an unmarried person, hereinafter referred to as “Grantor”, does hereby grant, convey, and quitclaim unto ______________________________, a Corporation organized under the laws of the state of _______________, hereinafter “Grantee”, the following lands and property, together with all improvements located thereon, lying in the County of ______________________, State of Arkansas, to-wit: Describe Property of State "SEE DESCRIPTION ATTACHED" 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 mineral reservations of record, if any. TO HAVE AND TO HOLD same unto Grantee, and unto Grantee’s successors forever, with all appurtenances thereunto belonging. - Quitclaim Deed - Page 2 - WIT N ESS G ra n to r(s ) h an d(s ) t h is t h e _ ___ d ay o f _ _______________ , 2 0____ . ___________________________________Grantor{Type Name} I certify under penalty of false swearing that the legally correct amount of documentary stamps have been placed on this instrument.___________________________________ Grantor{Type Name} STATE OF _____________COUNTY OF ____________________ On this the _________ day of ___________________ , _______, before me, _________________________________, the undersigned officer, personally appeared ________________________________________, an unmarried person, known to me (or satisfactorily proven) to be the person whose name is/are subscribed to the within instrument and acknowledged that he/she/they executed the same for the purposes therein contained. In witness whereof I hereunto set my hand and official seal. ___________________________________ Notary Public Printed Name: _____________________ My Commission Expires: _____________________ - Quitclaim Deed - Page 3 - Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE