- 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
(Husband to Himself and Wife)
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,
______________________________, hereinafter referred to as “Grantor”, does hereby remise, release,
and quitclaim unto ______________________________ and ______________________________,
Husband and Wife, as joint tenants with rights of survivorship and not as tenants in common, hereina fter
“Grantees”, the following lands and property, together with all improvements located the reon, lying in the
County of ______________________, State of New York, to-wit:
Describe Property of State "SEE DESCRIPTION ATTACHED"
Prior instrument reference: Book ______, Page ______, Document No. ______, of the Recorder of
______________________ County, New York.
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 Grantees, and unto Grantees’ assigns forever, with all
appurtenances thereunto belonging.
WITNESS Grantor(s) hand(s) this the ____ day of ________________, 20____.
__________________________________
Grantor
{Type Name}
- Quitclaim Deed - Page 2 -
CERTIFICATE OF ACKNOWLEDGMENT
Use Within the State of New York Use Outside the State of New York
State of New York State of New York
County of County of
On ________________________, before me, the
undersigned, personally appeared
______________________________ personally
known to me or proved to me on the basis of
satisfactory evidence to be the individual(s) whose
name(s) is (are) subscribed to the within instrument
and acknowledged to me that he/she/they executed
the same in his/her/their capacity(ies), and that by
his/her/their signature(s) on the instrument, the
individual(s), or the person upon behalf of which
the individual(s) acted, executed the instrument. On ________________________, before me,
the undersigned, personally appeared
______________________________ personally known
to me or proved to me on the basis of satisfactory
evidence to be the individual(s) whose name(s) is (are)
subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their
capacity(ies), and that by his/her/their signature(s) on the
instrument, the individual(s), or the person upon behalf
of which the individual(s) acted, executed the instrument
and that such individual made such appearance before
the undersigned in ________________________ (insert
city or political subdivision and state or county or other
place acknowledgment taken )
(signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment)
Type or Print Name Type or Print Name
Grantor(s) Name, Address, phone:
Grantee(s) Name, Address, phone:
SEND TAX STATEMENTS TO GRANTEE
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The best way to complete and sign your and quitclaim unto and form
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