Archon corp arhn quarterly report 10 q exhibit 1098 form
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- Warranty Deed - Page 1 -
-------- Above This Line Reserved For Official Use Only -------------
WARRANTY DEED
(Individual to a Trust)
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 ______________________ as Trustee of ______________________ trust, dated
________________ , whose address is ______________________________ , hereinafter “Grantee”.
WITNESSETH that for and in consideration of the total su m of One Dollar ($1.00), cash in hand
paid, and other good and valuable consideration, the receipt of which is hereby acknowledged, Grantor
has bargained and sold and by these presents does hereby grant, bargain, transfer, convey, and warrant
unto the Gran tee, its successors and assigns forever all of his/her right, title, and interest in the following
lands and property, together with all improvements located thereon, lying in the County of
______________________ , State of Kentucky, to -wit:
Describe Property of State "SEE DESCRIPTION ATTACHED"
Prior instrument reference: Book ______ , Page ______ , Document No. ______ , of the Recorder of
______________________ County, Kentucky.
LESS AND EXCEPT all oil, gas and minerals, on and under the above described property owned
by Grantor, if any, which are reserved by Grantor.
SUBJECT to all easements, rights -of-way, protective covenants and mineral reservations of
record, if any.
TO HAVE AND TO HOLD the described real estate, unto the Grantee, in fee simple, his/her
heirs and assigns forever, with covenant of general warranty of title.
GRANTOR AND GRANTEE, being duly sworn, do certify that the transfer effected in this deed
is a gift or a bona fide sale and that the estimated fair cash value of the property described is
______________________ Dollars ($ _______ _______________ ). 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 writte n
__________________________________
Grantor
{Type Name}
Commonwealth of _______________
County of ______________________
The foregoing inst rument was subscribed, sworn, and acknowledged before me this
____________ (date) by ______________________________ (name of person(s) ackn owledged).
______________________________
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
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