Fill and Sign the Brief Description for the Index Form

Quitclaim Deed Page 1 of 3 Excise Tax Recording Time, Book and Page Mail after recording to: ______________________ This instrument was prepared by: ______________________Brief description for the Index: ___________________________________________________________________________________________________________ QUITCLAIM DEED (Corporation to Husband and Wife) Grantor(s): ______________________________________________________Grantee(s): ______________________________________________________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, ______________________________, a Corporation organized under the laws of the state of ______________________, hereinafter referred to as “Grantor”, does hereby release, convey, and forever quitclaim unto ______________________________ and ______________________________, Husband and Wife, as joint tenants with rights of survivorship, hereinafter “Grantees”, the following lands and property, together with all improvements located thereon, lying in the County of ______________________, State of North Carolina, to-wit: See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description: Quitclaim Deed Page 2 of 3Prior instrument reference: Book _ _____ , P ag e _ _____ , D ocu m en t N o. _ _____ , o f t h e R eco rd er o f ______________________ County, North Carolina. 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’ heirs and assigns forever, with all appurtenances thereunto belonging.TO HAVE AND TO HOLD to the said Grantees as joint tenants, with right of survivorship, their heirs, personal representatives, executors and assigns forever: it being the intention of the parties to this conveyance, that (unless the joint tenancy hereby created is severed or terminated during the joint lives of the grantees herein) in the event one Grantee herein survives the other, the entire interest in fee simple shall pass to the surviving Grantee, and if one does not survive the other, then the heirs and assigns of the Grantees herein shall take as tenants in common.IN WITNESS WHEREOF, this deed was executed by the undersigned on this the ____ day of __________________, 20___. CORPORATION NAME Attest: Secretary By: Signature and Title Type or Print Name Quitclaim Deed Page 3 of 3STATE OF _______________________COUNTY OF _______________________ I, __________________________________ (Name of officer taking acknowledgment), ________________________________________ (Official title of officer taking acknowledgment) certify that ________________________________________ (Name of attesting official) personally came before me this day and acknowledged that he/she is ________________________________________ (Title of attesting official) of ________________________________________, a corporation, and that by authority duly given and as the act of the corporation, the foregoing instrument was signed in its name by its _______________________, (Title of Official), sealed with its corporate seal, and attested by himself (or herself) as its ________________________________________ (Title of attesting official).Witness my hand and official seal, this the ________ day of _________________, (Month) __________ (Year). ______________________________Notary PublicPrinted Name: _________________ My Commission Expires: _________________Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE Quitclaim Deed Exhibit A EXHIBIT A