Fill and Sign the Certificate We Certify that the Full Consideration Paid for the Property Described in This 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 (Two Individuals to Husband 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, ______________________________ and ______________________________, Two Individuals, hereinafter referred to as “Grantors”, do hereby sell, remise, release, and 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 Dakota, to-wit: Describe Property of State "SEE DESCRIPTION ATTACHED" Prior 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 Dakota.CERTIFICATE: We certify that the full consideration paid for the property described in this Quitclaim Deed is $______. S ig ned : ______________________ Date: ____ __ LESS AND EXCEPT all oil, gas and minerals, on and under the above described property owned by Grantors, if any, which are reserved by Grantors.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 - Quitclaim Deed - Page 2 - 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.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}__________________________________Grantor{Type Name} STATE OF ________________________COUNTY OF ________________________ On this ________ day of _______________________, in the year _______, before me personally appeared ____________________________ _, known to me (or proved to me on the oath of ____________________________) to be the person who is described in and who executed the within and foregoing instrument, and acknowledged to me that ______ (he/she/they) executed the same. (Seal) _____________________________ Notary PublicPrinted Name: _______________________Commission Expires: _________________ - Quitclaim Deed - Page 3 - Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE