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- 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 and Wife to LLC)
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 ______________________________ , Husband and Wife,
hereinafter referred to as “Grantors”, do hereby remise, release, and quitclaim unto ______________________________ , a Limited Liability Company 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 New York, to-
wit:
See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full
Legal Description:
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 Grantors, if any, which are reserved by Grantors.
GRANTORS , in compliance with Section 13 of the Lien Law, covenants that the Grantors will
receive the consideration for this conveyance and will hold the right to receive such consideration as a
trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the
same first to the payment of the cost of the improvement before using any part of the total of the same for
any other purpose.
- Quitclaim Deed - Page 2 -
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 assigns forever, with all
appurtenances thereunto belonging.
WITNESS Grantor’s hands this the ____ day of ________________, 20____.
__________________________________
Grantor
{Type Name} __________________________________
Grantor
{Type Name}
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
- Quitclaim Deed - Page 3 -
Names and address of the Grantors:
Name:
Address:
City/State/Zip: Name:
Address:
City/State/Zip:
Name and Address of Grantee:
Name:
Address:
City/State/Zip:
Exhibit A
Page 1 of 1
EXHIBIT A
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