Fill and Sign the Deed Husband Wife 497321265 Form

This document prepared by (and after recording return to): ) ) ) ) ) ) ) -------- Above This Line Reserved For Official Use Only-------------Name:       Firm/Company:       Address:       Address 2:       City, State, Zip:       Phone:       QUITCLAIM DEED (Husband and Wife to Corporation) 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 Corporation 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:       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. 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. Quitclaim Deed Page 1 of 4 TO HAVE AND TO HOLD same unto Grantee, and unto Grantee’s successors and assigns forever, with all appurtenances thereunto belonging. WITNESS Grantor(s) hand(s) this the ____ day of ________________ , 20 ____ . (1 st Grantor’s Signature) (2 nd Grantor’s Signature)             Type or Print Name Type or Print Name CERTIFICATE OF ACKNOWLEDGMENT Individual Capacity within the State of New York for Real Property State of New York ) ) ss.: County of       ) On the       day of       in the year       before me, the undersigned, personally appeared       , personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity , and that by his signature on the instrument, the individual , or the person upon behalf of which the individual acted, executed the instrument. Signature and Office of Person Taking Acknowledgement Type/Print Name:       Quitclaim Deed Page 2 of 4 Individual Capacity Outside the State of New York for Real Property State of ____________ ) ) ss.: County of       ) On the       day of       in the year       before me, the undersigned, personally appeared       , personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity , and that by his signature on the instrument, the individual , or the person upon behalf of which the individual acted, executed the instrument and that such individual made such appearance before the undersigned in the       (insert the city or other political subdivision and the State or country or other place the acknowledgment was taken). Signature and Office of Person Taking Acknowledgement Type/Print Name:       CERTIFICATE OF ACKNOWLEDGMENT Individual Capacity within the State of New York for Real Property State of New York ) ) ss.: County of       ) On the       day of       in the year       before me, the undersigned, personally appeared       , personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity , and that by his signature on the instrument, the individual , or the person upon behalf of which the individual acted, executed the instrument. Signature and Office of Person Taking Acknowledgement Type/Print Name:       Individual Capacity Outside the State of New York for Real Property Quitclaim Deed Page 3 of 4 State of ____________ ) ) ss.: County of       ) On the       day of       in the year       before me, the undersigned, personally appeared       , personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity , and that by his signature on the instrument, the individual , or the person upon behalf of which the individual acted, executed the instrument and that such individual made such appearance before the undersigned in the       (insert the city or other political subdivision and the State or country or other place the acknowledgment was taken). Signature and Office of Person Taking Acknowledgement Type/Print Name:       Names and address of the Grantors: Name and Address of Grantee: Name:       Address:       City/State/Zip:       Name:       Address:       City/State/Zip:       Quitclaim Deed Page 4 of 4 EXHIBIT A       Exhibit A