Fill and Sign the Does Hereby Grant Bargain Sell Convey Confirm and Warrant Unto as Form

Warranty Deed Page 1 of 3Prepared by and Return to: (name and address)______________________________________________________________________________________________________________________________________________ WARRANTY DEED(Individual to a Trust) 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, ______________________, an individual, married unmarried, hereinafter referred to as “Grantor”, does hereby grant, bargain, sell, convey, confirm, and warrant unto ______________________, as Trustee of ______________________ trust, dated ________________, hereinafter “Grantee”, the following lands and property, together with all improvements located thereon, lying in the County of ______________________, State of Nebraska, to-wit: See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description: Warranty 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, Nebraska.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 Grantee, and unto Grantee’s heirs and assigns forever, with all appurtenances thereunto belonging. GRANTOR does for Grantor and Grantor’s heirs, personal representatives, executors and assigns forever hereby covenant with GRANTEE that Grantor is lawfully seized in fee simple of said premises; that the premises are free from all encumbrances, unless otherwise noted above; that Grantor has a good right to sell and convey the same as aforesaid; and to forever warrant and defend the title to the said lands against all claims whatever. W IT N ESS G ra n to r(s ) h an d(s ) t h is t h e _ ___ d ay o f _ _______________ , 2 0____ . (1st Grantor’s Signature) Print Name STATE OF _____________________COUNTY OF ________________________ The foregoing instrument was acknowledged before me this __________________ (date) by ______________________________ (name of person acknowledged). ____________________________________ Notary PublicSerial Number, if any: Type or Print Name Warranty Deed Page 3 of 3Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE Warranty Deed Exhibit A EXHIBIT A