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CONSERVATION EASEMENT
[Owner] of
[City or Town], New Hampshire (hereinafter referred to as "Grantor" which word
includes the plural and shall, unless the context clearly indicates otherwise, inc lude the
Grantor's legal representatives, executors, administrators, devisees, heirs, successors and
assigns), for consideration paid, with WARRANTY COVENANTS, grants in perpetuity
to Town of (hereafter referred to as the
"Grantee " which word includes the plural and shall, unless the context clearly indicates
otherwise, include the Grantee's successors and/or assigns), as more fully described below,
the following described Conservation Easement (hereinafter "Easement") on that certain
parcel of approximately [ ] acres hereinafter " the Premises," in the Town of
[town], County of [county], State of
New Hampshire, the land being more particularly bounded and described in “Exhibit A”
attached and incorporated hereto.
This Easement is granted pursuant to New Hampshire RSA 477:45-47 and RSA chapter
227-M exclusively for the following conservation purposes (hereinafter “ Purposes"):
1. PURPOSES [Add additional purposes specific to property]
A. To protect the Premises from future development, and to conserve and maintain the
unique characteristics of the Premises substantially in its present scenic and open space
condition, the preservation of which is important to the public and will serve the public
interest in a manner consistent with New Hampshire RSA 477:45-47 and RSA chapter
227-M; and
B. To conserve soil productivity and to promote the long-term capacity of the
Premises to produce economically valuable forest and/or agricultural products; and
C. To preserve biological diversity, native flora and fauna, and the environments,
natural habitats, and ecological processes which support them, as those values exist on t he
date of this instrument, and as they may evolve in the future; and
D. To preserve the Premises for the scenic enjoyment and the low-impact, non-
commercial, outdoor recreational use of the general public for such activities as hiki ng,
wildlife observation, cross-country skiing, fishing and hunting; and
E. To prevent any use or activity on the Premises which would be detrimental to
drainage, flood control, water conservation, water quality, and erosion control, or that
would or has the potential to impair or interfere with the unique and significant quali ties of
public benefit and the conservation and preservation values of the Premises.
These purposes are consistent with the Master Plan of the Town of [
], together with the policies of the [
] Regional Planning Commission, and with New Hampshire RSA 79-A:1 which
states:
“It is hereby declared to be in the public interest to encourage the preservation of open
space, thus providing a healthful and attractive outdoor environment for work and
recreation of the state's citizens, maintaining the character of the state's l andscape, and by
conserving the land, water, forest, agricultural and wildlife resources;”
and with New Hampshire RSA chapter 227-M, which states:
“The intent of the program is to conserve and preserve this state’s most important natural ,
cultural and historical resources through the acquisition of lands, and cultural and histori cal
resources, or interests therein, of local, regional, and statewide significance, in part nership
with the state’s municipalities and the private sector, for the primary purposes of protec ting
and ensuring the perpetual contribution of these resources to the state’s economy,
environment and overall quality of life.”
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These significant conservation values are set forth in detail in baseline documentation
entitled “Baseline Documentation Report ” on file with the Grantee.
All of these purposes are consistent with and in accordance with the U.S. Internal Revenue
Code Section 170(h).
The terms of this Easement are as follows: 2. USE LIMITATIONS
A. The Premises shall be maintained in perpetuity as undeveloped open space. No use
shall be made of the Premiseswhich, in the reasonable opinion of the Grantee, is or has t he
potential to become inconsistent with the Purposes of this Easement.
B. Except as specifically permitted under this Easement, no commercial, i ndustrial or
residential activities shall be permitted, and no temporary or permanent structure, facility
or improvement, including but not limited to, a dwelling, any portion of a septic system ,
tennis court, aircraft landing strip, dock, mobile home, vehicle, swimming pool, storage
tank, advertising structure or sign, asphalt or concrete pavement, fence, antenna, satell ite
receiving dish (small rooftop dishes excluded), utility pole, communications facility or
tower, conduit, or utility line shall be constructed, installed, placed or allowed to remain
on, above or under the Premises.
C. The Premises shall not be subdivided or conveyed in any form except in its entire ty.
Grantor further covenants and agrees to not undertake any action that would have the effect
of subdividing or conveying any part of the Premises.
D. The Premises shall in no way be used to satisfy the requirements of any applicable
zoning ordinance or subdivision regulation, including but not limited to density, frontage
or open space requirements, with respect to the development of any other property.
E. Under no circumstances shall rocks, minerals, gravel, sand, topsoil, or other similar
materials be removed from the premises. Further, no removal, filling, mining, quarrying,
dredging or excavation of rocks, minerals, gravel, sand, topsoil, or other similar materials
or natural deposits, or other disturbances of the soil surface, nor any changes in
topography, surface or subsurface water systems, wetlands, or natural habitat shall be
allowed on the Premises unless such activities: 1. Are commonly necessary in the accomplishment of the on-site agricultural,
forestry, habitat management, conservation or non-commercial, low-impact, outdoor
recreational uses of the Property; and 2. Do not harm state or federally recognized rare or endangered species, such
determination of harm to be based upon information from the New Hampshire Natural
Heritage Inventory, or the agency then recognized by the State of New Hampshire as
having responsibility for identification and/or conservation of such species; and
3. Are not detrimental to the Purposes of this Easement; and
4. Are initiated and conducted only after all necessary federal, state, local and
other governmental permits and approvals are secured.
F. There shall be no placing, dumping, injection, storage or burial on the Premises of
trash or debris or other waste, or of materials that are known to be environmentally
hazardous, including snow from municipal plowing, construction debris, vehicles or parts.
The storage and spreading of compost, manure, or other fertilizer under sound agricultural
practices, the storage of feed, the temporary storage of trash in sound receptacles for
regular off-site disposal, are permitted.
G. Except those of record, no rights-of-way, easement of ingress or egress, driveways,
roads, or utility lines shall be constructed, developed or maintained into, on, over, under, or
across the Premises without the prior written approval of Grantee.
3. RESERVED RIGHTS
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Notwithstanding the foregoing, Grantor shall retain the right to use the Premises for the
uses.
Provided, however that such on-site uses or activities, along with any structures or
improvements as described below that are necessary for and ancillary to such allowed or
permitted activities shall not:
a. Be inconsistent with nor detrimental to the Purposes of this Easement;
b. Degrade the future capacity of the Premises to produce agricultural and/or
forest crops;
c. Cause significant pollution or degradation of surface or subsurface waters,
soil, or soil erosion;
d. Materially impair the scenic quality of the Premises as viewed from public
roads, trails, or waters; or
e. Degrade the historic and archaeological values, if any.
A. The Grantor retains the right to conduct agricultural activities, including but not
limited to, maintenance and use of cultivated fields, pastures and orchards, in accorda nce
with sound agricultural and husbandry practices, together with the right to construct and
maintain permeable surface roads necessary for such activities. 1. For the purposes hereof, “agriculture” shall include, animal husbandry,
floricultural and horticultural activities, and the production of plant and animal produc ts
for domestic or commercial purposes not detrimental to the Purposes of this Easement,
including the sale of products which are produced locally (such as fruits, vegetables, maple
syrup and small craft items), provided that the products produced off of the Premises do
not make up more than 35% of the revenue of the farm stand. 2. Agriculture shall be performed in accordance with a coordinated
conservation plan for the sites and soils of the Premises developed utilizing the standards
and specifications of the U.S. Natural Resources Conservation Service, or similar
successor agency then active. Agricultural management activities shall be in accordance
with the then-current, scientifically-based practices recommended by the U.N.H.
Cooperative Extension, U.S. Natural Resources Conservation Service, or other government
or private, nonprofit natural resource conservation and management agencies then active.
Such management activities shall not be detrimental to the Purposes of this E asement, nor
materially impair the scenic quality of the Premises as viewed from public roads, trails or
waterways.
B. The Grantor retains the right to use the Premises to harvest timber and other wood
products, together with the right to construct and maintain permeable surface roads
necessary for such activities, provided however such activities are performed consistent
with the Purposes of this Easement, as well as the following.
1. For the purposes hereof, “Commercial Forestry” shall include all on-site
forestry and forest management activities performed for commercial or industrial purposes,
and all such activities related to the preparation, processing, sale, cutting, harve sting,
transportation and conveyance of marketable timber grown on the Premises. For the
purposes hereof, “Non-commercial Forestry” shall include forestry and the management of
timber for on-site benefits to the Premises and the Grantor, such as public safety, opening a
viewshed, clearing trees from the edge of a field or harvesting trees for firewood for the
Grantor’s residential use. 2. Forestry for industrial or commercial purposes shall be performed, to the
extent reasonably practicable, in accordance with the following goals: a. Maintenance of soil productivity;b. Protection of water quality, wetlands, and riparian zones;
c. Maintenance or improvement of the overall quality of forest
products;
d. Conservation of scenic qualities especially as viewed from public roads,
trails, or waters; e. Protection of unique or fragile natural areas;
f. Protection of unique historic or cultural features;
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g. Conservation of native plant and animal species;
h. Outdoor recreation by and/or education of the general public, and
i. Production of forestry or agricultural crops.
3. Forestry for industrial or commercial purposes shall be performed in
accordance with a written forest management plan (including updates, amendments, and
revisions thereto) submitted to Grantee for review not less than thirty (30) days prior to the
date any harvesting is expected to commence (“ commencement date”). The plan shall be
prepared by a licensed professional forester (or other qualified person, said person
approved in advance and in writing by the Grantee) and be consistent with this Easeme nt.
The plan shall have been prepared not more than ten (10) years prior to the commenceme nt
date, otherwise it shall have been reviewed and updated as required by such a forester or
approved person at least thirty (30) days prior to the commencement date. The plan shall
include a statement of the landowner objectives and shall specifically address the goals
stated herein, and the long-term protection of those values for which this Easement is
granted. Forestry for commercial or industrial purposes shall be supervised by a licensed
professional forester or other qualified person approved in advance and in writing by the
Grantee. 4. Grantee's approval of forest management plans that may be submitted from
time to time shall not be unreasonably withheld or conditioned, so long as such plans
comply with the terms of this Easement. If the plan proposes any clear-cutting or
substantial conversion, the plan must demonstrate that such conversion is consistent with
the terms and Purposes this Easement, such as to permit the planting of different specie s of
trees, wildlife purposes, or the establishment agricultural uses, and will continue to be
managed accordingly. In the case of a proposed conversion to agricultural use, Grantor
shall also submit a coordinated management plan for such use pursuant to Section 3.A to
Grantee for review and approval simultaneous to submitting the forest management plan. 5. Forestry activities shall be carried out in accordance with all applicable
local, state, federal and other governmental laws and regulations, and in accorda nce with
the then current generally accepted best management practices for the sites, soi ls, and
terrain of the Premises. For references, see Best Management Practices for Erosion
Control on Timber Harvesting Operations in New Hampshire , (J.B. Cullen, 1996), Good
Forestry in the Granite State: Recommended Voluntary Forest Management Practices for
New Hampshire , (N.H. Forest Sustainability Standards Work Team, 1997), or similar
successor publications.
6. In areas used by or visible to the general public such forestry activities shall
be carried out, to the extent reasonably practicable, in accordance with the
recommendations contained in A Guide to Logging Aesthetics: Practical Tips for Loggers,
Foresters, and Landowners , (Geoff Jones, 1993), or similar successor publications.
C. The Grantor retains the right to construct and maintain one or more dam, fence,
trail, bridge, culvert, maple sugar house, shed, or similar structure or facility on the
Premises, provided that such structures are ancillary to and used exclusively for on-site
agricultural, forestry or low-impact, non-commercial, recreational activities. Constructi on
of barns and similar large structures shall be consistent in style, materials a nd appearance
with existing structures, and shall be approved in writing in advance by the Grantee, which
approval shall not be unreasonably withheld or conditioned if determined not detrimental
to the Purposes of this Easement.
D. The Grantor retains the right to install and maintain signs that identify and further
the agricultural, forestry, conservation, preservation or low-impact, non-commercial
recreational uses of the Premises, provided the Purposes of this Easement are not impaired.
E. The Grantor retains right to professionally conduct archaeological activities,
including without limitation, survey, excavation and artifact removal, following
submission of an archaeological field investigation plan and its approval in writing by
Grantee and the State Archaeologist of the New Hampshire Division of Historic Resources
(or appropriate successor official).
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F. The Grantor reserves the right to post against vehicles, motorized or otherwise, and
against hunting on active livestock fields, against access to agricultural cropland during the
planting and growing season, and against access to forest land during harvesting or
establishment of plantations.
4. AFFIRMATIVE OBLIGATION FOR PUBLIC ACCESS
Pursuant to New Hampshire RSA chapter 227-M, there is hereby conveyed, and Grantor
shall permit, public pedestrian access to, on and across the Premises for hunting, fishing,
nature observation, hiking, cross-country skiing and similar transitory low-impact, non-
commercial, recreational purposes, but not for camping.
5. AFFIRMATIVE RIGHTS OF GRANTEE
A. The Grantee shall have reasonable access to the Premises and all of its part s for
such inspection as Grantee finds necessary to determine compliance with and enforce t he
terms of this Easement, to exercise the rights conveyed hereby and carry out the dut ies
assumed by Grantee with its acceptance of this Easement, and to maintain boundarie s if
Grantee desires.
B. The Grantee shall have the right to install and maintain signs that ide ntify and
further the conservation or preservation purposes of the Premises, or for identification of
conservation partners, provided the Purposes of this Easement are not impaired. With prior
written approval of the Executory Interest Holder, the Grantee shall have the right to
authorize posting against or otherwise limiting public access if such access is shown to
degrade the conservation values of the Premises or is inconsistent with the purposes for
protecting the property, or if public safety is threatened.
6. ADDITIONAL EASEMENT
A. Should the Grantor determine that the Purposes of this Easement could be
accomplished better by additional easements or restrictions, the Grantor, with prior writ ten
approval of both the Grantee and the Executory Interest Holder, may execute an additional
instrument to this effect, provided that the conservation and/or preservation purposes of
this Easement are not diminished thereby and, further, that a qualified conservation
organization or public body pursuant to New Hampshire RSA 477: 46 accepts and records
the additional easements or restrictions.
7. NOTIFICATION OF TRANSFER OF TITLE, TAXES, MAINTENANCE OF
PROPERTY
A. Grantor agrees to notify the Grantee, its successors or assigns, in writing, at least
ten (10) business days prior to the transfer of title of the Premises (or any division of
ownership thereof permitted hereby) to any successor in interest, along with the name(s)
and address(es) of such successor(s) in interest.
B. In any deed conveying an interest in all or part of the Premises, Grantor shall m ake
reference to this Easement and shall indicate that said Easement provisions are binding
upon all successors in interest in the Premises in perpetuity.
C. Grantee shall be under no obligation to maintain the Premises or to pay any taxes,
liens or assessments thereon.
8. BENEFITS AND BURDENS
A. In accordance with New Hampshire RSA 227-M:14, notwithstanding any other
provision of law relating to the disposal of publicly-owned real estate, no deviation in the
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uses of any resource asset acquired under the program to uses of purposes not consistent
with the purposes of RSA chapter 227-M shall be permitted. The sale, transfer, conveyance
or release of any resource asset from the public trust is prohibited except as provided in
RSA 227-M:13.
B. The burden of the Easement conveyed hereby shall run with the Premises and shall
be enforceable against all future owners and tenants in perpetuity. The benefits of said
Easement shall not be appurtenant to any particular parcel of land but shall be i n gross and
assignable or transferable only to (a) the State of New Hampshire, the United States of
America, or any subdivision of either of them, consistent with Section 170(c)(1) of the
U.S. Internal Revenue Code (1986), as amended, which government unit has among its
purposes the conservation and preservation of land and water areas and agrees to and is
capable of enforcing the conservation Purposes of this Easement; or (b) to any qualified
organization within the meaning of Section 107(h) (3) of said Code, which organization
has among its purposes the conservation and preservation of land and water areas, and
agrees to and is capable of enforcing the conservation purposes of this Easement. Any
such assignee or transferee shall have like power of assignment or transfer.
C. If at any time it becomes impossible for the Grantee to ensure compliance with the
restrictions and covenants contained herein, or that the Grantee ceases to exist, t hen
Grantee's rights and duties hereunder shall become vested in full and fall upon any other
entity as outlined above to which such rights and duties may be awarded by a court of
competent jurisdiction under the doctrine of cy pres.
9. REQUESTS FOR APPROVAL
A. Where Grantee and/or Executory Interest Holder approval is required, the Grantor
shall submit to the Grantee and/or the Executory Interest Holder information (including,
but not limited to, documents, maps, plans, specifications, and designs where appropriate)
sufficient to identify the proposed activity with reasonable specificity. The Grantor shal l
not undertake any such activity until approved in writing by the Grantee/Executory Interest
Holder or its/their authorized representative(s). The Grantee/Executory Interest Holder
reserves the right to consult with governmental agencies, nonprofit conservation or
preservation organizations, and/or other consultants or advisors deemed necessary or
appropriate by the Grantee/Executory Interest Holder, concerning the appropriateness of
any activity proposed under this easement. Grantee/Executory Interest Holder approval
shall not be unreasonably withheld or conditioned, but determined pursuant to the Purposes
of this Easement.
10. BREACH OF EASEMENTS OR RESTRICTIONS
A. When a breach of this Easement or conduct inconsistent with the terms of this
Easement comes to the attention of the Grantee, it shall notify the Grantor in writing of
such breach or conduct, delivered by hand or by certified mail. Grantor shall have fourteen
(14) days in which to confirm receipt of notification and begin reparation.
B. Grantor shall undertake those actions, including restoration, which are reasonably
calculated to swiftly cure said breach or abate such conduct, and to repair any damage, or
restore the Premises to its previous condition. Grantor shall also promptly notify Grantee
of its actions taken under this provision.
C. Failure by the Grantor to take sufficient and proper action pursuant to the preceding
paragraph, shall entitle Grantee to bring an action in a court of competent jurisdi ction to
enforce the terms of this Easement and to recover any damages provided for by law arisi ng
from such non-compliance. Such damages, when recovered, may be applied by Grantee to
corrective action on the Premises, if it so chooses. Alternatively or additionally, Grant ee
may, as appropriate to the Purposes of this Easement, undertake any actions at any tim e
that are reasonably necessary to cure such breach or to repair any damage or to t erminate
such conduct.
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D. Grantor shall reimburse Grantee all reasonable costs, including staff time, attorney
and other legal fees and costs, incurred in investigating the non-compliance and in securing
its correction, whether the correction was through negotiation and voluntary compliance,
litigation, arbitration, or by other means.
E. If a court of law determines that Grantor has failed to comply with this Ease ment,
Grantee shall be entitled to special or general damages as may be ordered by such c ourt in
addition to reasonable costs of enforcement, costs and attorneys' fees. In the event such
court decides that Grantee initiated litigation in bad faith or without reasonabl e cause, then
Grantee shall reimburse Grantor for any reasonable costs of defending such action,
including court costs and attorneys' fees. F. The parties to this Easement specifically acknowledge that events and
circumstances of non-compliance constitute immediate and irreparable injury, loss, and
damage to the Premises and, accordingly may entitle Grantee to such equitable re lief,
including but not limited to, ex parte injunctive relief, as a court of competent jurisdiction
may deem just. Remedies described herein are in addition to, and not in limit ation of, any
other remedies available to Grantee at law, in equity, or through administrative
proceedings.
G. The Grantee does not waive or forfeit the right to take action as may be necessa ry
to insure compliance with this Conservation Easement by any prior failure to act and
Grantor hereby waives any defense of laches with respect to any delay or omission by the
Grantee, its successors or assigns, in acting to enforce any restriction or exercise any ri ghts
under this Conservation Easement, any such delay or omission shall not impair Grantee's
rights or remedies or be construed as a waiver.
11. RESOLUTION OF DISPUTES
A. The Grantor, Grantee, and Executive Interest Holder agree that issues regarding
uses or activities on Randall Farm arising from time to time in light of the conservation
purposes of the Easement will first be addressed informally through candid and open
communication. Therefore, the Grantor, Grantee, and Executive Interest Holder agree that
if a party becomes concerned about the consistency of any use or activity with the
Purposes of this Easement, wherever reasonably possible, the concerned party shall notify
the other parties of the perceived or potential problem, and explore the possibility of
reaching an agreeable resolution.
B. If informal dialogue does not resolve the issue, any party may seek alternative
resolution such as through mediation or arbitration, binding or otherwise (in accordance
with New Hampshire RSA chapter 542), or bring an action at law or in equity in any c ourt
of competent jurisdiction to enforce the terms of this Easement, to enjoin the viol ation by
permanent injunction, and to require the restoration of Randall Farm to its condi tion prior
to the breach and for such damages as appropriate.
12. EXECUTORY INTEREST
A. If the Grantee ceases to enforce the Easement conveyed hereby, or fails to enforce
it within thirty (30) days after receipt of written notice from the Executory Interest Holder
requesting such enforcement, delivered in hand or by certified mail, return receipt
requested, then the Executory Interest Holder shall have the right to enforce this Ease ment.
All reasonable costs of such enforcement shall be paid by the Grantee. In such
circumstances, the Executory Interest Holder shall then also have the right to te rminate the
interest of the Grantee in the Premises, subject to Grantee’s right to dispute such
enforcement as described above, by recording a notice to that effect referring hereto in the
Registry of Deeds of the appropriate county, and shall thereupon assume and thereafter
have all interests, rights, authority, and responsibilities granted to and incumbent upon the
Grantee of this Easement. The interest held by the Executory Interest Holder is assigna ble
or transferable to any party qualified to become the Grantee’s assignee or transferee as
specified above. Any assignee or transferee shall have like power of assignment or
transfer. The Executory Interest Holder shall have reasonable access to the Premises a nd
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all of its parts for such inspection as the Executory Interest Holder finds necessary to
determine compliance with and enforce the terms of this Easement, to exercise the rights
conveyed by this Easement, to carry out the duties assumed by the Executory Interest
Holder, and to maintain boundaries if the Executory Interest Holder desires.
13. CONDEMNATION
A. Whenever all or part of the Premises is taken in exercise of eminent domain by
public, corporate or other authority so as to abrogate in whole or in part this Easement, t he
Grantor and Grantee shall thereupon act jointly to recover the full damages resulting from
such taking with all incidental or direct damages and expenses incurred by them the reby to
be paid out of the damages recovered.
B. The balance of the land damages recovered (including, for purposes of this
subsection, proceeds from any lawful sale, in lieu of condemnation, of the Premises
unencumbered by the restrictions hereunder) shall be divided between the Grantor and the
Grantee in proportion to the fair market value of their respective interests in the Premises
on the date of execution of this Easement. For this purpose, the Grantor and the Grantee
agree that the Grantor’s interest shall be percent ( %) and the Grante e’s
interest shall be percent ( %). The value of the Grantee's interest has been
determined by an appraisal prepared by a qualified appraiser and a copy of that appraisa l
has been submitted to the Grantee. Any increase in value attributable to improvem ents
made after the date of the Conservation Easement shall accrue to the party who made the
improvements. The Grantee shall use its share of the proceeds in a manner consistent wi th
and in furtherance of the conservation Purposes of this Easement set forth herein.
14. MERGER
A. Grantor and Grantee agree it is their express intent, forming a part of the
consideration hereunder, that the provisions of this Easement set forth herein are to last i n
perpetuity, and to that end, no conveyance of the underlying fee interest in the premises by
or to the Grantee, Executory Interest Holder, or any successor or assign of them, shall be
deemed to eliminate these Easement terms, or any portion thereof, pursuant to the doc trine
of "merger" or any other legal doctrine.
15. MISCELLANEOUS
A. Invalidation or waiver of any provision hereof shall not affect any other provision
of this Easement.
B. By accepting and recording this Easement for itself, its successors and assigns t he
Grantee agrees to be bound by the provisions hereof and to assume the rights and
responsibilities herein provided for and incumbent upon the Grantee, all in furtherance of
the conservation and/or preservation purposes for which this Easement is delivered.
Is homestead premises.
IN WITNESS WHEREOF, we hereby set our hands this day of
, 20 .
GRANTORS:
Witness to Grantor
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Witness to Grantor
STATE OF
COUNTY OF ,ss.
On this day of
, 20 , before me the undersigned
officer, personally appeared known to me (or satisfactorily
proven) to be the person described in the foregoing instrument, and acknowledged that
she/he executed the same for the purposes therein contained.
In witness whereof I set my hand and seal.
Justice of the Peace/Notary Public
STATE OF
COUNTY OF ,ss.
On this day of
, 20 , before me the undersigned
officer, personally appeared known to me (or satisfactorily proven) to
be the person described in the foregoing instrument, and acknowledged that she/he
executed the same for the purposes therein contained.
In witness whereof I set my hand and seal.
Justice of the Peace/Notary Public
ACCEPTED BY GRANTEES:
Printed Name Signature Date
LAND TRUST, INC.
By
Witness Its duly authorized agent
STATE OF NEW HAMPSHIRE
COUNTY OF ,ss.
On this day of
, 20 , before me the undersigned
officer, personally appeared known to me (or satisfactori ly
proven) to be the authorized agent of and that being
authorized so to do on behalf of such corporation, executed the foregoing instrument for
the purposes therein contained.
In witness whereof I set my hand and seal.
Justice of the Peace/Notary Public
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My commission expires:
Exhibit A
The Premises consists of acres and is all of the same lands and premises
conveyed to [ ] dated [ ] and recorded [
] in Book [ ] at Page [ ] of the
[Name of County] Registry of Deeds;
***[EXCLUDING certain portions conveyed away by the following deeds: ]
***Reference may be made to a survey prepared by
Reference may be made to the above described deeds and records and to the deeds and
records referred to therein for a more complete and particular description.
The Premises consists of [ ] acres and is more particularly described as follows:
EXCEPTING AND EXCLUDING the Excluded Area which is described as follows:
All lands and improvements owned by
