Fill and Sign the Grantor Does Hereby Convey Grant Sell and Quitclaim Unto a 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 (Individual 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, ______________________________ , an Individual, unmarried married, hereinafter referred to as “Grantor”, does hereby convey, grant, sell, 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 t hereon, lying in the County of ______________________, State of Nebraska, to-wit: Describe Property of State "SEE DESCRIPTION ATTACHED" Prior instrument reference: Book ______, Page ______, Document No. ______, of the Recorder of ______________________ 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 assigns forever, with all appurtenances thereunto belonging. WITNESS Grantor(s) hand(s) this the ____ day of ________________, 20____. __________________________________ Grantor {Type Name} - Quitclaim Deed - Page 2 - STATE OF _____________________ COUNTY OF ________________________ The foregoing instrument was acknowledged before me this __________________ (date) by ______________________________ (name of person acknowledged). ____________________________________ Notary Public _____________________________ Print Name My Commission Expires: _____________________ Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE