Fill and Sign the Grantor Remise Release and Forever Quitclaim Unto a Limited Form

Quitclaim Deed Page 1 of 2This 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, married unmarried, hereinafter referred to as “Grantor”, remise, release, and forever 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 Vermont, to-wit: See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description: Prior 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, Vermont. 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. Quitclaim Deed Page 2 of 2TO HAVE AND TO HOLD same unto Grantee, and unto Grantee’s assigns forever, with all appurtenances thereunto belonging.WIT 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 __________________ On this _______ day of __________________, ______________, before me personally appeared __________________________________ (name of person acknowledging) to me known to be the person who executed the foregoing instrument, and ________ he/she/they thereupon duly acknowledged to me that ________ he/she/they executed the same to be ________ his/her/their free act and deed. ______________________________Notary PublicPrint Name: __________________ My commission expires:__________________Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE Quitclaim Deed Exhibit A EXHIBIT A