Fill and Sign the Grantors Certify that the Grantors Do Not Know of Any Wells on the Described Real Property Form

- Quitclaim Deed - Page 1 - No delinquent taxes and transfer entered: Certificate of Real Estate Value ( ) filed ( ) not requiredCertificate of Real Estate Value No. _________________ __________________________ , 2 0_ _____ County AuditorBy _________________________________________ DeputySTATE DEED TAX DUE HEREON: $ ____________Date: _________________________)))))))))) --------reserved for recording data------------- QUITCLAIM DEED (Husband and Wife to Corporation) FOR VALUABLE CONSIDERATION OF here insert the consideration, 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 convey 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 Minnesota, to- wit: Describe Property of State "SEE DESCRIPTION ATTACHED" 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, Minnesota.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. TO HAVE AND TO HOLD same unto Grantee, and unto Grantee’s assigns forever, with all appurtenances thereunto belonging. Grantors certify that the Grantors do NOT know of any wells on the described real property. Note: If there is a well(s) located on the property, a completed Well Disclosure Certificate must accompany the transferring document. Grantors are familiar with the property described in this instrument and Grantors certify that the status and the number of wells on the described real property have not changed since the last previously filed well disclosure certificate. Note: If the grantors can make this statement on the transferring document, a Well Disclosure Certificate is not needed. - Quitclaim Deed - Page 2 - 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____ . __________________________________Grantor{Type Name}__________________________________Grantor{Type Name} STATE OF MINNESOTACOUNTY OF__________________This instrument was acknowledged before me ________________________ (date) by __________________________ (name(s) of person(s)).{Seal, if any}________________________________Notary Public________________________________Printed NameMy Commission Expires:_________________________________This Instrument was Drafted By: Send Tax Statements To: