Fill and Sign the Grantors Do Hereby Release Convey and Forever Quitclaim Unto Form

Quitclaim Deed Page 1 of 3 Excise Tax Recording Time, Book and Page Mail after recording to: ______________________ This instrument was prepared by: ______________________ Brief description for the Index: ______________________ _____________________________________________________________________________________ QUITCLAIM DEED (Two Individuals to LLC) Grantor(s): ______________________________________________________ Grantee(s): ______________________________________________________ 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, ______________________________ and ______________________________ , hereinafter referred to as “Grantors”, do hereby release, convey, 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 t hereon, lying in the County of ______________________, State of North Carolina, to-wit: See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description: Quitclaim Deed Page 2 of 3 Prior instrument reference: Book ______, Page ______, Document No. ______, of the Recorder of ______________________ County, North Carolina. 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. WITNESS Grantors hand(s) this the ____ day of ________________, 20____. (1st Grantor’s Signature) (2 nd Grantor’s Signature) Type or Print Name Type or Print Name STATE OF __________________________ COUNTY OF __________________________ I, a Notary Public, do hereby certify that ___________________________________ (here give the name of the grantor(s) or maker(s)) personally appeared before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand and (where an official seal is required by law) official seal This the ________ day of __________________________ (year). (Official seal.) ______________________________ Notary Public Printed Name: _____________________ My Commission Expires: _____________________ Quitclaim Deed Page 3 of 3 Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE Quitclaim Deed Exhibit A EXHIBIT A