Fill and Sign the Grantors Name Address Phone 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 (Two Individuals to Corporation) 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 convey, grant, bargain, sell, 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 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 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 Grantor(s) hand(s) this the ____ day of ________________, 20____. - Quitclaim Deed - Page 2 - __________________________________ Grantor {Type Name} __________________________________ Grantor {Type Name} 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