Fill and Sign the Hereinafter Referred to as Grantors Do Hereby Convey Grant Sell Bargain and Quitclaim Unto Form

Quitclaim Deed Page 1 of 3 Prepared by and Return to: (name and address) ______________________________________________________________________________________________________________________________________________ QUITCLAIM DEED (Husband and Wife to an Individual) 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 ______________________________ , Husband and Wife, hereinafter referred to as “Grantors”, do hereby convey, grant, sell, bargain, and quitclaim unt o ______________________________ , hereinafter “Grantee”, the following lands and property, together with all improvements located thereon, lying in the County of ______________________, State of Nebraska, 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, 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____. (1st Grantor’s Signature) (2 nd Grantor’s Signature) Type or Print Name Type or Print Name STATE OF _____________________ COUNTY OF ________________________ The foregoing instrument was acknowledged before me this __________________ (date) by ______________________________ (name of person acknowledged). ____________________________________ Notary Public Serial Number, if any: Type or Print Name Quitclaim Deed Page 3 of 3 STATE OF _____________________ COUNTY OF ________________________ The foregoing instrument was acknowledged before me this __________________ (date) by ______________________________ (name of person acknowledged). ____________________________________ Notary Public Serial Number, if any: Type or Print Name Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE Quitclaim Deed Exhibit A EXHIBIT A