Fill and Sign the Hereinafter Referred to as Grantors Do Hereby Grant Release and Warrant Unto Form

- Warranty 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------------- WARRANTY DEED (Husband and Wife to a Trust) 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 grant, release, and warrant unto ______________________, as Trustee of ______________________ trust, dated ________________, hereinafter “Grantee”, the following lands and property, together with all improvements loc ated thereon, lying in the County of ______________________, State of New York, to-wit: See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description: 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, in compliance with Section 13 of the Lien Law, covenants that the Grantor will receive the consideration for this conveyance and will hold the right to receive such consideration as a - Warranty Deed - Page 2 - trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. GRANTORS do for Grantors and Grantors’ heirs, personal representatives, executors and assigns forever hereby covenant with GRANTEE that Grantors are lawfully seized in fee simple of said premises; that the premises are free from all encumbrances, unless otherwise noted above; that Grantors have a good right to sell and convey the same as aforesaid; and to forever warrant and defend the title to the said lands against all claims whatever. WITNESS Grantor(s) hand(s) this the ____ day of ________________, 20____. __________________________________ Grantor {Type Name} __________________________________ Grantor {Type Name} CERTIFICATE OF ACKNOWLEDGMENT Individual Capacity within the State of New York for Real Property State of New York ) ) ss.: County of ) On the day of in the year before me, the undersigned, personally appeared , personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. Signature and Office of Person Taking Acknowledgement Type/Print Name: Individual Capacity Outside the State of New York for Real Property State of ____________ ) ) ss.: County of ) On the day of in the year before me, the undersigned, - Warranty Deed - Page 3 - personally appeared , personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument and that such individual made such appearance before the undersigned in the    (insert the city or other political subdivision and the State or country or other place the acknowledgment was taken). Signature and Office of Person Taking Acknowledgement Type/Print Name: Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE Exhibit a EXHIBIT A