Fill and Sign the Husband and Wife as Tenants by the Entireties Hereinafter Grantees the Following Lands and Property Form

Quitclaim Deed Page 1 of 3After Recording Return to: Until a change is requested, please forward alltax statements to: Tax Assessor’s Account No. QUITCLAIM DEED(Corporation to Husband and Wife) 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, , a Corporation organized under the laws of the State of , hereinafter referred to as “Grantor”, does hereby remise, release, andforever quitclaim unto and , Husband and Wife, as tenants by the entireties, hereinafter “Grantees”, the following lands and property, together with all improvements located thereon, lying in the County of __________________, State of Oregon, to-wit: See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description: Except the following encumbrances: Street Address of Real Property: The true and actual consideration paid for this transfer, stated in terms of dollars, is $ Quitclaim Deed Page 2 of 3LESS AND EXCEPT all oil, gas and minerals, on and under the above described property owned by Grantor, if any, which are reserved by Grantor.SUBJECT to all easements, rights-of-way, protective covenants and mineral reservations of record, if any. TO HAVE AND TO HOLD same unto Grantees, and unto Grantees’ heirs and assigns forever, with all appurtenances thereunto belonging.Tax es f o r t a x y ear _ _____ s h all b e p ro ra te d b etw een G ra n to r a n d G ra n te es a s o f t h e d ate sele cte d b y G ra n to r a n d G ra n te e, o r p aid b y G ra n te es, o r p aid b y G ra n to r. TO HAVE AND TO HOLD to the said Grantees as joint tenants, with right of survivorship, their heirs, personal representatives, executors and assigns forever: it being the intention of the parties to this conveyance, that (unless the joint tenancy hereby created is severed or terminated during the joint lives of the grantees herein) in the event one Grantee herein survives the other, the entire interest in fee simple shall pass to the surviving Grantee, and if one does not survive the other, then the heirs and assigns of the Grantees herein shall take as tenants in common. BEFORE SIGNING OR ACCEPTING THIS INSTRUMENT, THE PERSON TRANSFERRING FEE TITLE SHOULD INQUIRE ABOUT THE PERSON’S RIGHTS, IF ANY, UNDER ORS 195.300, 195.301 AND 195.305 TO 195.336 AND SECTIONS 5 TO 11, CHAPTER 424, OREGON LAWS 2007. THIS INSTRUMENT DOES NOT ALLOW USE OF THE PROPERTY DESCRIBED IN THIS INSTRUMENT IN VIOLATION OF APPLICABLE LAND USE LAWS AND REGULATIONS. BEFORE SIGNING OR ACCEPTING THIS INSTRUMENT, THE PERSON ACQUIRING FEE TITLE TO THE PROPERTY SHOULD CHECK WITH THE APPROPRIATE CITY OR COUNTY PLANNING DEPARTMENT TO VERIFY THAT THE UNIT OF LAND BEING TRANSFERRED IS A LAWFULLY ESTABLISHED LOT OR PARCEL, AS DEFINED IN ORS 92.010 OR 215.010, TO VERIFY THE APPROVED USES OF THE LOT OR PARCEL, TO DETERMINE ANY LIMITS ON LAWSUITS AGAINST FARMING OR FOREST PRACTICES, AS DEFINED IN ORS 30.930, AND TO INQUIRE ABOUT THE RIGHTS OF NEIGHBORING PROPERTY OWNERS, IF ANY, UNDER ORS 195.300, 195.301 AND 195.305 TO 195.336 AND SECTIONS 5 TO 11, CHAPTER 424, OREGON LAWS 2007. IN WITNESS WHEREOF, this deed was executed by the undersigned on this the ____ day of __________________ , 20___. {Name of Corporation}BY: TITLE: Quitclaim Deed Page 3 of 3STATE OF OREGON ) ) SS. County of ) Personally appeared before me the above-named who, being duly sworn, did say that he is the President of , an Oregon corporation, and that said instrument was signed in behalf of said company by the authority of its members; and they acknowledged said instrument to be its voluntary act and deed. Notary Public for Oregon Type or Print Name My Commission expires: First Grantor (name, address and telephone): First Grantee (name, address and telephone): Second Grantee (name, address and telephone) : Quitclaim Deed Exhibit A EXHIBIT A