Fill and Sign the Improvements Located Thereon Lying in the County of State of Wyoming Towit 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(Corporation to LLC) 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 convey and 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 thereon, lying in the County of ______________________, State of Wyoming, to- wit: Describe Property of State "SEE DESCRIPTION ATTACHED"Prior instrument reference: Book _ _____ , P ag e _ _____ , D ocu m en t N o. _ _____ , o f t h e R eco rd er o f ______________________ County, Wyoming.LESS AND EXCEPT all oil, gas and minerals, on and under the above described property owned by Grantors, 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 Grantee, and unto Grantee’s heirs and assigns forever, with all appurtenances thereunto belonging.IN WITNESS WHEREOF, this deed was executed by the undersigned on this the ____ day of __________________, 20___. - Quitclaim Deed - Page 2 - {Name of Corporation} __________________________________ BY: {Type Name]TITLE:{Title with Corporation} STATE OF __________________COUNTY OF __________________On this ____ day of __________________, 20___, before me personally appeared ______________________, to me personally known, who, being by me duly sworn, did say that he/she is the ______________________ of ______________________ and that the seal affixed to said instrument is the corporate seal of said corporation and that said instrument was signed and sealed in behalf of said corporation by authority of its Board of Directors, and said ______________________ acknowledged said instrument to be the free act and deed of said corporation. Witness my hand and seal this ____ day of __________________, 20___. ______________________________Notary Public (SEAL) Printed Name: __________________ My Commission Expires: __________________ - Quitclaim Deed - Page 3 - Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE