Fill and Sign the Indiana 2 1 Form

Quitclaim Deed Page 1 of 3 Grantee (name, address and telephone) : QUITCLAIM DEED [Two Individuals to One Individual ] THIS INDENTURE WITNESS ETH , That , of County, in the State of and , of County , in the State of . RELEASE AND QUITCLAIM To , of County, in the State of , for the sum of Dollars, the following described REAL ESTATE in County, in the State of Indiana , to -wit: See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description: Prior Instrument Reference: Instrument No. (10 Digit): / Book Page Quitclaim Deed Page 2 of 3 IN WITNESS WHEREOF, the said and ha ve executed this ______ day of __________ __ , 20 ______ . (1st Grantor’s Signature) (2nd Grantor’s Signature) Type/Print Name STATE OF INDIANA , County, ss: Before me, the undersigned, a Notary Public in and for said County and State, personally appeared the within named , who acknowledged the execution of the foregoing QUITCLAIM DEED , who, being duly sworn, stated that the representations therein contained are true. Witness my hand and Seal this day of , 20 . Notary Public. Resident of County. My Commission expires , 20 STATE OF INDIANA , County, ss: Before me, the undersigned, a Notary Public in and for said County and State, personally appeared the within named , who acknowledged the execution of the foregoing QUITCLAIM DEED , who, being duly sworn, stated that the representations therein contained are true. Witness my hand and Seal th is day of , 20 . Notary Public. Resident of County. My Commission expires , 20 Quitclaim Deed Page 3 of 3 This Instrument was prepared by: Telephone: Signature Print or Type Name After Recording, return to: Telephone: Affirmation Statement I affirm, under the penalties for perjury, that I have taken reasonable care to redact each Social Security number in this document, unless required by law. Signature Print or Type Name Exhibit A EXHIBIT A