Fill and Sign the Indiana Fiduciary Deed for Use by Executors Trustees Trustors Administrators and Other Fiduciaries Form

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Fiduciary Deed - Page 1- This document pre pared by (a nd after r ecording return to) : Name: Firm/Company: Address:Address 2: City, State, Zip: Phone: ) ) ) ) ) ) ) ) ) ) -------- Above This Line R eserved For Official Use Only----- ----- --- FIDUCIARY DE ED 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, ______________________________, of __________________ County, State of __________________, executor under the will; administrator; trustee under the will; trustee under the __________________ Trust; guardian; conservator; receiver; or commissioner of the estate of __________________ of __________________, State of __________________, hereinafter Grantor, by the power conferred by Laws of the State of Indiana and every other power, grant unto ______________________________, an Individual, or ________________________ and ______________________________, Individuals, or ________________________ and ______________________________, Husband and Wife, as joint tenants and not as tenants in common, hereinafter “Grantee”, the following lands and property, together with all improvements located thereon, lying in the State of Indiana, to-wit: Describe Property of State "SEE DESCRIPTION ATTACHED" Prior instrument reference: Book ______, Page ______, Document No. ______, of the Public Records of the County Clerk for ______________________ County, Indiana. SUBJECT to all easements, rights-of-way, protective covenants and mineral reservations of record, if any. IN WITNESS WHEREOF, this deed was executed by the undersigned on this the ____ day of __________________, 20___. Fiduciary Deed - Page 2- Signature Printed Name STATE OF INDIANA COUNTY OF __________________ Before me, the undersigned, a Notary Public, in and for said County and State, this _________ day of __________________, ______, personally appeared ______________________________, said person being over the age of 18 years, and acknowledged the execution of the foregoing instrument. Notary Public My commission expires:Type or Print Name My county of residence: 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. _______________________________ (Name of Preparer) Grantor(s) Name, Address, phone: Grantee(s) Nam e, Address, phone: SEND TA X STATEMENT S TO GRANT EE