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Grantee (name, address and telephone) :
QUITCLAIM DEED
[Husband and Wife to Corporation]
THIS INDENTURE WITNESSETH , That ,
of County, in the State of
and , of County,
in the State of , Husband and Wife.
RELEASE AND QUITCLAIM
To , a corporation organized under the laws of 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 1 of 3
IN WITNESS WHEREOF, The said
and have executed this Quitclaim Deed this ______ day of
__________________ , 20 ______
(1 st
Grantor’s Signature) (2 nd
Grantor’s Signature)
Print Name 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, and 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, and who, being duly sworn,
stated that the representations therein contained are true.
Witness my hand and Seal this day of , 20 .
Quitclaim Deed Page 2 of 3
Notary Public.
Resident of County.
My Commission expires , 20
Quitclaim Deed Page 2 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
Quitclaim Deed Page 3 of 3
EXHIBIT A
Exhibit A
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