Fill and Sign the Limited Liability Company 497324441 Form

© 2016 - U.S. Legal Forms, Inc.       PENNSYLVANIA QUITCLAIM DEED [Five Individuals to a Limited Liability Company] Control Number: PA-030-77 I. TIPS ON COMPLETING THE FORMS The form(s) in this packet may contain “form fields” created using Microsoft Word or Adobe Acrobat (“.pdf” format). “Form fields” facilitate completion of the forms using your computer. They do not limit your ability to print the form “in blank” and complete with a typewriter or by hand. It is also helpful to be able to see the location of the form fields. Go to the View menu, click on Toolbars, and then select Forms. This will open the Forms toolbar. Look for the button on the Forms toolbar that resembles a shaded letter “a”. Click this button and the form fields will be visible. By clicking on the appropriate form field, you will be able to enter the needed information. In some instances, the form field and the line will disappear after information is entered. In other cases, it will not. 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Prepared by: __________________ Return to:                         Parcel #       QUITCLAIM DEED [Five Individuals to an LLC] 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, GRANTORS:       ,       ;       ,       , and       , individuals , DO HEREBY RELEASE AND QUITCLAIM UNTO GRANTEE:       , a limited liability company organized under the laws of the State of       , whose street address is       , in the City of       , State of       all interest any Grantor might have in the following lands and property, together with all improvements located thereon, lying in the County of       , State of Pennsylvania, more particularly described as: See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description:       Quitclaim Deed Page 1 of 3 Prior instrument reference: Book ______ , Page ______ , Document No. ______ , of the Recorder of ______________________ County, Pennsylvania. Address of property: ______________________ SUBJECT to all easements, rights-of-way, protective covenants and mineral reservations of record, if any. IN WITNESS WHEREOF, the Grantors have executed this Quitclaim Deed on day and year set forth below. Date:       Date:       (1 st Grantor’s Signature) (2 nd Grantor’s Signature)             Print Name Print Name Date:       Date:       (3 rd Grantor’s Signature) (4 th Grantor’s Signature)             Print Name Print Name Date:       Date:       (5 th Grantor’s Signature)       Print Name Commonwealth of Pennsylvania, County of __________________ On this, the       day of       , 20       , before me,       , the undersigned officer, personally appeared       of the State (County or City as the case may be) of       known to me (or satisfactorily proven) to be the person described in the foregoing instrument, and acknowledged that he or she executed the same in the capacity therein stated and for the purposes therein contained. Witness my hand and official seal. Signature of Notary Public NOTARY       Quitclaim Deed Page 2 of 3 SEAL Printed Name of Notary       Commission Expiration Date Commonwealth of Pennsylvania, County of __________________ On this, the       day of       , 20       , before me,       , the undersigned officer, personally appeared       of the State (County or City as the case may be) of       known to me (or satisfactorily proven) to be the person described in the foregoing instrument, and acknowledged that he or she executed the same in the capacity therein stated and for the purposes therein contained. Witness my hand and official seal. Signature of Notary Public NOTARY       SEAL Printed Name of Notary       Commission Expiration Date Commonwealth of Pennsylvania, County of __________________ On this, the       day of       , 20       , before me,       , the undersigned officer, personally appeared       of the State (County or City as the case may be) of       known to me (or satisfactorily proven) to be the person described in the foregoing instrument, and acknowledged that he or she executed the same in the capacity therein stated and for the purposes therein contained. Witness my hand and official seal. Signature of Notary Public NOTARY       SEAL Printed Name of Notary       Commission Expiration Date Commonwealth of Pennsylvania, County of __________________ On this, the       day of       , 20       , before me,       , the undersigned officer, personally appeared       of the State (County or City as the case may be) of       known to me (or satisfactorily proven) to be the person described in the foregoing instrument, and acknowledged that he or she executed the same in the capacity therein stated and for the purposes therein contained. Witness my hand and official seal. Signature of Notary Public NOTARY       Quitclaim Deed Page 3 of 3 SEAL Printed Name of Notary       Commission Expiration Date Commonwealth of Pennsylvania, County of __________________ On this, the       day of       , 20       , before me,       , the undersigned officer, personally appeared       of the State (County or City as the case may be) of       known to me (or satisfactorily proven) to be the person described in the foregoing instrument, and acknowledged that he or she executed the same in the capacity therein stated and for the purposes therein contained. Witness my hand and official seal. Signature of Notary Public NOTARY       SEAL Printed Name of Notary       Commission Expiration Date CERTIFICATION OF GRANTEE’S ADDRESS: Grantee Name and Address:                   I hereby certify under penalty of perjury that the above information is true and accurate. Date:       Signature Rank/Position __________________ Quitclaim Deed Page 4 of 3 EXHIBIT A Grantors:                               Grantees:       Legal Description:       Quitclaim Deed Exhibit A