Prepared by U.S. Legal Forms, Inc.
Copyright 2016 - U.S. Legal Forms, Inc.
STATE OF NEW YORK
QUITCLAIM DEED
[Three Individuals to Husband and Wife as Joint
Tenants with the Right of Survivorship]
Control Number – NY - SDEED – 8-14
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NOTES ON FILING THIS FORM
In the State of New York, there are additional forms that must accompany a Deed at the time the
Deed is presented for recordation at the office of the County Clerk in the county in which the
property is located. See the following:
(1) NYC-RPT Special Tax Return (Applicable in Bronx, Kings, NY, and Queens Counties)
If you are a resident of New York City, you must also file a New York City Real Property
Transfer Tax Return.
The instructions for completing the form may and the form may be found at:
http://www.nyc.gov/html/dof/html/pdf/01pdf/nycrpt_01.pdf
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(2) NY Real Property Transfer Report (RP-5217) (Required for all other Counties). The
instructions available at:
http://www.nyc.gov/html/dof/html/pdf/02pdf/rp5217nyci.pdf
The actual form can be found at:
http://www.nyc.gov/html/dof/html/pdf/02pdf/rp5217nyc.pdf
(3) Transfer Tax Affidavit (TP-584) (Required in ALL Counties). You may download the
instructions at the following address:
http://www.tax.state.ny.us/pdf/2004/property/tp584i_1104.pdf
The form may be downloaded at the following address:
http://www.tax.state.ny.us/pdf/2004/property/tp584_1104.pdf
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DISCLAIMER
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This document prepared by (and after recording
return to): )
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)
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-------- Above This Line Reserved For Official Use Only-------------Name:
Firm/Company:
Address:
Address 2:
City, State, Zip:
Phone:
QUITCLAIM DEED
(Three Individuals to Husband and Wife)
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,
________________________ , an Individual, married unmarried, ________________________ , an
Individual, married unmarried, ________________________ , an Individual, married
unmarried, hereinafter referred to as “Grantors”, do hereby remise, release, and quitclaim unto
________________________ and ________________________ , Husband and Wife, as Joint Tenants
with the right of survivorship and not as Tenants in Common, hereinafter “Grantees”, the following lands
and property, together with all improvements located thereon, lying in the County of
______________________ , State of New York, to-wit:
See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full
Legal Description:
Prior instrument reference: Book ______ , Page ______ , Document No. ____________ , in the
public records of the County Clerk of ______________________ County, New York.
TO HAVE AND TO HOLD same unto Grantees, and unto Grantee’s assigns forever, with all
appurtenances thereunto belonging.
WITNESS Grantor’s hands this the ____ day of ________________ , 20 ____ .
Quitclaim Deed Page 1 of 6
(1 st
Grantor’s Signature) (2 nd
Grantor’s Signature)
Type or Print Name Type or Print Name
(3 rd
Grantor’s Signature)
Print Name
Quitclaim Deed Page 2 of 6
CERTIFICATE OF ACKNOWLEDGMENT
Individual Capacity within the State of New York for Real Property
State of New York )
) ss.:
County of )
On the day of in the year before me, the undersigned,
personally appeared , personally known to me or proved
to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the
within instrument and acknowledged to me that he executed the same in his capacity , and that by
his signature on the instrument, the individual , or the person upon behalf of which the individual
acted, executed the instrument.
Signature and Office of Person Taking Acknowledgement
Type/Print Name:
Individual Capacity Outside the State of New York for Real Property
State of ____________ )
) ss.:
County of )
On the day of in the year before me, the undersigned,
personally appeared , personally known to me or proved
to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the
within instrument and acknowledged to me that he executed the same in his capacity , and that by
his signature on the instrument, the individual , or the person upon behalf of which the individual
acted, executed the instrument and that such individual made such appearance before the
undersigned in the (insert the city or other political subdivision
and the State or country or other place the acknowledgment was taken).
Signature and Office of Person Taking Acknowledgement
Type/Print Name:
CERTIFICATE OF ACKNOWLEDGMENT
Quitclaim Deed Page 3 of 6
Individual Capacity within the State of New York for Real Property
State of New York )
) ss.:
County of )
On the day of in the year before me, the undersigned,
personally appeared , personally known to me or proved
to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the
within instrument and acknowledged to me that he executed the same in his capacity , and that by
his signature on the instrument, the individual , or the person upon behalf of which the individual
acted, executed the instrument.
Signature and Office of Person Taking Acknowledgement
Type/Print Name:
Individual Capacity Outside the State of New York for Real Property
State of ____________ )
) ss.:
County of )
On the day of in the year before me, the undersigned,
personally appeared , personally known to me or proved
to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the
within instrument and acknowledged to me that he executed the same in his capacity , and that by
his signature on the instrument, the individual , or the person upon behalf of which the individual
acted, executed the instrument and that such individual made such appearance before the
undersigned in the (insert the city or other political subdivision
and the State or country or other place the acknowledgment was taken).
Signature and Office of Person Taking Acknowledgement
Type/Print Name:
Quitclaim Deed Page 4 of 6
CERTIFICATE OF ACKNOWLEDGMENT
Individual Capacity within the State of New York for Real Property
State of New York )
) ss.:
County of )
On the day of in the year before me, the undersigned,
personally appeared , personally known to me or proved
to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the
within instrument and acknowledged to me that he executed the same in his capacity , and that by
his signature on the instrument, the individual , or the person upon behalf of which the individual
acted, executed the instrument.
Signature and Office of Person Taking Acknowledgement
Type/Print Name:
Individual Capacity Outside the State of New York for Real Property
State of ____________ )
) ss.:
County of )
On the day of in the year before me, the undersigned,
personally appeared , personally known to me or proved
to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the
within instrument and acknowledged to me that he executed the same in his capacity , and that by
his signature on the instrument, the individual , or the person upon behalf of which the individual
acted, executed the instrument and that such individual made such appearance before the
undersigned in the (insert the city or other political subdivision
and the State or country or other place the acknowledgment was taken).
Signature and Office of Person Taking Acknowledgement
Type/Print Name:
Grantor(s) Name, Address and phone: Grantee(s) Name, Address and Phone:
Quitclaim Deed Page 5 of 6
Quitclaim Deed Page 6 of 6
EXHIBIT A
Quitclaim Deed Exhibit A
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