Fill and Sign the Recording Cover Page Please Fill Out Jackson County Oregon Form

RECORDING COVER SHEET PER O.R.S. § 205.234 THIS COVER SHEET HAS BEEN PREPARED BY THE PERSON PRESENTING THE ATTACHED INSTRUMENT FOR RECORDING. ANY ERRORS IN THIS COVER SHEET DOES NOT AFFECT THE TRANSACTION(S) CONTAINED IN THE INSTRUMENT ITSELF. AFTER RECORDING RETURN TO: [Name and Address of the person authorized to receive the instrument after recording, as required by O.R.S. § 205.180(4) and O.R.S. § 205.238] 1.NAME(S) OF THE TRANSACTION(S) , described in the attached instrument and required by O.R.S. § 205.234(A): [NOTE: Transaction as defined by O.R.S. § 205.010 “means any action required or permitted by state law or rule, federal law or regulation, to be recorded including, but not limited to, any transfer, encumbrance or release affecting title to or an interest in real property.] QUITCLAIM DEED 2. Grantor(s) as described in O.R.S. § 205.160: 3. Grantee(s) as described in O.R.S. § 205.160: 4. TRUE AND ACTUAL CONSIDERATION PAID for instruments conveying or contracting to convey fee title to any real estate and all memoranda of such instruments, reference OR.S. § 93.030. . 5.UNTIL A CHANGE IS REQUESTED, ALL TAX STATEMENTS SHALL BE SENT TO THE FOLLOWING ADDRESS: [For instruments conveying or contracting to convey fee title to any real estate – reference O.R.S. § 930260. . Quitclaim DeedPage 1 of 1 QUITCLAIM DEED (Limited Liability Company to Individual) Grantor, , a , Limited Liability Company, for a good and valuable consideration, does hereby remise, release, and forever quitclaim unto the , the following lands and property, together with all improvements located thereon, lying in the County of ______________________, State of Oregon, to- wit: See Exhibit A attached hereto and incorporated herein as though set forth in full, OR Legal Description: Prior instrument reference: Book ______, Page ______, Document No. ______, of the Recorder of ______________________ County, Oregon. Assessor’s account number: Situs Address of Real Property: SUBJECT to all easements, rights-of-way, protective covenants and mineral reservations of record, if any. IN WITNESS WHEREOF, the Grantor has caused its name to be hereunto subscribed by its Managers this the day of , 20 . Company Name Signature Print Name and Title ATTEST: By: Signature Print Name and Title