Fill and Sign the Signatures Authenticated This Day of Form

- Quitclaim Deed - Page 1 - Document Number: This document drafted by (and after recording return to): Name: Firm/Company: Address: Address 2: City, State, Zip: Phone: ) )))) ) ))))--------Above This Line Reserved For Official Use Only------------- QUITCLAIM DEED (Two Individuals to Corporation) 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, ______________________________ and ______________________________ , hereinafter referred to as “Grantors”, do hereby remise, release, quitclaim, grant and convey unto ______________________________, a Corporation organized under the laws of the state of _______________ , hereinafter “Grantee”, the following lands and property, together with all improvements located thereon, lying in the County of ______________________, State of Wisconsin, to- wit: Describe Property of State "SEE DESCRIPTION ATTACHED" Parcel Identification Number: ______________________ Prior instrument reference: Book ______, Page ______, Document No. ______, of the Recorder of ______________________ County, Wisconsin. LESS AND EXCEPT all oil, gas and minerals, on and under the above described property owned by Grantors, if any, which are reserved by Grantors. SUBJECT to all easements, rights-of-way, protective covenants and mineral reservations of record, if any. TO HAVE AND TO HOLD same unto Grantee, and unto Grantee’s assigns forever, with all appurtenances thereunto belonging. Taxes for tax year ______ shall be prorated between Grantors and Grantee as of the date selected by Grantors and Grantee, or paid by Grantee, or paid by Grantors. The property herein conveyed is not a part of the homestead of Grantors. WITNESS Grantor(s) hand(s) this the ____ day of ________________, 20____. - Quitclaim Deed - Page 2 - __________________________________ Grantor {Type Name} __________________________________ Grantor {Type Name} STATE OF __________________ COUNTY OF __________________ The foregoing instrument was acknowledged before me on ___________________________, (date) by __________________________________________ (name(s) of person(s)). ______________________________ Notary Public (Seal, if any) Printed Name: __________________ My Commission Expires: __________________ AUTHENTICATION (IF NOT NOTARIZED) Signature(s) _________________________ authenticated this ______ day of ______________, 20 ______. ______________________________________________ __________________________________________ Type or print TITLE: MEMBER STATE BAR OF WISCONSIN (If not, _________________________ authorized by SS 706-06, Wis. Statutes) This instrument was drafted by (type or print name) __________________________________________ - Quitclaim Deed - Page 3 - Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE