Fill and Sign the Signed Sealed and Delivered Form

- Quitclaim Deed - Page 1 - This document prepared 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 (Husband and Wife to LLC) 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 ______________________________, Husband and Wife, hereinafter referred to as “Grantors”, do hereby remise, release and forever quitclaim, and by these presents do remise, release, and forever quitclaim unto ______________________________, a Limited Liability Company 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 South Carolina, to-wit: Describe Property of State "SEE DESCRIPTION ATTACHED" Prior instrument reference: Book _ _____ , P ag e _ _____ , D ocu m en t N o. _ _____ , o f t h e R eco rd er o f ______________________ County, South Carolina.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.WIT N ESS G ra n to r(s ) h an d(s ) t h is t h e _ ___ d ay o f _ _______________ , 2 0____ .Signed, Sealed and Delivered _________________________________in the presence of: Grantor {Type Name}__________________________________ Witness - Quitclaim Deed - Page 2 - __________________________________ WitnessSigned, Sealed and Delivered _________________________________in the presence of: Grantor {Type Name}__________________________________ Witness__________________________________ NotarySTATE OF ______________________COUNTY OF ______________________ The foregoing instrument was acknowledged before me this ______________________ (date) by ______________________ and ______________________ (name of persons acknowledged). ____________________________________Notary PublicPrint Name: ______________________ My commission expires:______________________ - Quitclaim Deed - Page 3 - Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE STATE OF SOUTH CAROLINA :Date of Transfer of Title : COUNTY OF ____________ ____ : (C lo sin g D ate ) _ _____________, 2 0 AFFIDAVIT PERSONALLY appeared before me the undersigned, who being duly sworn, deposes and says:1.I have read the information on this Affidavit and I understand such information.2. The property is being transferred BY ________________________________________ TO _____________________________________ on ____________________________.3 . Check o ne o f t h e f o llo w in g : T H E D EED I S (a ) S ubje ct t o t h e d eed r e co rd in g f e e a s a t r a n sfe r f o r c o nsid era tio n p aid o r t o b e pa id i n m oney o r m on ey ’s w orth .(b ) S ubje ct t o t h e d eed r e co rd in g f e e a s a t r a n sfe r b etw een a c o rp ora tio n, a pa rtn ers h ip , o r o th er e n tity a n d s to ck hold er, p artn er, o r o w ner o f t h e e n tity o r i s a tra n sfe r t o a t r u st o r a s d is tr ib utio n t o a t r u st b en efic ia ry .(c) Exempt, or partially exempt, from the recording fees because (exemption #________ ) (E xpla n atio n, i f r e q uir e d ) __ _____ _________________ ________________________ __________________________ _______ _________________ ________________________ __________________________ (IF E X EM PT , P L ESE S K IP I T E M S 4 -6 A ND G O T O I T EM 7 O F T H IS A FFID AVIT ) 4. Check one of the following if either item 3(a) or item 3(b) above has been checked.(a) ________ T he f e e i s c o m pute d o n t h e c o nsid era tio n p aid o r t o b e p aid i n m oney o r mo ney ’s w orth i n t h e a m ount o f $ ______________.(b ) ________ T he f e e i s c o m pute d o n t h e f a ir m ark et v alu e o f t h e r e alty w hic h i s $_ _____ __________ .(c ) _ _______ T he f e e i s c o m pute d o n t h e f a ir m ark et v alu e o f t h e r e alty a s e sta b lis h ed fo r p ro perty t a x p urp o se s, w hic h i s $ _ _____________.5 . Check Y ES o r N O t o t h e f o llo w in g: A l ie n o r e n cu m bra n ce e x is te d o n t h e l a n d, t e n em en t, o r re alty b efo re t h e t r a n sfe r a n d r e m ain ed o n t h e l a n d, t e n em en t, o r r e alty a fte r t h e t r a n sfe r. I f “ Y ES”, th e a m ount o f t h e o uts ta n d in g b ala n ce o f t h is l ie n o r e n cu m bra n ce i s $ ______________. 6 . The D EED R eco rd in g F ee i s c o m pute d a s f o llo w s:(a ) _ _________ __ T he a m oun t l is te d i n i te m 4 a b ove(b ) _ ___________ T he a m oun t l is te d i n i te m 5 ( n o a m ount p la ce z ero )(c ) _ _________ __ S ubtr a ct L in e 6 (b ) a n d p la ce t h e r e su lt.7 . As r e q uir e d b y C ode S ecti o n 1 2-2 4-7 0, I s ta te t h at I a m a r e sp onsib le p ers o n w ho w as c o nnecte d with t h e t r a n sa ctio n a s: _ __ ____________________________________ 8.I u nders ta n d t h at a p ers o n r e q uir e d t o f u rn is h t h is A ffid av it w ho w illf u lly f u rn is h ed a f a ls e o r fr a u dule n t a ffid av it i s g uil ty o f a m is d em ean or a n d, u pon c o nvic tio n, m ust b e f in ed n ot m ore t h an on e t h ousa n d d olla rs o r i m pris o ned n ot m ore t h an o ne y ear, o r b oth . _______________________________________Grantor, Grantee or Legal Representative(Connected with this transaction) Sworn to before me this _____ _ __________________________________________day of ______________, 20_ _____ (P rin t o r T ype N am e H ere )_ _ _____ _________________ _____N ota ry P ublic f o r _ _________ ________M y c o m m is sio n e x pir e s _ ____ _____________