Fill and Sign the State of Georgia County of Fulton Resolution No 16 09 384 a Form

1Name of Line _____________________Map No. _____________________ EASEMENT STATE OF GEORGIA,___________________ COUNTY.Received of , hereinafter called the Company, the sum of in consideration of which the undersigned, ________________________ , whose Post Office Address is ___________________________, , Georgia ***. _____________________________ [Name], do hereby grant and convey to said Company, its successors and assigns, the right, priviledge and easement to go in, upon, along and across that tract of land owned by the undersigned inLand Lot __________________ Number __________________ of the __________________ District, __________________ Section of _________________________ County, State of Georgia, said lands being bounded as follows:on the North by lands of _________________________________________________________________________ ___________________________________________________________________________________ __________,on the South by lands of _________________________________________________________________________ ___________________________________________________________________________________ __________,on the East by lands of _________________________________________________________________________ ___________________________________________________________________________________ __________,on the West by lands of _________________________________________________________________________ ___________________________________________________________________________________ __________,together with the right to construct, operate and maintain continuously upon and under said land, its lines for transmitting electric current, with poles, wires, transformers, service 2pedestals, and other necessary apparatus, fixtures and appliances, including the right to stretch communication wires on said poles, or under said lands with necessary appliances; with the right to permit the attachment of the wires and appliances of any other company, or person to said poles; together with the right at all times to enter upon said premises for the purpose of inspecting said lines, making repairs, renewals, alterations and extensions thereon, thereunder, thereto or therefrom; together with the right to cut away and keep clear of said overhead or underground lines, transformers, fixtures and appliances, all trees and other obstructions that may now or hereafter in any way interfere or be likely to interfere with the proper operation of said overhead or underground lines, transformers, fixtures and appliances: also the right of ingress and egress over said land to and from said lines. Any timber cut on said land by or for said Company shall remain the property of the owner of said timber.The undersigned does not convey any land, but merely grant the rights, privileges and easements hereinbefore set out. Said Company shall not be liable for, or bound by any statement, agreement or understanding not herein expressed.IN WITNESS WHEREOF, the said Grantor _________________________ has hereunto set hand and seal before , this ____day of ______________________, 20___. ______________________________ (SEAL) Signed, sealed and delivered in the presence of: ______________________________(SEAL)________________________________ Witness (SEAL)_________________________________Notary Public(This easement to be signed in the presence of two (2) witnesses, one of whom shall be a Notary Public.)