Fill and Sign the This Deed of Conveyance Made and Entered into This Day of Form

- Warranty Deed - Page 1 - -------- Above This Line Reserved For Official Use Only ------------- WARRANTY DEED (Corporation to Individual) THIS DEED OF CONVEYANCE made and entered into this ______ day of __________________ , 20 ___ , by and between ______________________________ , a Corporation organized under the laws of the state of ______________________ , located at the following address, ______________________ , hereinafter referred to as “Grantor”, and ______________________ an Individual, unmarried married, whose address is ______________________________ , hereinafter “Grantee. WITNESSETH that for and in consideration of the total sum of One Dollar ($1.00), cash in hand paid, and other good and valuable consideration, the receipt of which is hereby acknowledged, Grantor has bargained and sold and by these presents does hereby grant, bargain, transfer, convey, and warrant unto the Grantee, his/her heirs and assigns forever all of its right, title, and interest in the following lands and property, together with all improvements located thereon, lying i n the County of ______________________ , State of Kentucky, t o-wit: Describe Property of State "SEE DESCRIPTION ATTACHED" Prior instrument reference: Book ______ , Page ______ , Document No. ______ , of the Recorder of ______________________ County, Kentucky. LESS AND EXCEPT all oil, gas and minerals, on and under the above described property owned by Grantor, if any, which are reserved by Grantor. SUBJECT to all easements, rights -of-way, protective covenants and mineral reservations of record, if any. TO HAVE AND TO HOLD the described real estate, u nto the Grantee, in fee simple, his/her heirs and assigns forever, with covenant of general warranty of title. GRANTOR AND GRANTEE, being duly sworn, do certify that the transfer effected in this deed is a gift or a bona fide sale and that the estimated fair cash value of the property described is ______________________ Dollars ($ ______________________ ). The Grantee joins in this deed for the sole purpose of certifying the consideration pursuant to KRS 382.135. - Warranty Deed - Page 2 - IN TESTIMONY WHER EOF, witness the names of Grantor(s) and the Grantee(s) herein the day and year first above written. {Name of Corporation} __________________________________ BY: {T ype Name} TITLE: {Title with Corporation} Commonwealth of _______________ County of ______________________ The foregoing deed and consideration certificate was subscribed, acknowledged, and sworn to before me this ____________ (date) by ______________________________ (name of officer or agent, title of officer or agent) of ______________________________ (name of corporation acknowledging) a ______________________________ (state or place of incorporation) corporation, on behalf of the corporation. ______________________________ Notary Public Title (and Rank): __________________ Print Name: ______________________ (Seal, if any) My commission expires: __________________ _____________________________________ Notary Public Print Name _________________________ _____________________________________ Grantee(s) Print Name(s) _________________________ - Warranty Deed - Page 3 - This document prepared by (and after recording return to ): Name: Firm/Company: Address: Address 2: City, State, Zip: Phone: Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE