Fill and Sign the To Wit 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 (Two Individuals 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 ______________________________ , Two Individuals, hereinafter referred to as “Grantors”, do hereby sell, remise, release, and 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 North Dakota, to-wit: Describe Property of State "SEE DESCRIPTION ATTACHED" Prior instrument reference: Book ______, Page ______, Document No. ______, of the Recorder of ______________________ County, North Dakota. CERTIFICATE: We certify that the full consideration paid for the property describe d in this Quitclaim Deed is $ ______. Signed: ______________________ Date: ______ 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. - Quitclaim Deed - Page 2 - WITNESS Grantors hand(s) this the ____ day of ________________, 20____. __________________________________ Grantor {Type Name} __________________________________ Grantor {Type Name} STATE OF ________________________ COUNTY OF ________________________ On this ________ day of _______________________, in the year _______, before me personally appeared _____________________________, known to me (or proved to me on the oath of ____________________________) to be the person who is described in and who executed the within and foregoing instrument, and acknowledged to me that ______ (he/she/they) executed the same. (Seal) _____________________________ Notary Public Printed Name: _______________________ Commission Expires: _________________ Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE