Fill and Sign the Two Individuals to One Individual Form

- Quitclaim Deed - Page 1 - Prepared by: Return to: State of Mississippi County of ____________ ____________ Judicial District QUITCLAIM DEED (Two Individuals to One Individual) 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, Name: Address: City/State/Zip: Telephone: Name: Address: City/State/Zip: Telephone: hereinafter referred to as “Grantors”, do hereby convey and quitclaim unto Name: Address: City/State/Zip: Telephone: hereinafter “Grantee”, the following lands and property, together with all improvements loc ated thereon, situated and located in the ____________ Judicial District of ____________ County, Mississippi, more particularly and certainly described as follows: - Quitclaim Deed - Page 2 - See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full, or Legal Description: Indexing Instructions: 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. This conveyance is subject to all easements, roadways, servitudes, restrictive covenants and oil, gas and other mineral reservations, exceptions, conveyances and leases of record or obvious on reasonable inspection of the subject property. Ad valorem taxes as of the date of sale have been prorated between Grantors and Grantee and are assumed by Grantee herein. Date: ____________ First Grantor Type or Print Name STATE OF _______________________ COUNTY OF _______________________ Personally appeared before me, the undersigned authority in and for said county and state, on thi s ________ day of _______________________, ________, within my jurisdiction, the within named - Quitclaim Deed - Page 3 - ________________________________, who acknowledged that (he/she/they) executed the above and foregoing instrument. ___________________________________ Notary Public Printed Name: _______________________ My Commission Expires: _______________________ This conveyance is subject to all easements, roadways, servitudes, restrictive covenants and oil, gas and other mineral reservations, exceptions, conveyances and leases of record or obvious on reasonable inspection of the subject property. Ad valorem taxes as of the date of sale have been prorated between Grantor and Grantee and are assumed by Grantee herein. Date: ____________ Second Grantor Type or Print Name STATE OF _______________________ COUNTY OF _______________________ Personally appeared before me, the undersigned authority in and for said county and state, on thi s ________ day of _______________________, ________, within my jurisdiction, the within named ________________________________, who acknowledged that (he/she/they) executed the above and foregoing instrument. ___________________________________ Notary Public Printed Name: _______________________ My Commission Expires: _______________________ Exhibit A EXHIBIT A