Fill and Sign the Under the Laws of the State of Hereinafter Grantee the Following Lands and Property 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 (Individual 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, ______________________________ , an Individual, married unmarried, hereinafter referred to as “Grantor”, does 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 ______, Page ______, Document No. ______, of the Recorder of ______________________ County, South Carolina. 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 same unto Grantee, and unto Grantee’s assigns forever, with all appurtenances thereunto belonging. WITNESS Grantor(s) hand(s) this the ____ day of ________________, 20____. - Quitclaim Deed - Page 2 - Signed, Sealed and Delivered _________________________________ in the presence of: Grantor {Type Name} __________________________________ Witness __________________________________ Notary STATE OF ______________________ COUNTY OF ______________________ The foregoing instrument was acknowledged before me this ______________________ (date) by ______________________________________ (name of person acknowledged). ____________________________________ Notary Public Print Name: ______________________ My commission expires:______________________ 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 ________________ : (Closing Date) ______________, 20 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 one of the following: THE DEED IS (a) Subject to the deed recording fee as a transfer for consideration paid or to be paid in money or money’s worth. (b) Subject to the deed recording fee as a transfer between a corporation, a partnership, or other entity and stockholder, partner, or owner of the entity or is a transfer to a trust or as distribution to a trust beneficiary. (c) Exempt, or partially exempt, from the recording fees because (exemption # ________) (Explanation, if required) ____________________________________________________________________________________________________________________________________________________ (IF EXEMPT, PLESE SKIP ITEMS 4-6 AND GO TO ITEM 7 OF THIS AFFIDAVIT) 4. Check one of the following if either item 3(a) or item 3(b) above has been checked. (a) ________ The fee is computed on the consideration paid or to be paid in money or money’s worth in the amount of $______________. (b) ________ The fee is computed on the fair market value of the realty which is $________________. (c) ________ The fee is computed on the fair market value of the realty as established for property tax purposes, which is $______________. 5. Check YES or NO to the following: A lien or encumbrance existed on the land, tenement, or realty before the transfer and remained on the land, tenement, or realty after the transfer. If “YES”, the amount of the outstanding balance of this lien or encumbrance is $______________. 6. The DEED Recording Fee is computed as follows: (a) ____________ The amount listed in item 4 above (b) ____________ The amount listed in item 5 (no amount place zero) (c) ____________ Subtract Line 6(b) and place the result. 7. As required by Code Section 12-24-70, I state that I am a responsible person who was connected with the transaction as: _______________________________________ 8.I understand that a person required to furnish this Affidavit who willfully furnished a false or fraudulent affidavit is guilty of a misdemeanor and, upon conviction, must be fined not more than one thousand dollars or imprisoned not more than one year, or both. _______________________________________ Grantor, Grantee or Legal Representative (Connected with this transaction) Sworn to before me this ______ __________________________________________ day of ______________, 20 ______ (Print or Type Name Here) _____________________________ Notary Public for __________________ My commission expires __________________