Fill and Sign the Unmarried Hereinafter Referred to as Grantor Form

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 convey 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 Alaska, to-wit: Describe Property of State "SEE DESCRIPTION ATTACHED" Prior instrument reference: Book _ _____ , P ag e _ _____ , D ocu m en t N o. _ _____ , o f t h e R eco rd er o f ______________________ County, Alaska.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.WIT N ESS G ra n to r(s ) h an d(s ) t h is t h e _ ___ d ay o f _ _______________ , 2 0____ . ___________________________________Grantor{Type Name} STATE OF _______________________________ JUDICIAL DISTRICT (OR COUNTY/BOROUGH OF __________________) The foregoing instrument was acknowledged before me this ___________ day of ___________, __________________ by ___________________________________________ (signing party) ______________________________________ (marital status). _________________________________________Notary PublicPrint Name ___________________________Serial Number, if any: _____________________My commission expires:______________________Grantor(s) Name, Address, phone: Grantee(s) Name, Address, phone: SEND TAX STATEMENTS TO GRANTEE