Fill and Sign the West Virginia Corporation Form

QUITCLAIM DEED (Corporation to Two Individuals) 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, ______________________________ , a Corporation organized under the laws of the state of ______________________ , hereinafter referred to as “Grantor”, does hereby remise, release, and forever quitclaim, both in law and equity, unto ______________________ and ______________________ , Two Individuals, as joint tenants with rights of survivorship, hereinafter “Grantees”, the following lands and property, together with all improvements located thereon, lying in the County of ______________________ , State of West Virginia, to-wit: See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description:       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 Grantees, and unto Grantees heirs and assigns forever, with all appurtenances thereunto belonging. TO HAVE AND TO HOLD to the said Grantees as joint tenants, with right of survivorship, their heirs, personal representatives, executors and assigns forever: it being the intention of the parties to this conveyance, that (unless the joint tenancy hereby created is severed or terminated during the joint lives of the grantees herein) in the event one Grantee herein survives the other, the entire interest in fee simple shall pass to the surviving Grantee, and if one does not survive the other, then the heirs and assigns of the Grantees herein shall take as tenants in common. COMPLETE ALL APPLICABLE STATEMENTS: The grantor(s) herein does/do hereby declare that this is a transfer exempt from the excise tax; Under the penalties of fine and imprisonment as Quitclaim Deed Page 1 of 4 provided by law, the grantor(s) does/do hereby declare(s) that the total consideration for the real estate transferred by this document is __________________ Dollars ($ __________________ ). IN WITNESS WHEREOF, this deed was executed by the undersigned on this the ____ day of __________________ , 20 ___ .       CORPORATION NAME Attest: Secretary By: Signature and Title       Type or Print Name COUNTY OF __________________ This instrument was acknowledged before me on __________________________ (date) by __________________________________ (name of officer), ______________________________ (title of officer) of _________________________________________ (name of corporation acknowledging) a ____________________________________________ (state of incorporation) corporation, on behalf of said corporation. ______________________________ Notary Public Printed Name: _____________________ My Commission Expires: __________________________ Quitclaim Deed Page 2 of 4 DECLARATION OF CONSIDERATION OR VALUE I hereby declare: (a) The total consideration paid for the property conveyed by the document to which this declaration is appended is $ ________________________ ; or (b) The true and actual value of the property transferred by the document to which this declaration is appended is, to the best of my knowledge and belief $ ________________________ ; or (c) The proportion of all the property included in the document to which this declaration is appended which is real property located in West Virginia is ____________ %; the value of all the property $ ________________________ ; the value of real estate in West Virginia is $ ________________________ ; or (d) This deed conveys real estate located in more than one county in West Virginia; the total consideration paid for, or actual cash value of, all the real estate located in West Virginia conveyed by this document is $ ________________________ ; and documentary stamps showing payment of all of the excise tax on all of said real estate are attached to an executed counterpart of this deed recorded in __________________ County. Given under my hand this ______ day of __________________ , 20 ______ . Signature       Type or Print Name Nature of Interest in Conveyance: Grantor Grantee Other Specify:       Prepared by and after Recording Return to: Name: _________________________ Firm/Company: _________________________ Address: _________________________ Address 2: _________________________ City, State, Zip: _________________________ Phone: _________________________ Preparer’s signature: ______________________________ Quitclaim Deed Page 3 of 4 Grantor(s) Name, Address, phone:                                     Grantee(s) Name, Address, phone:                                     SEND TAX STATEMENTS TO GRANTEE Quitclaim Deed Page 4 of 4 EXHIBIT A       Quitclaim Deed Exhibit A