Recording requested by (name

):
________________________________________
And when recorded, mail this deed and tax
statements to (name and address):
________________________________________
________________________________________
________________________________________
________________________________________

QUITCLAIM DEED
APN: _____________________________

DOCUMENTARY TRANSFER TAX $___________
EXEMPTION (R&T CODE) ___________________
EXPLANATION ____________________________
_________________________________________
_________________________________________
Signature of Declarant or Agent determining tax

For a valuable consideration, receipt of which is hereby acknowledged,
_______________________________________________________________________________________
(Disclaiming Party(ies))

hereby quitclaim(s) to _____________________________________________________________________
(Property Owner(s))

the following real property in the City of ___________________________________, County of
_____________________________________, BBBBBBBBBBBBB: (insert legal description)

Date: _____________________

_____________________________________________
(Signature of declarant)

_____________________________________________
(Typed or written name of declarant)

Date: _____________________

_____________________________________________
(Signature of declarant)

_____________________________________________
(Typed or written name of declarant)

State of BBBBBBBBBBBBB
County of ________________________
On _______________, 20____, before me,
___________________________________, a notary public, personally appeared
___________________________________, who proved to me on the basis of
satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the
instrument the person(s), or the entity upon behalf of which the person(s) acted,
executed the instrument.
I certify under PENALTY OF PERJURY under the laws of
the State of BBBBBBBBBBBBB that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.

_____________________________________
Signature of Notary

NOTARY SEAL

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