IN Deed-Quitclaim 1

USE OF THIS FORM CONSTITUTES PRACTICE OF LAW AND IS LIMITED TO PRACTICING LAWYERS.

THIS INDENTURE WITNESSETH, That ___________________________ ("Grantor") of _________________ County in the State of __________________, QUITCLAIM(S) to _______________________________________________, of _______________________ County in the State of _____________, for the sum of ______________________________ Dollars ($ ___________ ) and other valuable consideration, the receipt of which is hereby acknowledged, the following described real estate in ______________________ County, Indiana:

More commonly known as: ___________________________________________

IN WITNESS WHEREOF, the Grantor has executed this deed, this _____ day of ____________________, 20_____.

Signature ______________________________

Printed ________________________________

Signature ______________________________

Printed ________________________________

Signature ______________________________

Printed ________________________________

Signature ______________________________

Printed ________________________________

STATE OF INDIANA)

) SS

COUNTY OF __________________)

Before me, a Notary Public in and for said County and State, personally appeared ______________________________, who acknowledged the execution of the foregoing Quitclaim Deed, and who, having been duly sworn, stated that any representations therein contained are true.

Signature ______________________________

Printed ________________________________, Notary Public

Residing in _____________________________ County, Indiana.

My commission expires

____________________

This instrument was prepared by _________________________________, Attorney at Law.

I affirm, under penalties of perjury, that I have taken reasonable care to redact each Social Security number in this document unless required by law. _________________________________________.

Return recorded document to:_________________________________________________

Send tax statements to:______________________________________________________

Street or RR No. _____________________________________________________________