______________ Space above reserved for Recorder of Deeds certification QUIT by richman7


(Space above reserved for Recorder of Deeds certification)

THIS INDENTURE, Made on ____________, 20____, by and between ________________________________, having an address at ____________________________________________, in the County of ______________, the State of ________________, Known as “Grantor”, and _________________________________________, having an address at ____________________________________________, Known as “Grantee”, WITNESSETH, That the said Grantor in consideration of the sum of $10.00 Ten Dollars and other valuable considerations To be paid by the said Grantee, the receipt of which is hereby acknowledged, do by these presents, Remise, Release, and forever Quit-Claim, unto said Grantee and its heirs and assigns, the following described Lots, Tracts, or Parcels of land, lying, being and situate in the County of Chariton and State of Missouri to-wit: Legal description:

In Lake Nehai Tonkayea, a recorded plat thereof in the Office of Recorder of Deeds, Chariton County, Missouri, together with rights of ingress, egress and access over and upon platted roads, streets, and ways of said Subdivision. Subject, however, to limitations, covenants and restrictions contained in the declaration thereof as recorded in Deed Record Book 189 at page 27 of the Office of Recorder of Deeds for Chariton County, Missouri. TO HAVE AND TO HOLD the same, with all the rights, immunities, privileges and appurtenances thereto belonging, unto the said Grantee and its heirs and assigns, FOREVER, so that neither the said Grantor nor their heirs, or any other person or

persons for them or in their name or behalf, shall or will hereafter claim or demand any right or title to the aforesaid premises, or any part thereof, but they and every one of them, shall, by these presents, be excluded and forever barred. IN WITNESS WHEREOF, the said Grantor(s) has hereunto set their hand the day and year first above written. GRANTOR: ______________________________

STATE OF ____________________ COUNTY OF __________________

) ) )

On _____________, 20___ before me, __________________________________, 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. WITNESS my hand and official seal. ___________________________________ Signature of Notary Public After recording, please send to:

To top