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MINING QUITCLAIM DEED
THIS INDENTURE, made and given this date of _______________, 20___, by and between: The Grantor (name and address) and The Grantee (name, address and phone)
WITNESSETH: That the Grantor, in consideration of $ quitclaim unto the Grantee the following: Name of Claim(s) ADL No.
Phone:_____________________________________ , and other valuable considerations, hereby convey and
Claim(s) is/are situated in
Meridian,Township,Range,Section:
Located within the
Recording District.
IN WITNESS WHEREOF, the Grantors have hereunto set their hands. Signature UNITED STATES OF AMERICA STATE OF ALASKA Judicial District Signature UNITED STATES OF AMERICA STATE OF ALASKA Judicial District
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The foregoing Quitclaim Deed was acknowledged before me by on this day of ,20 Signature of Notary: My commission expires on: Return Originals to: Name: Mailing Address: Mailing Address:
The foregoing Quitclaim Deed was acknowledged before me by on this day of , 20 Signature of Notary: My commission expires on:
Revised 10/04