QUIT CLAIM DEED Statutory (Illinois) MAIL TO: __________________________________ __________________________________ __________________________________ NAME & ADDRESS OF TAXPAYER: __________________________________ __________________________________ __________________________________ RECORDER'S STAMP THE GRANTOR_________________________________________________ of the_________________ of ___________________________County of _________________State of______________________ for and in consideration of__________________________________________________DOLLARS and other good and valuable consideration in hand paid, CONVEY AND QUIT CLAIM to ______________________________________________________________ ____________________________________________________________________________________ (GRANTEE'S ADDRESS) _________________________________________________________________ of the_______________of__________________County of_________________State of_____________ all interest in the following described Real Estate situated in the County of McHenry, in the State of Illinois, to wit: NOTE: if additional space is required for legal ­ attach on separate 8-1/2x11 sheet. hereby releasing and waiving all rights under and by virtue of the Homestead Exemption Laws of the State of Illinois. Permanent Index Number(s)______________________________________________________________ Property Address: _____________________________________________________________________ DATED this________________________________day of___________________________ 20___. ____________________________________________ (Seal) ______________________________________(Seal) ____________________________________________ ______________________________________ ____________________________________________ (Seal) ______________________________________(Seal) ____________________________________________ ______________________________________ NOTE: PLEASE TYPE OR PRINT NAME BELOW ALL SIGNATURES Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com STATE OF ILLINOIS ) SS County of McHenry ) I, the undersigned, a Notary Public in and for said County, in the State aforesaid, DO HEREBY CERTIFY THAT ___________________________________________________________________________________ personally known to me to be the same person _________ whose name _________ subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that ____________________________ signed, sealed and delivered the said instrument as _______________ free and voluntary act, for the uses and purposes therein set forth, including the release and waiver of the right of homestead. Given under my hand and notarial seal, this __________ day of ___________, 20____. __________________________________ My commission expires on _________________, 20____. Notary Public IMPRESS SEAL HERE McHENRY COUNTY ­ ILLINOIS TRANSFER STAMP EXEMPT UNDER PROVISIONS OF PARAGRAPH ________________ SECTION 4, REAL ESTATE TRANSFER ACT DATE _______________________________________ Buyer, Seller or Representative NAME and ADDRESS OF PREPARER: _____________________________ _____________________________ _____________________________ **This conveyance must contain the name and address of the Grantee for tax billing purposes: (Chap. 55 ILCS 5/3-5020) and name and address of the person preparing the instrument: (Chap. 55 ILCS 5/3-5022). JOSEPH J. TIRIO, McHENRY COUNTY RECORDER 2200 North Seminary Avenue Woodstock, IL 60098 815-334-4110 Fax: 815-334-0276 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com