LOCAL FORM 6004-1(f) UNITED STATES BANKRUPTCY COURT DISTRICT OF MINNESOTA In re: Case No. Debtor(s). CONVEYANCE OF REAL PROPERTY OF THE ESTATE Date: [insert date] State Deed Tax Due Hereon $ [insert amount] For Valuable Consideration, [insert name], Grantor, the trustee (or debtor in possession) and as the representative of the estate of the debtor under 11 U.S.C. ''323(a) or 1107(a) in the above-titled bankruptcy case, which case is now pending, hereby conveys to [[insert name], Grantee, a [insert type of entity and the state or country under which laws it is organized]] OR [[insert names], Grantees, as joint tenants], real property in [insert county] County, Minnesota, together with all hereditaments and appurtenances belonging thereto, described as follows: [insert legal description] STATE OF MINNESOTA SS. COUNTY OF [insert County] ) Signed: Name: [insert name] Address: [insert address] Phone: [insert phone number] The foregoing instrument was acknowledged before me this [insert day] day of [insert month], by [insert name], as Representative of the Estate of the Debtor in the above-titled bankruptcy case. NOTARIAL STAMP AND SEAL Signed: Notary Public Statements for real estate taxes on the real property described above should be sent to: Signed: Name: [insert name] Address: [insert address] Phone: [insert phone number] This Instrument Was Drafted By: Signed: Name: [insert name] Address: [insert address] Phone: [insert phone number] American LegalNet, Inc. www.FormsWorkFlow.com