(Top 3 inches reserved for recording data) DEED OF SALE by Individual Personal Representative to Joint Tenants Minnesota Uniform Conveyancing Blanks Form 10.5.4 (2011) DEED TAX DUE: $ DATE: (month/day/year) FOR VALUABLE CONSIDERATION, (insert name of each Personal Representative) , as Personal Representative of the Estate of , Decedent, single married at the time of death (check applicable box), (if “married” is checked, then attach a Consent of Spouse [Form 70.1.1]) (“Grantor”), hereby conveys and quitclaims to (insert name of each Grantee) (“Grantee”), as joint tenants, real property in County, Minnesota, legally described as follows: Check here if all or part of the described real property is Registered (Torrens) together with all hereditaments and appurtenances belonging thereto. Check applicable box: The Seller certifies that the Seller does not know of any wells on the described real property. A well disclosure certificate accompanies this document or has been electronically filed. (If electronically filed, insert WDC number: .) I am familiar with the property described in this instrument and I certify that the status and number of wells on the described real property have not changed since the last previously filed well disclosure certificate. Grantor (signature of Personal Representative) (signature of Personal Representative) Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Minnesota Uniform Conveyancing Blanks Form 10.5.4 Page 2 of 2 State of Minnesota, County of , by This instrument was acknowledged before me on (month/day/year) (insert name and of each Personal Representative) , Decedent. as Personal Representative of the Estate of (Stamp) (signature of notarial officer) Title (and Rank): My commission expires: (month/day/year) THIS INSTRUMENT WAS DRAFTED BY: (insert name and address) TAX STATEMENTS FOR THE REAL PROPERTY DESCRIBED IN THIS INSTRUMENT SHOULD BE SENT TO: (insert legal name and residential or business address of Grantee) American LegalNet, Inc. www.FormsWorkFlow.com