(Top 3 inches reserved for recording data) QUIT CLAIM DEED Reserving Lien in Marriage Dissolution (Divorce) Judgment and Decree NO DEED TAX DUE pursuant to Minn. Stat. 287.22(14) FOR VALUABLE CONSIDERATION, Minnesota Uniform Conveyancing Blanks Form 10.3.7 (2011) DATE: (month/day/year) (insert name and marital status of each Grantor) ("Grantor"), hereby conveys and quitclaims to (insert name of each Grantee) ("Grantee"), 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, but reserving the lien(s), if any, in favor of Grantor, created in Marriage Dissolution (Divorce) Case No. in County, Minnesota. Grantor (signature) (signature) Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 Minnesota Uniform Conveyancing Blanks Form 10.3.7 State of Minnesota, County of This instrument was acknowledged before me on (month/day/year) (insert name and marital status of each Grantor) , by . (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