____________________________________________________________ Survivorship Deed (O.R.C. 5302.17) I (We) ______________________________________________________________, ________________ (marital status), of _____________ County, Ohio for valuable consideration paid, grant(s) with General Warranty covenants, to_______________________________ and_________________________________ For their joint lives, remainder to the survivor of them, whose tax mailing addresses are__________________________________________________________________ The following Real Property: Situated in the ________ of _________________, County of _________________, and State of Ohio known as being: The above is intended to convey property known as:____________________________ Parcel #______________ Alt ID # ______________________________ Prior instrument reference:_____________________________________ American LegalNet, Inc. www.FormsWorkFlow.com I ________________________________________________, wife/husband of the Grantor, releases all rights of dower therein. Executed this_____ day of___________________, 20___. ______________________________ Print Name_______________________ ______________________________ Print Name_______________________ STATE OF OHIO COUNTY OF SUMMIT Before me, a notary public, in and for said County, personally appeared above named _____________________________________________________________________ Who acknowledge that ________did sign the foregoing instrument and that the same is ______ free act. In testimony whereof I have hereunto set my hand and official seal, this ______ day of _______________, 20____. ______________________________ Notary Public My commission expires:___________ This instrument was prepared by: ___________________________ American LegalNet, Inc. www.FormsWorkFlow.com