Quit Claim Deed Page 3

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_________________________________
________________________________________________
Witness Signature
Signature of Grantor
_________________________________
Grantor Printed Name & Post Office Address
Witness Printed Name
________________________________________________
_________________________________
________________________________________________
Witness Signature
________________________________________________
_________________________________
Witness Printed Name
STATE OF FLORIDA
COUNTY OF ______________________________
The foregoing instrument was acknowledged before me this ______ day of ____________________, 20_____,
by _______________________________________________________ , who is personally known to me or has
produced ____________________________________ as identification and who did/did not take an oath.
________________________________________________
Signature of Notary
________________________________________________
Printed Name

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