Survivorship Deed - Summit County Fiscal Office Page 2

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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:
___________________________

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