Quit Claim Deed Form Page 3
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3STATE OF
ss.
COUNTY OF
I certify that I know or have satisfactory evidence that
(is/are) the person(s) who appeared
before me, and said person(s) acknowledged that
signed this instrument and acknowledged it to be
free and voluntary act for the uses and purposes mentioned in this instrument..
Dated:
Notary name printed or typed:
Notary Public in and for the State of
Residing at
My appointment expires:
LPB 1205(il)rev 12/2006
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