DATED: ______________________
Estate of DECEDENT'S NAME, Deceased
By: ________________________________
Grantor's Name,
Personal Representative
STATE OF WASHINGTON )
) ss.
COUNTY OF KING
)
On this day personally appeared before me Grantor's Name, known or proved to
me to be the individual described in and who executed the within and foregoing Special
Warranty Deed, and acknowledged that he/she signed the same as his/her free and
voluntary act and deed, for the uses and purposes therein mentioned.
GIVEN under my hand and official seal on: _____________________________
__________________________________________
Signature
__________________________________________
Printed Name
NOTARY PUBLIC for Washington
Residing at: _______________________________
My appointment expires on: __________________