SAMPLE FORM

 ____________________________________________________________¹
 (SPACE ABOVE RESERVED FOR RECORDING INFORMATION)

             Buck Daniel McSween,  20 F Avenue,  Harper, OH  45011  (999) 774-2233²         
(RESERVED FOR NAME, ADDRESS, AND TELEPHONE NUMBER
OF PERSON PREPARING INSTRUMENT)

QUIT CLAIM DEED

            The Grantor(s), whose name(s) and mailing address is: _______________________
                          Robin Ray Roberts,  10 Buttercup Lane SE,  Harper, OH  45011³                 
 _____________________________________________________, for the consideration of
             $7000⁴                  dollars and other good and valuable consideration, hereby Quit Claim
 to                                                               Edward Alan Franc⁵                                                         
 ___________________________________, as Grantee(s), whose mailing addresses are:
                            14 London Blvd,  Harper, OH  45011⁶                                                   
 ____________________________________________________________________ the
 real estate located in               Linn⁷              County, State of              OHIO⁸                  ,
 which is described as follows (set forth below the legal description of the real estate):

            The east third quadrant of section 10, township 40, range 5.⁹

This is not a substitute for legal advice.  An attorney must be consulted.
Copyright © 2003 by LAWCHEK, LTD.

QUIT CLAIM DEED cont'd.

            The street address of the real estate is                                                               
                                  5050 Scotland Court,  Harper, OH  45011¹⁰                                           .

            The Grantor(s) releases and relinquishes all rights of dower, distributive or elective
 share, and homestead in and to the above-described real estate.

            All words and phrases contained in this instrument including any attachments, are to
 be construed in singular, plural, masculine, feminine or neuter according to the contents in
 which they appear.

                                                                                         Date:           08/21/01¹¹          

 _________________________________¹²           _________________________________¹³
 (Grantee)                                                           (Grantor)

 _________________________________¹⁴           _________________________________¹⁵
 (Grantee)                                                           (Grantor)

 _________________________________¹⁶          _________________________________¹⁷
 Witness (If required by law)                                Witness (If required by law)

Attach Acknowledgment If Required By Law.

This is not a substitute for legal advice.  An attorney must be consulted.
Copyright © 2003 by LAWCHEK, LTD.

1. This space is reserved for the county and/or state officials' use.
2. The full name, address and telephone number of the lawyer or banker preparing the document.
3. The full name and address of the grantor.
4. An indication of how much is being paid for the property.
5. The full name of the grantee.
6. The full address of the grantee.
7. The county in which the property is located.
8. The state in which the property is located.
9. A legal description of the property.
10. The full address of the property.
11. The date on which the document is signed.
12. The signature of the grantee.
13. The signature of the grantor.
14. The signature of a second grantee.
15. The signature of a second grantor.
16. The signature of a witness.
17. The signature of a witness.