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893508
893508 A298-10 R298-04 QUITCLAIM DEED RECEIVED LINCOLN COUNTY CLERK 03.ti, 1..1~28 r?l 1: fi& L/-.~/~ [',~i'~ THIS QUITCLAIM DEED, Executed this 2003 , 25th dayofAugust by firstparty, Grantor, Lynnette Kern/ Lynnette Kern Holman whosepostofficeaddressis 970 w Broaday ¢077,' Jackson, WY 83001 to second party, Grantee, Wallace W. Holman whose post office address is PO Box 3523, Alpine, WY 83128 · ,. . ','. WJ~.ff~...N~.8/~:~,~.~ha~,,the said first art , tot cod c nsi ' .... '.,.' ,,-,.,o~.~ra~r~a~,m,~ ,. P Y g o deraUon and for the sum of ~,,. ..... ~,~ Zo . h~s in ~nd [o [he followi.~ &scribed p~rc¢l of h~d, a~d i~provemems ~d appu~6~ces to in the County of Lincoln ,State of Wyoming to wit: Lot 62 Nord$c Dlv 5 102 Buckskin Way Etna, ~Y 83110 Nordic Ranches Lincoln County ~Y ABHF .............................................. -(J) .... .---'- ..................... . ...... If your slate requires 8 W' x 1 1" forms, cut' off the bottom of this page at the dotted line. III © E-Z Legal Forms. Before you use thia form, read it, fill in 'all blanks, and make whau:vet chaagea ~ mwe~____.-_n/to your particular txansacfon. Con~ult a lawyer if you doubt dm form% fitness for your purpose and usc. E-Z I~-~al l~orn~ aaa th~ ,~ail~ make., aa "..t:5 2 IN WITNESS WHEREOF, The said first party has signed and sealed these presents the day ahd year first above written. Signed, sealed and delivered in presence of: of Witness of First Party Print ~h. me of First Party Print name of Witness Signature of Witness Signature of First Party Print name of Witness Print name of First Party State of ~ t..,~.k/~ tN ) . /'~ ~ '4 I ~) ..... -ounty_of ~ ~~ On ~,.~)X~O~beforeme,X~~ ~~ appe~ed ~u , personally known to me (or proved to me on the basis of satisfacto~ evidence) to be the person(s) Whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his~efftheir authorized capacity(les), and that by his&efftheir signatUre(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WI~SS my hand and official seal. Signature of'N'ot~ - ~ Affiant ~.Known Produced ~ Type of ID County of'-~~ appe~ed - personally known to me (or proved to me on the basis of satisfacto~ evidence)'' ' 'to be t~ person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hisSer/their authorized capacity(ies), and that by ~s~er/their signature(s) on the ins~ument the person(s), or the entity upon behalf of which the person(s) acted, executed ~e instrument. WI~SS my hand and official se~. Signature of Notary Affiant Type of ID Known Produced ID (Seal) Signature of Preparer Print Name of Preparer Address of Preparer If your state requires 8 '/~" x 11" forms, cut off the bottom of this page at the dottdd line. O E-Z Legal Forms. Before you use this form, read it, fill in all blanks, and make whatever ch~gc~ ate nct;cfi~ilry 10 y0llf Pamculaf ffansacd0n. C01lglI]I a lawyer if you doubt the fonn's fimess for your purpose and use. E-Z Legal Forms and the relailer make no representation or Wa~l'alqly. express or implied with resp~:cl to thc merchantability of this form for an intended use or purpose. '