Entered in Transfer Record in my office this
_____ day of ________, A.D., 20_____.
QUIT CLAIM TO
all the following described REAL ESTATE in the County of __________________________ and the State of Kansas, to-wit:
for the sum of
Dated _____________________________, 20_____
STATE OF KANSAS, ______________________________ COUNTY, ss
BE IT REMEMBERED, That on this ________ day of _____________ A.D., 20_____ before me, the undersigned, a ________________________ in and for the County and State aforesaid came ___________________________________________________________________
________________________________________________________________________ ________________________________________________________________________, who _____ personally known to me to be the same person __ who executed the within instrument of writing and such person __ duly acknowledged the execution of the same.
IN WITNESS WHEREOF, I have hereunto set my hand, and affixed my seal the day and year last above mentioned.
_____________________________________ Notary Public
Term expires ______________________________, 20_____
This Instrument was filed for record on the _____ day of _________________, A.D., 20_____, at ___________ o'clock _____ M., and duly recorded in book _______ of ____________________ at page _____
Register of Deeds
No guidelines are available for this form at this time.