RI Deed-Quitclaim 1

____________________ of __________________ for consideration paid, grant to ______________________ of __________________ with quitclaim covenants

(description, and encumbrances, if any)

Witness _________ hand this ________ day of ___________, 20______.

STATE OF RHODE ISLAND

COUNTY OF ____________

In [city/town] on this _______ day of __________, 20_______, before me personally appeared [name(s) of person(s) signing] to me known and known by me to be the party(ies) executing the foregoing instrument and acknowledged said instrument and the execution thereof, to be his/her/their free act and deed.

_________________________________

Notary Public

Printed Name: _____________________

My commission expires: _____________