OR Deed-Special Warranty (Individual Grantor) 1

After recording return to:

Until requested otherwise, send all tax statements to

(Name, Address, Zip)

Space Above Reserved for Recorder's Use

SPECIAL WARRANTY DEED

(Individual Grantor)

________________________________________________________________________ Grantor,

conveys and specially warrants to __________________________________________________, ________________________________________________, Grantee, the following described real property free of encumbrances created or suffered by the Grantor, except as specifically set forth herein:

Here insert statement required under ORS 93.040(1).

The property is free of all encumbrances created or suffered by the Grantor except (if none, so state):

The true consideration for this conveyance is __________________________________ (Here, comply with the requirements of ORS 93.030.)

Dated this ____________ day of ______________, 2 _________.

THIS INSTRUMENT WILL NOT ALLOW USE OF THE PROPERTY DESCRIBED IN THIS INSTRUMENT IN VIOLATION OF APPLICABLE LAND USE LAWS AND REGULATIONS. BEFORE SIGNING OR ACCEPTING THIS INSTRUMENT, THE PERSON ACQUIRING FEE TITLE TO THE PROPERTY SHOULD CHECK WITH THE APPROPRIATE CITY OR COUNTY PLANNING DEPARTMENT TO VERIFY APPROVED USES AND TO DETERMINE ANY LIMITS ON LAWSUITS AGAINST FARMING OR FOREST PRACTICES AS DEFINED IN ORS 30.930.

__________________________________ ________________________________

__________________________________ _________________________________

STATE OF OREGON, County of ___________________ ) ss.

This instrument was acknowledged before me on __________________________ by ______________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________

________________________________________ Notary Public for Oregon

My commission expires: _________________