HomeMy WebLinkAboutDedication Attachments Revised 20190412 9 9
ATTACHMENT 6
GENERAL WARRANTY DEED
THIS INDENTURE WITNESSETH, That (Grantor) of ___________ County, in the State of Indiana,
CONVEY(s) AND WARRANT(s) to TriCo Regional Sewer Utility, an Indiana Municipal Corporation
(Grantee) of ___________ County, State of Indiana, for the sum of Ten Dollars ($10.00) and other
valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the following
described real estate in ____________ County, State of Indiana:
(Insert Description OR Description Attached Hereto and Incorporated Herein)
The address of such real estate is commonly known as: ___________________________________
IN WITNESS WHEREOF, Grantor has executed this deed this _____ day of ____________, 20__.
GRANTOR: GRANTOR:
_____________________________ __________________________________
Signature Signature
Printed:_____________________ Printed:__________________________
STATE OF )
) ss:
COUNTY OF )
Before me, a Notary Public, in and for said County and State, personally appeared
, who acknowledged the execution of the foregoing General Warranty
Deed, and who, having been duly sworn, stated that any representations contained therein are true.
Witness my hand and Notarial Seal this ______ day of ___________________, 20___.
Notary Public
Printed: _____
My Commission Expires: _________________
I affirm under the penalties for perjury, that I have taken reasonable care to redact each social security
number in the document, unless required by law. _________________________(Name)
Return Deed and send tax notices to:____________________________________________________