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Bill of Sale

STATE OF _________(1)________)

COUNTY OF ________(2)________)


That, ________(3)__________, of ____________(4)______________, for and in

consideration of payment of the sum of $_____(5)_____, the receipt of which is hereby
acknowledged, do hereby grant, bargain, sell and convey to _________(6)________ of
______________(7)________________, and his heirs, executors, administrators,
successors and assigns the following property:

(Description of Property)

I hereby warrant that I am the lawful owner of said property and that I have full legal
right, power and authority to sell said property. I further warrant said property to be free
of all encumbrances and that I will warrant and defend said property hereby sold against
any and all persons whomsoever.

IN WITNESS WHEREOF, I, the seller, have hereto set my hand and seal this _(8)_ day
of _____(9)_______, 19_(10)_.


STATE OF ________(12)___________)

COUNTY OF _______(13)___________)

On this _(14)_ day of _______(15)________, 19_(16)_, before me personally came and

appeared _________(17)___________, known, and known to me, to be the individual
described in and who executed the foregoing instrument, and who duly acknowledged to
me that he executed same for the purpose therein contained.

IN WITNESS WHEREOF, I hereunto set my hand and official seal.


My Commission Expires: _________(19)__________