SAMPLE FORM

____________________________________________________________¹
 (SPACE ABOVE RESERVED FOR RECORDING INFORMATION)

     Buck Daniel McSween,  20 F Avenue,  Harper, OH  45011  (999) 774-2233²         
(RESERVED FOR NAME, ADDRESS, AND TELEPHONE NUMBER
OF PERSON PREPARING INSTRUMENT)

SPECIAL WARRANTY DEED/JOINT TENANCY

             The Grantor(s) whose name(s) and mailing address(es) is: ________________
            Nicholas Scott Thomas,  14 Blairs Ferry Road NE,  Harper, OH  45011³                
________________________________________________________________________
 for the consideration of                      $500⁴                      dollars and other good and valuable
 consideration, hereby conveys to                           Samantha Sue Roberts⁵                           ,
 as Grantee(s), whose mailing addresses are:      11 Micheal Street,  Harper, OH  45011⁶
 ________________________________________________________________________,
 as joint tenants with full right of survivorship, and not as tenants in common, the real estate
 located in                 Linn⁷                    County, State of          OHIO⁸                        , which is
 described as follows (set forth below the legal description of the real estate):

             The north third quadrant of section 10, township 22, range 4.⁹

This is not a substitute for legal advice.  An attorney must be consulted.
Copyright © 1994 - 2014 by LAWCHEK, LTD.

SPECIAL WARRANTY DEED / JOINT TENANCY cont'd.

            The street address of the real estate is       7070 F Avenue,  Harper, OH  45011¹⁰
________________________________________________________________________.

             Grantor(s) covenants to warrant and defend the real estate against the lawful claims
 of persons claiming by, through, or under them, except as above-stated.  The Grantor(s)
 releases and relinquishes all rights of dower, distributive, or elective share, and homestead
 in and to the above-described real estate.

             All words and phrases contained in this instrument, including any attachments, are to
 be construed in singular, plural, masculine, feminine or neuter according to the context in
 which they appear.

                                                                      Date:                04/05/01¹¹                          

_______________________________¹²             ________________________________¹³
Grantor                                                            Grantor

_______________________________¹⁴             ________________________________¹⁵
Witness (If required by law)                               Witness (If required by law)

Attach Acknowledgment If Required By Law.

This is not a substitute for legal advice.  An attorney must be consulted.
Copyright © 1994 - 2014 by LAWCHEK, LTD.

1. This space is reserved for the county and/or state officials' use.
2. The full name, address and telephone number of the lawyer or banker preparing the document.
3. The full name and address of the grantor.
4. An indication of how much is being paid for the property.
5. The full name of the grantee.
6. The full address of the grantee.
7. The county in which the property is located.
8. The state in which the property is located.
9. A legal description of the property.
10. The full address of the property.
11. The date the document is signed.
12. The signature of the grantor.
13. The signature of a second grantor.
14. The signature of a witness.
15. The signature of a witness.