QUIT CLAIM DEED

            THIS INDENTURE, Made the ___ day of _________ in the year of our Lord two thousand five (2005)

            BETWEEN _____________________ of the _______________, County of  Erie and Commonwealth of Pennsylvania, party of the first part, Grantor,

AND

            _____________________ of the ______________, County of ______ and Commonwealth of Pennsylvania, party of the second party, Grantee.

WITNESSETH, That the said party(ies) of the first part, for and in consideration of the sum of _______________________________________ ($_____)------------Dollars lawful money of the United States, to him/her/them in hand paid by the said party(ies) of the second party, at and before the ensealing and delivery of these presents, the receipt and payment whereof is hereby acknowledged, has/have remised, released, and QUIT CLAIMED, and by these present, do/does remise, release, and QUIT CLAIM unto the said party(ies) of the second party, and to his/her/their heirs and assigns forever, ALL that certain piece or parcel of land situate in the ______________ of the ____________, County of Erie and Commonwealth of Pennsylvania, bounded and described as follows, to-wit:

Being further identified by _________ County Tax ID No. ______________.

Grantor has no actual knowledge of the disposal of any hazardous waste, past or present, on the premises herein described, as defined by the Solid Waste Management Act No. 97 of 1980, of the Commonwealth of Pennsylvania.

This Deed is taken under and subject to easements, restrictions and rights-of-way of records and/or those that are visible to physical inspection.

THIS conveyance is without consideration to convey the defaulted interest of the grantor to grantee and to terminate any interest existing as a result of a land contract between the above parties dated _________________.

In Witness Whereof, The said party(ies) of the first party has/have hereunto set his/her/their hand and seal(s) the day and year first above written.

SIGNED, SEALED and DELIVERED

               in the presence of                                         _______________________(SEAL)

_______________________________      

STATE OF PENNSYLVANIA                     :

                                                                        :SS

COUNTY OF ERIE                                       :

            On this ____ day of ___________, 2005, before me a Notary Public, the undersigned officer, personally appeared ___________________, known to me (or satisfactorily proven) to be the person(s) whose name(s) is/are subscribed to the within instrument, and acknowledged that he/she/they executed the same for the purpose therein contained.

            In witness whereof, I hereunto set my hand and official seal.

                                                                                    ______________________________

I, ____________________ hereby certify that the residence of the within named Grantee is:_____________________________________________________________________.

                                                                                    ______________________________