Survivorship Deed

KNOW ALL MEN BY THESE PRESENTS

That ______________________________________________________,
                      (insert marital status)
the grantor(s), of   ____________________ County, Ohio,
for valuable consideration paid, Grants(s), (Covenants, if any),

to _________________________________________________________,
                      (insert marital status)

the grantee(s), for their joint lives, remainder to the survivor of them, whose tax mailing address is:

                ___________________________________

                ___________________________________

the following described Real Property: (Description of land or interest therein and encumbrances, reservations, and exceptions, if any)

Prior Instrument Reference: Vol. ____________, Page _____ of the Deed

Records of __________________ County, Ohio.

This is a Survivorship Deed*

* See sections 5301 and 5302.17 of the Revised Code of Ohio as to covenants made and the warranties given by the Survivorship Deed.

(Back Page)

And _________________________________ Wife (husband) of the Grantor releases all rights of dower therein.

Witness _________ hand(s) this __________ day of _________________ 19___.

Signed and acknowledged in presence of:

_________________________       __________________________


_________________________       __________________________



State of Ohio,   County of ______________________ ss.

Be It Remembered, That on the _________ day of __________________, 19____, before me, the subscriber, a Notary Public in and for said county, personally came __________________________________________________________ the Grantor(s) in the foregoing Deed, and acknowledged the signing thereof to be _______________ voluntary act and deed.

                            In Testimony Whereof, I have hereunto
                            subscribed my name and affix my
                            seal on the day and year aforesaid.

                               ________________________________
 
                               ________________________________

This instrument was prepared by: ______________________________