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State Bar of Wisconsin Form 3-2003 <br />QUIT CLAIM DEED <br />Document Number II Document Name <br />THIS DEED, made between Keith R. Anderson <br />("Grantor," whether one or more), and Deborah J. Anderson <br />("Grantee," whether one or more). <br />Grantor quit claims to Grantee the following described real estate, together with the <br />rents, profits, fixtures and other appurtenant interests, in Burnett <br />County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): <br />Lot Seven (7) of Certified Survey Map No. 4407 recorded in Volume 24 of <br />Certified Survey Maps at Page 67 as Document iso. 4.11842, Burnett <br />County, WI records. The parcel conveyed herein is a part of Lot 7 of <br />Pardun's River Pines according to the Plat thereof on file in the office of <br />the Burnett County Register of Deeds. Said Plat located in the NW Quarter <br />of the NE Quarter, the NE Quarter of the NE Quarter, the SW Quarter of the <br />NE Quarter and the SE Quarter of the NE Quarter of Section 7, Township <br />40 North, Range 16 West, Burnett County, Wisconsin. <br />Together with a 1/62nd interest in Outlots 1, 2 and 3 of said Plat. <br />Dated May -31 2012 <br />AUTHENTICATION <br />Signature(s) <br />authenticated on <br />TITLE: MEMBER STATE BAR OF WISCONSIN <br />(If not, <br />authorized by Wis. Stat. § 706.06 ) <br />THIS INSTRUMENT DRAFTED BY: <br />419867 <br />BURNETT COUNTY <br />WISCONSIN <br />Received and Recorded <br />June 11, 2012 at 2:30 PM <br />Jeanine Chell <br />Register of Deeds <br />Recording Fee $25.00 <br />Fee Exempt 77.25(8M) <br />Number of Pages 1 <br />Recording Area <br />Name and Return Address <br />Benson Law Office LLC <br />P.O.Box 370 <br />Siren, WI 54872 <br />07-020-2-40-16-07-5 16-580-017000 <br />Parcel Identification Number (PIN) <br />This is not homestead property. <br />(is) (is not) <br />(SEAL) (SEAL) <br />* Keith R. Anderson <br />(SEAL) <br />ACKNOWLEDGMENT <br />STATE OF VW6GQNs+*11'1/NN�o7'f} ) <br />ss. <br />i�/4rns�y <br />—COUNTY) <br />Personally came before me on May ,3�, 2012 <br />the above-named Keith R. Anderson <br />to me known to be the <br />instrument and acknowle <br />(SEAL) <br />ite4,,t, ,, fQN96A9/\/\AAJ <br />TERESA WATSON <br />NOTARY PUBLIC- MINNESOTA <br />XPIRES .JAN. 31, 2015 <br />BENSON LAW OFFICE LLC, P. 0. Box 370 Siren WI 54872 Notary Public, State of Minnesota `\n <br />George W. Benson, Attorney at Law, State Bar #1012978 My commission (is permanent) (expires: <br />(Signatures may be authenticated or acknowledged. Both are not necessary.) <br />NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. <br />QUIT CLAIM DEED ©2003 STATE BAR OF WISCONSIN FORM NO. 3-2003 <br />*Type name below signatures. INFO-PRO•M Legal Forms • (800)655-2021 • infoproforms.com <br />