HomeMy WebLinkAboutDeed of Dedication Page 1 of 4
Return Address:
City Clerkâs Office
City of Renton
1055 South Grady Way
Renton, WA 98057
DEED OF DEDICATION Property Tax Parcel Number:
Project File #: Street Intersection:
Reference Number(s) of Documents assigned or released: Additional reference numbers are on page _____.
Grantor(s): Grantee:
1. 2. City of Renton, a Washington Municipal Corporation
LEGAL DESCRIPTION: (Abbreviated or full legal must go here. Additional legal on page_______)
The Grantor(s), _________________________________________________________________, for and in
consideration of mutual benefits conveys, quit claims, and dedicates to the Grantee, the City of Renton, the
above described real estate situated in the County of King, State of Washington.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the day and year as written below.
Grantor(s):
Dated:
INDIVIDUAL FORM OF ACKNOWLEDGEMENT
Notary Seal must be within box STATE OF WASHINGTON ) SS
COUNTY OF KING ) On this _______ day of _____________, 20____, before me personally
appeared:
_____________________________________________________________
and signed this instrument and acknowledged it to be their free and voluntary act for the uses and purposes mentioned in the instrument.
Notary Public in and for the State of___________________
Notary (Print) _____________________________________ My appointment expires: ____________________________
Dated:
Page 2 of 4
LLC/CORPORATE FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON ) SS
COUNTY OF KING ) On this _______ day of _____________, 20____, before me personally appeared: ___________________________________________________________ to
me known to be the __________________________________________ of
_____________________, and acknowledged the said instrument to be the free and voluntary act and deed of said limited liability company/
corporation, for the uses and purposes therein mentioned, and each on
oath stated that they were authorized to execute said instrument and that
the seal affixed, if any, is the corporate seal of said corporation.
Notary Public in and for the State of___________________
Notary (Print)_____________________________________
My appointment expires: ____________________________
Dated:
REPRESENTATIVE FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON ) SS
COUNTY OF KING ) On this _______ day of _____________, 20____, before me personally appeared:
____________________________________________________________
to me known to be the _______________________________________ of
________________________, and acknowledged the said instrument to be
the free and voluntary act and deed of ____________________________,
for the uses and purposes therein mentioned, and each on oath stated that
they were authorized to execute said instrument.
Notary Public in and for the State of___________________
Notary (Print)_____________________________________ My appointment expires: ____________________________ Dated:
Accepted by the City of Renton:
By: ________________________________
Mayor
Attest:
By: ________________________________
City Clerk
Page 3 of 4
Exhibit A
Legal Description
Project:
WO#
PID:
GRANTOR: Street:
Page 4 of 4
Map Exhibit