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HomeMy WebLinkAboutL_Deed of Dedication_230721_V1 Page 1 of 4 Return Address: City Clerk’s 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