QUIT CLAIM DEED

This Quit Claim Deed is made on __________ between PHILLIP ANDREW SIMMONS
(“PHILLIP”) and MADISON BROOKE MARTIN (“MADISON”).
IN CONSIDERATION of the mutual promises contained herein and for other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, MADISON,
intending to be legally bound, hereby conveys, releases, and quitclaims her rights, title, and
interest in and to the following described property so that the property will be solely owned by
PHILLIP. Consequently, neither MADISON nor her legal representatives or assigns shall have
individual and separate claim, or demand, or title to the property, from PHILLIP.
The said property is located at: 2550 Michigan Court, Panama City, FL 32405.

___________________________________ _____________________________
MADISON BROOKE MARTIN DATE

___________________________________ _____________________________
PHILLIP ANDREW SIMMONS DATE

STATE OF FLORIDA, COUNTY OF BAY:
On this ________ day of __________________________, __________, before me,
____________________________, personally appeared ___________________________
known to me (or satisfactorily proven) to be the persons whose names are subscribed to the
within instrument and acknowledged that they executed the same as for the purposes therein
contained.
In witness whereof I hereunto set my hand and official seal.

______________________________
Notary Public
________________________
Title
My commission expires: _________________

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