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COUNTY OF __________________ )
KNOW ALL MEN BY THESE PRESENTS, that _______________________________
____________________ (“Grantor”) in the state aforesaid, for and in consideration of the sum of
ONE AND 00/100 DOLLAR ($1.00), being the true consideration to it in hand paid at and before
the sealing of these presents by the CITY OF CHARLESTON, the receipt whereof is hereby
acknowledged, has granted, bargained, sold and released, and by these presents does grant,
bargain, sell and release unto the said CITY OF CHARLESTON (“Grantee”), its successors and
assigns, forever, the following described property which is granted, bargained, sold and released
for the use of the public forever:
All of the property underneath, above, and containing those certain streets, roads, drives,
and cul-de-sacs situate, lying and being in the City of Charleston, County of __________________
State of South Carolina, identified as (list street names) __________________________________
as shown and designated on a plat entitled ____________________________________________
prepared by ___________________________________________________________________,
dated ________________, revised ___________________, and recorded on _________________
in Plat Book _______ at Page _____ in the ______ Office for ______________________ County.
Said property butting and bounding, measuring and containing, and having such courses and
distances as are shown on said plat. Reference being had to the aforesaid plat for a full and
complete description, being all of the said dimensions, a little more or a little less.
This being a portion of the property conveyed to Grantor herein by deed of the
_______________________________________ dated ______________________ and recorded
_____________________ in Book ________ at Page ______ in the ______ Office for
_____________________ County, South Carolina.
Grantee's Mailing Address: City of Charleston
Department of Public Service
Engineering Division
2 George Street
Suite 2100
Charleston, South Carolina 29401
Portion of TMS No.: __________________________________________
Print Form
State of South Carolina, identified as (list street names)
as shown and designated on a plat entitled
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TOGETHER with all and singular, the rights, members, hereditaments and appurtenances
to the said premises belonging, or in anywise incident or appertaining.
TO HAVE AND TO HOLD, all and singular, the said premises before mentioned unto the
CITY OF CHARLESTON, its successors and assigns forever.
AND Grantor does hereby bind itself and its heirs, executors and administrators, to warrant
and forever defend, all and singular, the said premises unto the said City of Charleston, heirs and
assigns, against Grantor and its heirs, and all persons whomsoever lawfully claiming, or to claim
the same or any part thereof.
WITNESS our Hand(s) and Seal(s) this _________ day of_____________________ 20____.
____________________________________ ______________________________
Witness Number One
____________________________________ ______________________________
Printed Name Printed Name
Witness Number Two
Printed Name
STATE OF ________________________________)
COUNTY OF ______________________________)
This foregoing instrument was acknowledged before me (the undersigned notary) by
_____________________________________, the ________________________________ of
_________________________________________, a _________________________, on behalf
of the Grantor on the _____ day of _______________, 20____..
Signature of Notary: _____________________________________
Print Name of Notary: ___________________________________
Notary Public for _______________________________________
My Commission Expires: _________________________________