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_____, Grantor, conveys to _____, Grantee, the following described real property: (Describe the property conveyed.)
(Following description of property, here insert statement required under ORS 93.040(1).)
The true consideration for this conveyance is $_____. (Here comply with the requirements of ORS 93.030.)
Dated this _____ day of _____, 2___.
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ORS 93.860