[Recording Cover Sheet  -  edit this as necessary to substitute your local information and your Given Trade Name as it appears on your birth certificate.  When finished putting in your data, change the red to black and delete this instruction so the whole top half of this Recording Sheet is blank.]

                      JACKSON COUNTY RECORDING DISTRICT

JOHN MARK DOE, FOREIGN GRANTORJohn Mark Doe, American State Grantee

            Acknowledgement, Acceptance and Deed of Re-Conveyance

                          Return to: Doe, John Mark

                       c/o 4201 Badger's Court Lane

                         Willowton, Wisconsin, 53508

This cover sheet has been added to these recorded documents to provide space for the recording data.

This cover sheet appears as the first page of the document in the official public record.

                               Do not detach.