Maryland Quitclaim Deed of Gift

STATE OF MARYLAND
MARYLAND DEPARTMENT OF PLANNING
DIVISION OF HISTORICAL AND CULTURAL PROGRAMS
100 Community Place, Crownsville, Maryland 21032
410/514-7600
QUITCLAIM DEED OF GIFT
(Please Type or Print)
MUSEUM/ADMINISTERING AGENCY:
____Maryland Commission on African American History & Culture/Banneker-Douglass Museum
Maryland Historical Trust/Jefferson Patterson Park & Museum
____Maryland Historical Trust/Office of Archaeology
____Maryland Historical Trust/Office of Museum Services
____Maryland Historical Trust/Office of Preservation Services
____Maryland Historical Trust/Office of Research, Survey, & Registration
By these presents I (we) irrevocably and unconditionally quitclaim to the Maryland Historical
Trust/Jefferson Patterson Park & Museum and any successor or assign with similar aims and objectives,
all rights, title, and interests (including all copyright, trademark, and related interests and all rights to
copyright) I (we) may have in, to, and associated with the objects described below.
Object(s) Description
I(we) wish that the gift be identified to the public and in the records of the Maryland Historical
Trust/Jefferson Patterson Park & Museum as:
WITNESS:
Donor:
Address:
Telephone #
By:
(signature)
Date: _________________________
(signature)
Title: ___________________________________________
DHCP Collections Policy, Exhibit B
PJD/lms/2728(010801)(5)
Delivery [Complete]/
[Not Complete]
The Maryland Historical Trust/Jefferson Patterson Park & Museum hereby acknowledges receipt of the
above Quitclaim Deed of Gift, and accepts the Donor's gift of the object(s) described in this Deed of
Gift.
WITNESS:
Maryland Historical Trust/Jefferson Patterson Park & Museum
By:
(signature)
Date: _________________________
(signature)
Director / Executive Director
Accession No.
DHCP Collections Policy, Exhibit B
PJD/lms/2728(010801)(5)
Delivery [Complete]/
[Not Complete]