A grant of escheated property shall be without warranty and to the following effect: “In consideration of the sum of $____ paid by ________, the Purchaser, into the treasury of the Commonwealth, etc., there is granted without warranty by the Commonwealth to ________, the Purchaser, a certain tract or parcel of land, containing ____ acres, lying in the county (or city) of ________, etc., (describing the bounds of the land and date of the survey or other description sufficient to identify the parcel) with its appurtenances, to ________, the Purchaser, and his heirs forever. In witness whereof, ________, the Governor of the Commonwealth, has set his hand and caused the lesser seal of the Commonwealth to be affixed hereunto, at ____, on the ________ day of ________, in the year ____.”