Prepared By:
Name: [PREPARER NAME]
Address: [PREPARER ADDRESS]After Recording Return To:
Name: [RETURN NAME]
Address: [RETURN ADDRESS]

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TRANSFER ON DEATH DEED

1. OWNER INFORMATION.

Owner Full Name: [OWNER NAME] Marital Status: [OWNER MARITAL STATUS] Address: [OWNER ADDRESS]

Owner Full Name: [OWNER NAME] Marital Status: [OWNER MARITAL STATUS] Address: [OWNER ADDRESS]

Legal Description of Property: [ENTER PROPERTY’S LEGAL DESCRIPTION]

2. BENEFICIARY. I designate the following beneficiary if the beneficiary survives me.

Full Name: [BENEFICIARY NAME] Marital Status: [MARITAL STATUS] Address: [BENEFICIARY ADDRESS]

3. TRANSFER ON DEATH. At my death, I transfer my interest in the described property to the beneficiaries as designated above. Before my death, I have the right to revoke this deed.

4. SIGNATURES.

Owner Signature: _____________________ Date: [MM/DD/YYYY] Printed Name: [OWNER NAME]

5. WITNESSES (IF REQUIRED).

Witness Signature: _____________________ Date: [MM/DD/YYYY] Printed Name: [WITNESS NAME]

Witness Signature: _____________________ Date: [MM/DD/YYYY] Printed Name: [WITNESS NAME]

6. NOTARY ACKNOWLEDGMENT.

STATE OF [STATE]
COUNTY OF [COUNTY]

I, the undersigned, a Notary Public in and for said County, in said State, hereby certify that [OWNER(S)] whose names are signed to the foregoing instrument, and who is known to me, acknowledged before me on this day that, being informed of the contents of the instrument, they, executed the same voluntarily on the day the same bears date.

Given under my hand this [MM/DD/YYYY]

____________________________________
Notary Public

My Commission Expires: [MM/DD/YYYY]