Nevada Code § 111.695

Form of deed upon death
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A
deed upon death must be in substantially the following form:
DEED
UPON DEATH
I (We)................... (here
insert name of owner(s)) hereby convey to................... (here insert name
of beneficiary or beneficiaries), effective on my (our) death, all right, title
and interest in the real property commonly known as..................., City
of..................., County of..................., State of Nevada, or
located in the County of..................., State of Nevada, and more
particularly described as:
(Legal
Description)
Together with all improvements,
tenements, hereditaments and appurtenances, including easements and water
rights, if any, thereto belonging or appertaining, and any reversions,
remainders, rents, issues or profits thereof.
THIS DEED IS REVOCABLE. THIS DEED
DOES NOT TRANSFER ANY OWNERSHIP UNTIL THE DEATH OF THE GRANTOR(S). THIS DEED
REVOKES ALL PRIOR DEEDS BY THE GRANTOR(S) WHICH CONVEY THE SAME REAL PROPERTY
PURSUANT TO NRS 111.655 TO 111.699,
INCLUSIVE, REGARDLESS OF WHETHER THE PRIOR DEEDS FAILED TO CONVEY THE ENTIRE
INTEREST OF THE GRANTOR(S) IN THE SAME REAL PROPERTY.
THE UNDERSIGNED HEREBY AFFIRMS THAT
THIS DOCUMENT SUBMITTED FOR RECORDING DOES NOT CONTAIN A SOCIAL SECURITY
NUMBER.
.................................................. (Date)
.................................................. (Signature)
State of Nevada }
}
ss.
County of................................ }
Subscribed and sworn to on this
.......... day of .............., in the year .........., before me,
................... (here insert name of notary public), by ...................
(here insert name of principal).
On this .......... day of
.............., in the year .........., before me, ................... (here
insert name of notary public), personally appeared ................... (here
insert name of principal) personally known to me (or proved to me on the basis
of satisfactory evidence) to be the person whose name is subscribed to this
instrument, and acknowledged that he or she executed it.
.................................................. (Signature
of Notary Public)
NOTARY SEAL

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