(1) An individual may use the following form to create a transfer on death deed under this part: REVOCABLE TRANSFER ON DEATH DEED NOTICE TO OWNER You should carefully read all information on the other side of this form. You may want to consult a lawyer before using this form. This form must be recorded before your death or it will not be effective. The beneficiary must be a named person. IDENTIFYING INFORMATION Owner or Owners Making This Deed: _______________________________ ______________________________ Printed Name Mailing Address _______________________________ ______________________________ Printed Name Mailing Address Legal Description of Property (Pursuant to Utah Code Section 57-3-105): _________________________________________________________ Tax Identification Number for Property: _________________________________________________________ PRIMARY BENEFICIARY I designate the following beneficiary if the beneficiary survives me: _______________________________ ______________________________ Printed Name Mailing Address ALTERNATE BENEFICIARY (Optional) If my primary beneficiary does not survive me, I designate the following alternate beneficiary if that beneficiary survives me: _______________________________ ______________________________ Printed Name Mailing Address 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. SIGNATURE OF OWNER OR OWNERS MAKING THIS DEED _______________________________ ______________________________ Signature Date _______________________________ Printed Name _______________________________ ______________________________ Signature Date _______________________________ Printed Name ACKNOWLEDGMENT (Attach an affidavit of acknowledgment pursuant to Utah Code Section 46-1-6.5 to the form.) (2) The other sections of this part govern the effect of the form described in Subsection (1) or any other instrument used to create a transfer on death deed. Repealed and Re-enacted by Chapter 390, 2024 General Session
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