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TRANSFER ON DEATH INSTRUMENT

TRANSFER ON DEATH INSTRUMENTO wner s name and address and Taxes TO:nameaddressaddressBeneficiary s name and address:nameaddressaddress recOrder s sTamP THis TRANSFER On DEATH INSTRUMENT made this day of , 20.

4. That the undersigned, whose names and addresses appear below, are all beneficiaries entitled to receive under the Transfer on death instrument: name address share in wiTness wHereOf , the undersigned beneficiary(ies) hereby accept the transfer of residential real estate under the transfer on death instrument this day of , 20 .

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  Death, Transfer, Transfer on death

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