Nebraska Revised Statutes Chapter 30. Decedents' Estates; Protection of Persons and Property § 30-2719. Forms

(a) A contract of deposit that contains provisions in substantially the form provided in this subsection establishes the type of account provided, and the account is governed by the provisions of sections 30-2716 to 30-2733 applicable to an account of that type.

UNIFORM SINGLE- OR MULTIPLE-PARTY ACCOUNT FORM

PARTIES (Name One Or More Parties):

_____________________________

_____________________________

OWNERSHIP (Select One And Initial):

____ SINGLE-PARTY ACCOUNT

____ MULTIPLE-PARTY ACCOUNT

Parties own account in proportion to net contributions unless there is clear and convincing evidence of a different intent.

RIGHTS AT DEATH (Select One And Initial):

____ SINGLE-PARTY ACCOUNT

At death of party, ownership passes as part of party's estate.

____ SINGLE-PARTY ACCOUNT WITH POD (PAY ON DEATH) DESIGNATION

(Name One Or More Beneficiaries):

_____________________________

_____________________________

At death of party, ownership passes to POD beneficiaries and is not part of party's estate.

____ MULTIPLE-PARTY ACCOUNT WITH RIGHT OF SURVIVORSHIP

At death of party, ownership passes to surviving parties.

____ MULTIPLE-PARTY ACCOUNT WITH RIGHT OF SURVIVORSHIP AND POD (PAY ON DEATH) DESIGNATION

(Name One Or More Beneficiaries):

_____________________________

_____________________________

At death of last surviving party, ownership passes to POD beneficiaries and is not part of last surviving party's estate.

____ MULTIPLE-PARTY ACCOUNT WITHOUT RIGHT OF SURVIVORSHIP

At death of party, deceased party's ownership passes as part of deceased party's estate.

AGENCY (POWER OF ATTORNEY) DESIGNATION (Optional)

Agents may make account transactions for parties but have no ownership or rights at death unless named as POD beneficiaries. (To Add Agency Designation To Account, Name One Or More Agents):

_____________________________

_____________________________

(Select One And Initial):

____ AGENCY DESIGNATION SURVIVES DISABILITY OR INCAPACITY OF PARTIES

____ AGENCY DESIGNATION TERMINATES ON DISABILITY OR INCAPACITY OF PARTIES

(b) A contract of deposit that does not contain provisions in substantially the form provided in subsection (a) of this section is governed by the provisions of sections 30-2716 to 30-2733 applicable to the type of account that most nearly conforms to the depositor's intent.