Utah Code Title 75. Utah Uniform Probate Code § 75-6-416. Optional form of transfer on death deed

IDENTIFYING INFORMATION

Owner or Owners Making This Deed:

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Printed Name

Mailing Address

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Printed Name

Mailing Address

Legal Description of Property (Pursuant to Utah Code Section 57-3-105):

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Tax Identification Number for Property:

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PRIMARY BENEFICIARY

I designate the following beneficiary if the beneficiary survives me:

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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:

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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

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Signature

Date

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Printed Name

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Signature

Date

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Printed Name