ORS 93.975: URPTDA 16. Form of transfer on death deed.

ORS 93.948 to 93.979 govern the effect of an instrument used to create a transfer on death deed. The following form may be used to create a transfer on death deed: ______________________________________________________________________________ TRANSFER ON DEATH DEED (ORS 93.948 to 93.979) NOTICE TO OWNER You should carefully read all information on 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. TAX STATEMENT Until a change is requested, the county clerk shall send tax statements to the following address: _______________ IDENTIFYING INFORMATION Owner or Owners Making This Deed: Printed name: _________ Mailing address: _________ Printed name: _________ Mailing address: _________ Legal description of the property: _______________ PRIMARY BENEFICIARY I designate the following beneficiary if the beneficiary survives me: Printed name: _________ Mailing address, if available: _______________ 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, if available: _______________ 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. SPECIAL TERMS (Optional) _______________ RETURN OF DEED After recording, the county clerk shall return the deed to: _______________ SIGNATURE OF OWNER OR OWNERS MAKING THIS DEED Signature: _________ Date: _________ Signature: _________ Date: _________ State of _________ County of _________ This instrument was acknowledged before me on ___ (date) by _________. (name(s) of person(s)) _______________ (Signature of notarial officer) (Seal, if any) _______________ Title (and Rank) My commission expires: _________ ______________________________________________________________________________ [2011 c.212 §16]