ORS 93.977: URPTDA 17. Form of instrument revoking transfer on death deed.

ORS 93.948 to 93.979 govern the effect of an instrument used to revoke a transfer on death deed. The following form may be used to create an instrument revoking a transfer on death deed: ______________________________________________________________________________ INSTRUMENT REVOKING TRANSFER ON DEATH DEED NOTICE TO OWNER This instrument revoking a transfer on death deed must be recorded before you die or it will not be effective. This instrument is effective only as to the interests in the property of the owner who signs this instrument. IDENTIFYING INFORMATION Owner or Owners of Property Making This Instrument of Revocation: Printed name: _________ Mailing address: _________ Printed name: _________ Mailing address: _________ Legal description of the property: _______________ REVOCATION I hereby revoke all my previous transfers of this property by transfer on death deed. RETURN OF INSTRUMENT After recording, the county clerk shall return the instrument 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 §17]