"TRANSFER UNDER THE MISSISSIPPI UNIFORM TRANSFERS TO MINORS ACT
I, ____________________ (name of transferor or name and representative capacity if a fiduciary) hereby transfer to ____________________ (name of custodian), as custodian for ____________________ (name of minor) under the Mississippi Uniform Transfers to Minors Act, the following: (insert a description of the custodial property sufficient to identify it).
Dated: ____________________
____________________
(Signature)
____________________ (name of custodian) acknowledges receipt of the property described above as custodian for the minor named above under the Mississippi Uniform Transfers to Minors Act.
Dated: ____________________
____________________
(Signature of Custodian)"
Miss. Code § 91-20-19