N.H. Rev. Stat. § 563-D:19
The following form may be used to create a transfer on death deed. The other sections of this chapter govern the effect of this or any other instrument used to create a transfer on death deed.
NOTICE: This deed must be recorded by the earlier of 60 days from date of execution or the date of the owner's (transferor's) death, or it will not be effective.
REVOCABLE TRANSFER ON DEATH DEED
THIS REVOCABLE TRANSFER ON DEATH DEED, dated __________________________, is made by ______________________________(name of owner(s) making this deed) of _____________________________________________(mailing address of owner(s)).
This Revocable Transfer of Death Deed is made pursuant to the Uniform Real Property Transfer on Death Act, New Hampshire RSA 563-D. In accordance with the provisions of N.H. RSA 563-D, at my death, I transfer and convey my interest in the below described property to my designated beneficiary/beneficiaries as follows:
PRIMARY BENEFICIARY
I designate ___________________________(name of beneficiary) of __________________________ (mailing address of beneficiary) as the designated beneficiary if he/she survives me.
(Add additional primary beneficiaries as desired.)
SECONDARY BENEFICIARY (optional)
I designate __________________________(name of secondary beneficiary) of _________________________(mailing address of secondary beneficiary) as the designated beneficiary if my primary beneficiary does not survive me.
(Add additional secondary beneficiaries as desired.)
PROPERTY
The real property that shall be transferred at my death pursuant to this Revocable Transfer on Death Deed is located in the Town (City) of _________________, County of __________________, State of New Hampshire, and is more particularly bound and described as follows:
(Insert legal description of land or interest being conveyed including encumbrances, reservations, and exceptions. A street address by itself is not sufficient.)
Before my death, I have the right to revoke this deed.
This deed is exempt from real estate transfer tax as a revocable transfer on death deed for no consideration pursuant to RSA 78-B:2, XXV.
Executed this ___ day of _______________________
_________________________________
Signature of owner
(Add additional owners as needed.)
STATE OF ___________________
COUNTY OF _________________
The foregoing instrument was acknowledged before me this ___ day of ____________________ by ____________________(name of owner).
__________________________________
Notary Public/Justice of the Peace
My commission expires: ______________
Notary Seal or Stamp:
(Add additional acknowledgments as needed.)
RSA 563-D:19