Utah Code § 75-6-416
REVOCABLE TRANSFER ON DEATH DEED
NOTICE TO OWNER
You should carefully read all information on the other side of 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. The beneficiary must be a named person.
IDENTIFYING INFORMATION
Owner or Owners Making This Deed:
_______________________________ ______________________________
Printed Name Mailing Address
_______________________________ ______________________________
Printed Name Mailing Address
Legal Description of Property (Pursuant to Utah Code Section 57-3-105):
_________________________________________________________
Tax Identification Number for Property:
_________________________________________________________
PRIMARY BENEFICIARY
I designate the following beneficiary if the beneficiary survives me:
_______________________________ ______________________________
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:
_______________________________ ______________________________
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
_______________________________ ______________________________
Signature Date
_______________________________
Printed Name
_______________________________ ______________________________
Signature Date
_______________________________
Printed Name
ACKNOWLEDGMENT
(Attach an affidavit of acknowledgment pursuant to Utah Code Section 46-1-6.5 to the form.)
Utah Code § 75-6-416