"TRANSFER UNDER THE VERMONT 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 Vermont 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 Vermont Uniform Transfers to Minors Act.
Dated: ______
__________
(Signature of Custodian)"
14 V.S.A. § 3219