Maine Transfer on Death Deed

space above this line for recorder’s use only

This instrument was prepared by: After recording, please return to:

______________________________ ______________________________
______________________________ ______________________________

______________________________ ______________________________

Maine Revocable Transfer on Death Deed

IDENTIFYING INFORMATION. Owner or Owners making this deed:

Printed Name: ________________________________________________________________

Address: _____________________________________________________________________

Printed Name: ________________________________________________________________

Address: _____________________________________________________________________

Legal description of the property:

A complete legal description of the real property being conveyed by this instrument is attached hereto on page 3 as EXHIBIT A.

BENEFICIARY. I designate the following Primary beneficiary:

Printed Name: ________________________________________________________________

Address: _____________________________________________________________________

If the beneficiary does not survive me, I designate the following alternate beneficiary (optional):

Printed Name: ________________________________________________________________

Address: _____________________________________________________________________

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.

Owner Signature: _____________________________________________________________

Owner Signature: _____________________________________________________________

NOTARY ACKNOWLEDGMENT

A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

State of Maine }

County of ________________________ }

On ________________________, 20____, before me, ________________________ (insert name and title of the officer), personally appeared ________________________ (Grantor’s name) who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed within the Transfer on Death Deed and acknowledged to me that they executed the same in their authorized capacity, and that by their signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the state of ________________________ that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

Notary Public: ________________________

Print Name: ________________________

My Commission Expires: ________________________, 20____

(seal)

EXHIBIT A

Legal Description