Colorado Beneficiary Deed
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space above this line for Recorder’s use
Recording requested by | After recording mail statements to | |
Colorado Beneficiary Deed
(as Grantor), designates | |
(as Grantee-Beneficiary), whose address is | |
(note to Assessor and Treasurer: this address if for identification purposes only, all notices and tax statements should be sent to Grantor)
Grantor transfer, sells, and conveys on Grantor’s death to the Grantee-Beneficiary, the following real property located in the County of___________________________, State of Colorado:
A complete legal description of the real property being conveyed by this instrument is attached hereto on page 4 as EXHIBIT A.
Known and numbered as: |
Optional: If Grantee-Beneficiary fails to survive Grantor, Grantor designates: | |
with the address | |
as successor Grantee-Beneficiary.
CONVENIENCE DEED — NO DOCUMENTARY FEE REQUIRED
This Beneficiary Deed is revocable. It does not transfer any ownership until the Grantor’s death. It revokes all prior Beneficiary Deeds by this Grantor for this real property even if this Beneficiary Deed fails to convey all of the Grantor’s interest in this real property.
WARNING: EXECUTION OF THIS BENEFICIARY DEED MAY DISQUALIFY THE GRANTOR FROM BEING DETERMINED ELIGIBLE FOR, OR FROM RECEIVING MEDICAID UNDER TITLE 25.5, COLORADO REVISED STATUTES.
WARNING: EXECUTION OF THIS BENEFICIARY DEED MAY NOT AVOID PROBATE.
Signature | Date |
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 Colorado }
County of ________________________ }
On ________________________, 20____, before me, ________________________ (insert name and title of the officer), personally appeared ________________________ (seller’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
