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SAMPLE TRANSFER UNDER UNIFORM GIFT TO MINORS ACT

I, [donor], hereby transfer to [custodian], as custodian for [name of minor], a minor, residing at [list city and state where minor resides], under the Uniform Transfers to minor act the following:

[describe in detail property transferred]

Dated at [list city and state document is signed]

 ___________________________________




 _______________________________________________
 [donor]

RECEIPT

I, [custodian], acknowledge receipt of the property described above as custodian for the minor above named under the Uniform Transfers to Minors Act.

As such custodian I waive and prospectively waive for the full term that I serve as custodian compensation as provided in Section 15 of the Uniform Transfers to Minors Act.

Dated: _____________________________ at [list city, state where custodian will sign receipt]

 ________________________________________________
 [custodian]

Custodian for [name of minor] under Uniform Transfers to Minors Act