ORS 93.977 URPTDA 17. Form of instrument revoking transfer on death deed

ORS 93.948 to 93.979 govern the effect of an instrument used to revoke a transfer on death deed. The following form may be used to create an instrument revoking a transfer on death deed:

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This instrument revoking a transfer on death deed must be recorded before you die or it will not be effective. This instrument is effective only as to the interests in the property of the owner who signs this instrument.

Owner or Owners of Property Making This Instrument of Revocation:

Printed name: _________

Mailing address: _________

Printed name: _________

Mailing address: _________

Legal description of the property:

_______________

I hereby revoke all my previous transfers of this property by transfer on death deed.

After recording, the county clerk shall return the instrument to: _________

Signature: _________

Date: _________

Signature: _________

Date: _________

State of _________

County of _________

This instrument was acknowledged before me on ___ (date) by _________. (name(s) of person(s))

_______________

(Seal, if any)

_______________

Title (and Rank)

My commission expires: _________

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