Fillable DESIGNATION OF TOD BENEFICIARY Under Wis. Stat. 705.15 (Waukesha County Government)

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DESIGNATION OF TOD BENEFICIARY Under Wis. Stat. 705.15 (Waukesha County Government)

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This
*
*
*
*
authenticated on
*
Personally came before me on
A.
B. The sole purpose of this instrument is to revoke all previous TOD beneficiary
designations.
State Bar of Wisconsin Form 9-2009
DESIGNATION OF TOD BENEFICIARY
Under Wis. Stat. § 705.15
Document Number
Document Name
THIS DESIGNATION is made by
(collectively, "Owner") of the following
Recording Area
(attach Exhibit A if more space is needed):
Name and Return Address
Parcel Identification Number (PIN)
homestead property.
(is) (is not)
This designation is effective only upon the recording of this instrument.
This transaction is Fee Exempt under Wis. Stat. § 77.25(10m), and exempt from the filing
of a t
ransfer return under Wis. Stat. § 77.21(1).
Dated
.
(SEAL)
(SEAL)
(SEAL)
(SEAL)
AUTHENTICATION
ACKNOWLEDGMENT
Signature(s) of
STATE OF WISCONSIN
)
.
) ss.
COUNTY
)
,
TITLE: MEMBER STATE BAR OF WISCONSIN
the above-named
(If not,
authorized by Wis. Stat. § 706.06)
to me known to be the person(s) who executed the foregoing
instrument and acknowledged the same.
THIS INSTRUMENT DRAFTED BY:
*
Notary Public, State of Wisconsin
My Commission (is permanent) (expires:
)
(Signatures may be authenticated or acknowledged. Both are not necessary.)
NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED.
DESIGNATION OF TOD BENEFICIARY
* Type name below signatures.
STATE BAR OF WISCONSIN
FORM NO. 9-2009
described real estate located in
County, State of Wisconsin (the “Property”)
Owner transfers the Property without probate upon death of the sole owner, or upon the last to
die of multiple owners, to the following TOD beneficiary, without warranties:
Select A or B:
Insert name of beneficiary, whether one or more. This revokes all previous
TOD beneficiary designations.
is not
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DESIGNATION OF TOD BENEFICIARY Under Wis. Stat. 705.15 (Waukesha County Government)

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Completed 6 August 2020

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