For value received, I, ____________________, of _________________, assign to __________________, of ______________________, as assignee, all my right, title, and interest in the estate of ___________________, deceased, whose last place of residence was __________________, and who died on ________________, 20_____.

I warrant that the value of property due me is at least _______________________ Dollars ($_________), and I agree to execute on demand any and all documents necessary or convenient to transfer to assignee all of the interest in either the real or personal property of descendant to which I am entitled by virtue of the death.

This assignment is made subject to and on condition that assignee pay all estate and inheritance taxes which would have been payable by assignor with respect to the estate.

Dated _________________, 20_______.

______________________________

STATE OF ______________________

COUNTY OF ____________________

BEFORE ME, the undersigned authority, on this ______ day of ______________, 19_____, personally appeared _________________ to me well known to be the person described in and who signed the Foregoing, and acknowledged to me that he executed the same freely and voluntarily for the uses and purposes therein expressed.

WITNESS my hand and official seal the date aforesaid.

_______________________________
NOTARY PUBLIC

My Commission Expires:_________

NOTICE

The information in this document is designed to provide an outline that you can follow when formulating business or personal plans. Due to the variances of many local, city, county and state laws, we recommend that you seek professional legal counseling before entering into any contract or agreement.