Fill and Sign the Fiduciary Deed for Use by Executors Trustees Trustors Administrators and Other Fiduciaries West Virginia Form

Prepared by U.S. Legal Forms, Inc. Copyright 2016 - U.S. Legal Forms, Inc. STATE OF WEST VIRGINIA FIDUCIARY DEED Control Number – WV - SDEED - 6 NOTE ABOUT COMPLETING THE FORMS The forms in this packet contain “form fields” created using Microsoft Word. “Form fields” facilitate completion of the forms using your computer. They do not limit you ability to print the form “in blank” and complete with a typewriter or by hand. If you do not see the gray shaded form fields, go the View menu, click on Toolbars, and then select Forms. This will open the forms toolbar. Look for the button on the forms toolbar that resembles a shaded letter “a”. Click in this button and the form fields will be visible. The forms are locked which means that the content of the forms cannot be changed. You can only fill in the information in the fields. If you need to make any changes in the body of the form, it is necessary for you “unlock” or “unprotect” the form. 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HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. FIDUCIARY DEED KNOW ALL MEN BY THESE PRESENTS THAT: , as Conservator of the estate of ________________________ , or Testamentary Trustee of the ________________________ Trust established by the Last Will and Testament of ________________________ , or Trustee of the ________________________ Trust, or Administrator of the Estate of ________________________ , or Executor of the Estate of ________________________ , or ______________________________ as ________________________ , by the power conferred by the Laws of the State of West Virginia, and every other power, does Grant and Convey, with fiduciary covenants, unto ________________________ , an individual, or ________________________ and ________________________ , individuals, or ________________________ and ________________________ , Husband and Wife, as joint tenants with right of survivorship, remainder to the survivor of them, their natural heirs and assigns forever, the following lands and property, together with all improvements located thereon lying in the County of ______________________ , City of ______________________ , State of West Virginia, to-wit: (description of land or interest therein and encumbrances, reservations, and exceptions, if any) Prior instrument Reference: Deed Book ____________ , Page ____________ , of the Deed Records of __________________ County, West Virginia. COMPLETE ALL APPLICABLE STATEMENTS: The grantor herein does/do hereby declare that this is a transfer exempt from the excise tax; Under the penalties of fine and imprisonment as provided by law, the grantor does/do hereby declare that the total consideration for the real estate transferred by this document is __________________ Dollars ($ __________________ ). In Witness Whereof, the said ______________________________ , in his/her capacity as __________________ , has hereunto set his/her hand this ______ day of __________________ , 20 ______ . Fiduciary Deed Page 1 of 4 Signed and Acknowledged in the Presence of: (Signature) (Capacity) (Printed Name) (Signature) (Signature) (Printed Name) (Printed Name) STATE OF WISCONSIN COUNTY OF _________________________ This instrument was acknowledged before me on _________________________ (date) by __________________________________________ (name or names of person or persons acknowledging). Notary Public My commission expires: Type or Print Name DECLARATION OF CONSIDERATION OR VALUE I hereby declare: (a) The total consideration paid for the property conveyed by the document to which this declaration is appended is $ ________________________ ; or (b) The true and actual value of the property transferred by the document to which this declaration is appended is, to the best of my knowledge and belief $ ________________________ ; or (c) The proportion of all the property included in the document to which this declaration is appended which is real property located in West Virginia is ____________ %; the value of all the property $ ________________________ ; the value of real estate in West Virginia is $ ________________________ ; or Fiduciary Deed Page 2 of 4 (d) This deed conveys real estate located in more than one county in West Virginia; the total consideration paid for, or actual cash value of, all the real estate located in West Virginia conveyed by this document is $ ________________________ ; and documentary stamps showing payment of all of the excise tax on all of said real estate are attached to an executed counterpart of this deed recorded in __________________ County. Given under my hand this ______ day of __________________ , 20 ______ . Signature       Type or Print Name Nature of Interest in Conveyance: Grantor Grantee Other Specify:       Prepared by and after Recording Return to: Name: ___________________ Firm/Company: ___________________ Address: ___________________ Address 2: ___________________ City, State, Zip: ___________________ Phone: ___________________ Preparer’s signature: ______________________________ Grantor(s) Name, Address and phone: Grantee(s) Name, Address and Phone: Fiduciary Deed Page 3 of 4 Fiduciary Deed Page 4 of 4 EXHIBIT A       Fiduciary Deed Exhibit A