Fill and Sign the Ks Form 497307370

This space is reserved for the Register of Deeds ______________________________________________________________________________ TRANSFER ON DEATH DEED (Individual to Individual) KNOW ALL MEN BY THESE PRESENTS THAT: ______________________ , an individual, married unmarried, as owner, hereinafter referred to as “Grantor”, does hereby transfer on death to ______________________ , as beneficiary; or ______________________ , as the alternative beneficiary(ies), hereinafter “grantee beneficiary”, the following lands and property, together with all improvements located thereon, lying in the County of ______________________ , State of Kansas, to-wit: See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description:       Prior instrument reference: Book ______ , Page ______ , Document No. ______ , of the Recorder of ______________________ County, Kansas. This transfer on death deed is revocable. It does not transfer any ownership until the death of the owner. It revokes all prior beneficiary designations by this owner for interest in real estate. Transfer on Death Deed Page 1 of 2 SUBJECT to all easements, rights-of-way, protective covenants and mineral reservations of record, if any. TO HAVE AND TO HOLD same unto Grantee, and unto Grantee’s heirs and assigns forever, with all appurtenances thereunto belonging. WITNESS Grantor(s) hand(s) this the ____ day of ________________ , 20 ____ . (1 st Grantor’s Signature)       Print Name STATE OF ______________________ COUNTY OF _________________ This instrument was acknowledged to me on _____________________________ (date) by _____________________________ [name(s) of person(s)]. ______________________________ Notary Public Print Name: _____________________ My commission expires: _____________________ Grantor(s) Name, Address, phone:                                     Grantee(s) Name, Address, phone:                                     SEND TAX STATEMENTS TO GRANTEE Transfer on Death Deed Page 2 of 2 EXHIBIT A       Transfer on Death Deed Exhibit A