Fill and Sign the Louisiana Donation Form 497309136

STATE OF LOUISIANA PARISH OF [_PARISH_] ACT OF DONATION BE IT KNOWN, that on [_Date_] , before me, [_NOTARY_] , a Notary Public, duly commissioned and qualified in and for the aforementioned state and parish, and in the presence of the witnesses hereinafter named and undersigned: PERSONALLY CAME AND APPEARED: [_DONOR_] , whose Tax Identification Number is [_TIN_1_] , a single woman of full age of majority domiciled in [_Donor_Parish_] , whose present mailing address is [_Donor_Address_] ; hereinafter referred to as "DONOR", and [_DONEE_] , whose Tax Identification Number is [_TIN_2_] , wife of [_Husband_] , domiciled in [_Donee_Parish_] , whose present mailing address is [_Donee_Address_] ; hereinafter referred to as "DONEE", who, after being duly sworn by me, declared that in consideration of the affection which DONOR has and bears for DONEE, DONOR does by these presents irrevocably give, grant and donate, inter vivos unto the said DONEE the following described property: [_Property_Description_] The property conveyed herein has as its address [_Prop_Address_] . DONOR declares that it is her intention to make a donation inter vivos to DONEE. The property donated herein shall be the separate property of DONEE. The parties hereto acknowledge that the current fair market value of the property donated herein is [_$Value_] . DONEE appears herein and accepts this donation in accordance with the terms hereof and acknowledges gratitude therefor. [Collation_Waiver] This donation is made as an extra portion, not subject to collation. [Tax_Receipts] Tax receipts and/or certificates are annexed hereto showing payment of all state, parish, municipal and levee district taxes and past due charges for local improvement assessments assessed against the property. [Conveyance_Cert.] By reference to the certificate of the Register of Conveyances for the Parish of Orleans it does not appear that said property has been alienated by DONOR. The parties are aware that the certificate attached hereto is open, being not yet dated and signed, and relieve and release the undersigned notary from all responsibility and liability in connection therewith. THUS DONE AND SIGNED at [_City_Parish_] , Louisiana, on the day and date first above mentioned, in the presence of the undersigned competent witnesses, who hereunto sign their names with the said appearers and me, Notary, after due reading of the whole. WITNESSES: ______________________ ___________________________ [_DONOR_] ______________________ ___________________________ [_DONEE_] ____________________________________________ [_NOTARY_] NOTARY PUBLIC * * * * * * * * * * DONATION : This is a donation of immovable property to a married donee, as the donee's separate property. See document explanation for collation waiver language. In the case of a donation with reservation of usufruct, see R.S. 47:1203. WORD KEY : EXPLANATION : [_PARISH_] Parish of execution. [_Date_] Date of execution. [_NOTARY_] Notary before whom donation executed. [_DONOR_] Full name of donor. For alternate appearances, see document Appearances - F1AAPP1. [_TIN_1_] Tax Identification Number of donor. [_Donor_Parish_] Parish of donor's domicile. [_Donor_Address_] Mailing address of donor. [_DONEE_] Full name of donee. For alternative appearances, see document Appearances - F1AAPP1. [_TIN_2_] Tax Identification Number of donee. [_Husband_] Husband of donee, if applicable. [_Donee_Parish_] Parish of donee's domicile. [_Donee_Address_] Mailing address of donee. [_Property_Description_] Description, with acquisition clause, of property donated. See document Reservations - F1ASAL10 for reservation clauses. [_Prop_Address_] Municipal number or address of the property conveyed. [_$Value_] Value of property donated (with $). [_City_Parish_] City and Parish where signed. [Collation_Waiver] Optional provision for waiver of collation. [Tax_Receipts] Include statement and receipts/certificates showing payment of taxes in conveyances of real property located in municipal corporations exceeding 300,000 inhabitants, as per R.S. 9:2921. [Conveyance_Cert.] Where real property located in the Parish of Orleans is conveyed, R.S. 9:2928 requires attachment of a certificate of the Register of Conveyances showing that the seller has not alienated the property.