Fill and Sign the Money Estate Form

Assignment For valuable consideration, I, _____________________ (Name of Assignor) , of ______________________________________________________________________________ __________________ (street address, city, county, state, zip code) , hereinafter called Assignor , hereby assign to _________________________________ (Name of Assignee) , of ___________ ______________________________________________________________________________ (street address, city, county, state, zip code) , hereinafter called Assignee , $__________________ from my distributive share in the Estate of __________________________________ (Name of Decedent) , deceased. ________________________________________ (Name of Executor or Administrator) , of ___________________________________________________________________________ ________________________________ (street address, city, county, state, zip code) , personal representative of the Estate of ____________________________________ (Name of Decedent) , deceased, is authorized to pay that amount from my distributive share in the Estate of ____________________________________ (Name of Decedent) , deceased, to ____________________________________ (Name of Assignee) , Assignee . Assignee's receipt for the above-stated amount shall be a sufficient release of all liability of the Estate of ____________________________________ (Name of Decedent) , and of the personal representative to me for such payment under this Assignment. At the request of Assignee , I shall execute any additional documents necessary to effectuate this Assignment. This Assignment shall be governed by, construed, and enforced in accordance with the laws of ________________________________ (Name of State) . Witness my signature this _____________________________ (date) . _______________________________ ___________________________________ (Printed Name and Signature of Assignor) Acknowledgment 1 STATE OF _______________________ COUNTY OF ________________________ Personally appeared before me, the undersigned authority in and for said County and State, on this _______________________________ (date) , within my jurisdiction, the within- named _____________________________________ ( Name of Assignor) , who acknowledged that he/she executed the above and foregoing instrument. _____________________________ NOTARY PUBLIC My Commission Expires: ________________________ 1 Form of Acknowledgment may vary by state.