Fill and Sign the Recording of a Transfer on Death Designation Affidavit Laws Form

Transfer on Death Designation Affidavit Page 1 of 3 TRANSFER ON DEATH DESIGNATION AFFIDAVIT[Individual to a Business Entity] STATE of OHIO ) COUNTY of ) , owner, a married individual, currently owner of record of the following real property located at , , Ohio as recorded at Volume , Page , of the County deed records: See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description: hereby designates the following as “Transfer on Death” Beneficiary to receive the owner’s title to that property upon the death of the owner: , a corporation, organized under the laws of the State of , whose street address is , in the City of , State of , and Zip Code of . The above is intended to convey property known as: . Parcel # Alt Id# Transfer on Death Designation Affidavit Page 2 of 3 Prior Instrument Reference: I, wife husband of the Owner/Affiant, release all rights of dower in the above described premises. WITNESS Grantor’s hand this the ____ day of ________________, 20____. Signed, Sealed and Delivered in the presence of: Witness Signature Type or Print Name Type or Print Name WitnessSignature of Spouse (if required) Type or Print Name Type or Print Name STATE OF OHIO} ss before me a notary public, in and for said County, County } personally appear the above named Who acknowledged that he did sign the forgoing instrument, and that the same is his free act and deed. IN TESTIMONY WHEREOF I have hereunto set my hand and official seal, at , . This day of , A.D. 20 . Notary Public Grantee’s Address: Grantor’s Addresses: Transfer on Death Designation Affidavit Page 3 of 3 This Instrument was prepared by and return to: Signature Print or Type Name Exhibit A EXHIBIT A