Mich. Comp. Laws § 554.534: Instrument; form.

Sec. 14.

An instrument in substantially the following form satisfies the requirements of section 13(2)(b) and 13(8):

"TRANSFER UNDER THE MICHIGAN UNIFORM TRANSFERS TO MINORS ACT

I, ____________________ (name of transferor or name and representative capacity, if a fiduciary) transfer to ____________________ (name of custodian), as custodian for ____________________ (name of minor) under the Michigan uniform transfers to minors act, the following:

(insert a description of the custodial property sufficient to identify it).

Dated: _______________

__________________________________________________

(Signature)

____________________ (name of custodian) acknowledges receipt of the property described above as custodian for the minor named above under the Michigan uniform transfers to minors act.

Dated: _______________

_________________________________________"

(Signature of Custodian)