ORS 93.977: URPTDA 17. Form of instrument revoking transfer on death deed.

ORS 93.948 to 93.979 govern the effect of an instrument used to revoke a transfer on death deed. The following form may be used to create an instrument revoking a transfer on death deed:

INSTRUMENT REVOKING

TRANSFER ON DEATH DEED

NOTICE TO OWNER

      This instrument revoking a transfer on death deed must be recorded before you die or it will not be effective. This instrument is effective only as to the interests in the property of the owner who signs this instrument.

IDENTIFYING INFORMATION

      Owner or Owners of Property Making This Instrument of Revocation:

      Printed name: _________

      Mailing address: _________

      Printed name: _________

      Mailing address: _________

      Legal description of the property:

REVOCATION

      I hereby revoke all my previous transfers of this property by transfer on death deed.

RETURN OF INSTRUMENT

      After recording, the county clerk shall return the instrument to: _________

SIGNATURE OF OWNER OR OWNERS

MAKING THIS DEED

Signature: _________

Date: _________

Signature: _________

Date: _________

      State of _________

      County of _________

      This instrument was acknowledged before me on ___ (date) by _________. (name(s) of person(s))

      (Signature of notarial officer)

      (Seal, if any)

      Title (and Rank)

      My commission expires: _________