Document prepared by (after recording
return to):
Name:
Company:
Address:
Address 2:
City, State, Zip:
Phone:
--Above this line reserved for official use only--
TRANSFER ON DEATH DEED
KNOW ALL MEN BY THESE PRESENTS THAT:
___________________________, [insert name of grantor], of _____________________________________ [insert
address of grantor], married unmarried, hereinafter referred to as “the Grantor”, transfers upon
Grantor’s death unto ___________________________, [insert name of grantee], of
_____________________________________ [insert address of grantee], married unmarried, hereinafter
referred to as “the Grantee Beneficiary”, effective upon Grantor’s death, the following lands and
property, together with all improvements located thereon, lying in ________________________ County,
State of Wisconsin:
[Describe Property]
Prior instrument reference: Book __________, Page _________, Document Number ________
of the Public Records of the District Recorder of ________________________ County, State of
Wisconsin
This transfer on death deed is exempt from fee and return because it is not defined as a conveyance by
Sec. 77.21(1), Stats. for purposes of real estate transfer taxes because it is a transfer on death deed under
Sec. 705.15 and at the death of the Grantor will be exempt under 77.25(11m), Stats.
SUBJECT to all easements, rights of way, protective covenants and mineral reservations of record, if any.
TO HAVE AND TO HOLD the same unto the Grantee Beneficiary, and his/her heirs and assigns forever,
with all appurtenances thereunto belonging.
WITNESS the Grantor’s hand this the _____ day of ______________, _______.
-2-
Signature of Grantor
Print Name-
STATE OF WISCONSIN _________________ )
)-ss
COUNTY OF __________________________ )
On this _____ day of ______________, _______, before me personally appeared
____________________________ and ___________________________________, to me known to be the
person(s) described in and who executed the foregoing instrument and acknowledged that they executed
the same as their free act and deed.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal, on