Missouri Beneficiary Deed
Missouri Beneficiary Deed

Missouri Beneficiary Deed™Request

Missouri Beneficiary Deed Request Form
Missouri Beneficiary Deed Request Form.p[...]
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Print, Complete and Mail in this Request Form

 

 

1. You may download the PDF version by clicking on the above PDF form

 

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_______________________________________________________________________

 

 

Missouri Beneficiary Deed

 

Request Form

 

 

Grantor(s)/Owner(s) Full Legal Name(s)

 

_____________________________________________________________________________

 

_____________________________________________________________________________

 

Grantor(s) Mailing Address (no P.O. Boxes)

 

_____________________________________________________________________________

 

_____________________________________________________________________________

 

 

Grantee(s)/Beneficiary(ies) Full Legal Name(s)

 

Percentage Ownership (if not stated will be equal)

 

Relationship to the Grantor(s)/Owner(s)

 

 

____________________________________________________________________    ______%

Name of Grantee/Beneficiary

 

_____________________________________________

Relationship to Grantor(s)/Owner(s)

 

 

____________________________________________________________________    ______%

Name of Grantee/Beneficiary

 

_____________________________________________

Relationship to Grantor(s)/Owner(s)

 

 

____________________________________________________________________    ______%

Name of Grantee/Beneficiary

 

_____________________________________________

Relationship to Grantor(s)/Owner(s)

 

 

____________________________________________________________________    ______%

Name of Grantee/Beneficiary

 

_____________________________________________

Relationship to Grantor(s)/Owner(s)

 

 

Mailing Address of one Grantee (no P.O. Boxes)

 

_____________________________________________________________________________

 

_____________________________________________________________________________

 

 

If a Grantee/Beneficiary should predecease the Grantor

 

   (for explanation see #3 and #4 on the Information Page)

 

   (a) No LDPS_______

 

     (b) LDPS_______

 

 

Form of Ownership to be held by Grantees/Beneficiaries

 

   (for explanation see #5 on Information Page)

 

   (a) Joint Tenants with Right of Survivorship _______

 

     (b) Tenants in Common _______

 

 

Missouri County where the Real Property is located

 

___________________________________________________________________________

 

 

Address of Real Property

 

___________________________________________________________________________

 

___________________________________________________________________________

 

 

Your Full Name and Relationship to Owner(s)

 

___________________________________________________________________________

 

 

Your Mailing Address

 

___________________________________________________________________________

 

___________________________________________________________________________

 

 

Your Telephone Number

 

___________________________________________________________________________

 

 

Your Signature*

 

___________________________________________________________________________

 

 

Signatures of all Grantors/Owners*

 

 

___________________________________________________________________________

 

 

___________________________________________________________________________

(*Signatures Required - by signing this form you acknowledge

and agree to the Important Notes as set forth below.)

IMPORTANT NOTES*

 

1. By signing this form you agree this form will serve as the complete written agreement between yourself and Missouri Beneficiary Deed, LLC, to provide you with one (1) Missouri Beneficiary Deed (at the cost of $195) per your request and based upon the information you provide on this request form.

 

2. The proper signing of your Missouri Beneficiary Deed in the presence of a notary public and the recording of your Missouri Beneficiary Deed and the fee charged by your local County Recorder of Deeds office to record such deed will be and is your responsibility.

 

3. You understand and agree no legal advice has been provided  to you and no legal services have been provided to you. Consult with an Attorney of your choice for legal advice and a review of your particular legal concerns and affairs.

 

4. In your behalf and on behalf of your estate you hereby release and hold harmless Missouri Beneficiary Deed, LLC, and Michael J. Denk, Attorney at Law, from any and all claims relating to your request, use and implementation of such Missouri Beneficiary Deed.

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