ACT OF DONATION OF A MOVABLE
PARISH OF _______________________
STATE OF LOUISIANA
BEFORE ME, the undersigned notary public, duly commissioned and qualified in and for the
parish and state aforesaid, and before the undersigned competent witnesses, personally came and
appeared:
______________________________________________________________
Donor, of legal age, who hereby donates and delivers with full and general warranty of title unto:
______________________________________________________________
Donee, of legal age, who hereby accepts the within donation of the following described movable property:
Make: __________
Model: __________
Year:
__________
VIN:
_____________________________
The relationship between Donor and Donee is as follows:
________________________________________________________________
The value of the movable property donated herein is $_____________________.
Donor warrants that there are no mortgages, liens, or encumbrances of any kind against the movable
property donated or any accessories attached thereon.
SIGNED on this ___________ day of _____________________, 20____.
WITNESSES:
_______________________________________
_______________________________________
Donor
_______________________________________
_______________________________________
Donee
________________________________________________________
_________________
Notary Public Signature/Printed Name
Notary ID #
(R 04/09)