STATE OF LOUISIANA
PARISH OF _____________________
ACT OF DONATION
BEFORE ME, THE UNDERSIGNED NOTARY PUBLIC, DULY COMMISSIONED AND QUALIFIED IN AND
FOR THE PARISH AND STATE AFORESAID, 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:
VIN #: ______________________________________________
MAKE: _____________________________________________
MODEL: ____________________________________________
BODY: ______________________________________________
YEAR: ______________________________________________
MILEAGE: ___________________________________________
VALUE: _____________________________________________
THE RELATIONSHIP BETWEEN DONOR AND DONEE IS AS FOLLOWS:
________________________________________________________________
DONOR WARRANTS THAT THERE ARE NO MORTAGES, LIENS, OR ENCUMBRANCES OF ANY KIND
AGAINST THE MOVABLE PROPERTY DONATED OR ANY ACCESSORIES ATTACHED HEREON.
SIGNED ON THIS ___________ DAY OF ______________________, 20_________
___________________________
______________________________
WITNESS
DONOR
___________________________
______________________________
WITNESS
DONEE
______________________________
NOTARY PUBLIC
Pedersen Title Co LLC Form (Act of Donation)