Form 400es - Deed Of Distribution - Lexington, South Carolina Page 3
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3In accordance with the laws of the State of South Carolina, the Personal Representative(s) does/do hereby release all of
the Personal Representative’s(s’) right, title and interest, including statutory and/or testamentary powers, over the real
property described to the beneficiaries named below:
(12)
Name:
______________________________
Name:
______________________________
Address:
______________________________
Address:
______________________________
______________________________
______________________________
Name:
______________________________
Name:
______________________________
Address:
______________________________
Address:
______________________________
______________________________
______________________________
□ An additional sheet is attached for names of additional beneficiaries (check, if applicable)
IN WITNESS WHEREOF the undersigned, as Personal Representative(s) of the above Estate, has executed this Deed of
Distribution, on this _____ day of ________________________________, 20_____.
SIGNED, SEALED AND DELIVERED
IN THE PRESENCE OF:
(13)
(16)(a)
Witness: ____________________________
Estate of: ____________________________________
Print Name: __________________________
Personal Representative
(14)
Signature: ___________________________________
(16)(b)
Witness : ____________________________
Print Name: __________________________________
Print Name: __________________________
If applicable,
Co-Personal Representative
(15)
Signature: ____________________________________
Print Name: _________________________________
STATE OF SOUTH CAROLINA
)
(17)
)
ACKNOWLEDGMENT
COUNTY OF _____________
)
I, _________________________________, Notary Public, a notary for the State of South Carolina do hereby certify that
_______________________________________________________________________, as Personal Representative(s)
of the Estate of ___________________________________________________________, personally appeared before
me this day and acknowledged the due execution of the foregoing Deed of Distribution.
Witness my hand and seal this the ______ day of _____________________________, 20_____.
_______________________________________ (SEAL)
(Signature of Notary Public)
_________________________________________
(Print name of Notary Public)
Notary Public for State of ____________________
My Commission Expires: _____________________
Note: It is recommended that an attorney prepare this document and determine if a title examination is necessary.
FORM #400ES(1/2014)
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