Assignment - Joint Ownership With Right Of Survivorship (Page 4 of 5) in pdf

Assignment - Joint Ownership With Right Of Survivorship Page 4

COUNTY OF: _____________________________________________________________

I, _______________, a resident of and notary public in and for the state and county named above, am

duly commissioned and sworn and legally authorized to administer oaths and affirmations, hereby certify

that on _________ (date) the following (names of assignor(s) and spouse(s)):

_______________________________________________

____________________________________________________ who is/are known to me personally

to be the signer(s) of the above assignment, appeared before me and, after being first duly sworn by me

under penalty of perjury, swore on his/her/their oaths to the truth of the facts in the above assignment,

and signed and acknowledged said assignment in my presence, of his/her/their own free will and for the

purposes explained in said assignment.

Subscribed and sworn to before me this ___ day of ___________ (month), ____ (year).

____________________________ (SEAL)

Notary Public

My Commission Expires: ________________

This instrument was prepared by _______________, whose address is ____________.

STATE OF ________________________

COUNTY OF _______________________

I certify that the above assignment was recorded in my office on the following date:

____________________, at (TIME) ________________.M., and is duly recorded in Book _________

on Page _________________ (or as recorder's fee number ____________), of the _______________

records of the above state and county.

__________________________________________

Recorder

Assignment - Joint Ownership With Right Of Survivorship Page 4