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Gift to Minor Under Uniform Gift to Minors Act
1. Delivery to Custodian. I, [name] (Donor), deliver to
[name] (Custodian), as Custodian for [name] (Minor) under the
Uniform Gift to Minors Act of [state], the following security:
2. Custodian's Acknowledgment of Receipt of Gift to Minor. I,
[name] (Custodian), hereby acknowledge receipt of the above-described
security as Custodian for [name] (Minor) under the Uniform Gift to
Minors Act of [state].
This Section for Notary:
State of _________
County of ________ [County]
On [Date] before me, [Name of Notary], notary, personally appeared [Name of Person(s) Involved], personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
Witness my hand and official seal.
My commission expires: _____