"TRANSFER UNDER THE NORTH CAROLINA
UNIFORM CUSTODIAL TRUST ACT
I, __________________(name of transferor or name and representative capacity if a fiduciary), transfer to _____________ (name of trustee other than transferor), as custodial trustee for ____________ (name of beneficiary) as beneficiary and _____________ as distributee on termination of the trust in absence of direction by the beneficiary under the North Carolina Uniform Custodial Trust Act, the following:
(insert a description of the custodial trust property legally sufficient to identify and transfer each item of property).
Dated: ______________
______________ (Seal) ___________ (Witness)
Signature
___________ (Witness)
STATE OF ______ COUNTY OF ______
On this ______ day of_____, ____, personally appeared before me, the said named ______ to me known and known to me to be the person described in and who executed the foregoing instrument and he (or she) acknowledged that he (or she) executed the same and being duly sworn by me, made oath that the statements in the foregoing instrument are true.
My Commission Expires ________
________________
(Signature of Notary Public)
Notary Public (Official Seal)";
or
"DECLARATION OF TRUST UNDER THE NORTH CAROLINA
UNIFORM CUSTODIAL TRUST ACT
I, _______________(name of owner of property,) declare that henceforth I hold as custodial trustee for _____________ (name of beneficiary other than transferor) as beneficiary and ____________ as distributee on termination of the trust in absence of direction by the beneficiary under the North Carolina Uniform Custodial Trust Act, the following: (Insert a description of the custodial trust property legally sufficient to identify and transfer each item of property).
Dated: ____________
______________ (Seal) ___________ (Witness)
Signature
___________ (Witness)
STATE OF ______ COUNTY OF ______
On this ______ day of_____, ____, personally appeared before me, the said named ______ to me known and known to me to be the person described in and who executed the foregoing instrument and he (or she) acknowledged that he (or she) executed the same and being duly sworn by me, made oath that the statements in the foregoing instrument are true.
My Commission Expires ________
________________
(Signature of Notary Public)
Notary Public (Official Seal)"
N.C. Gen. Stat. § 33B-18