______________________________________________________________________________
TRANSFER UNDER THE OREGON
UNIFORM TRANSFERS TO MINORS ACT
I, ________ (name of transferor or name and representative capacity if a fiduciary) hereby transfer to ________ (name of custodian), as custodian for ________ (name of beneficiary) under the Oregon Uniform Transfers to Minors Act, the following: (insert a description of the custodial property sufficient to identify it).
Delayed Transfer (may be made only if authorized by ORS 126.872): The custodian shall deliver the property to the beneficiary when the beneficiary attains the age of ___ years (not less than 21 nor more than 25).
Dated: ________
___________
(Signature)
________ (name of custodian) acknowledges receipt of the property described above as custodian for the beneficiary named above under the Oregon Uniform Transfers to Minors Act.
Dated: ________
___________
(Signature of Custodian)
______________________________________________________________________________
ORS 126.832