Termination of Joint Tenancy Statement of Acknowledgement

enter name is the surviving owner of real property owned with enter name who passed away on add date

The above-named parties owned real property located in Enter County, Montana as joint tenants, with right of survivorship. The real property is more particularly described in the attached last deed of record in addition to the attached death certificate.

That the interest of enter name in the above-described property is terminated. That the aggregate value of the interest in the joint tenancy property is less than the federal estate filing requirement. That the estate of enter name is not involved in probate and there is no need for a personal representative to the estate.

This Statement of Acknowledgment is made pursuant to Section 72-16-503 and 7-4-2613(1)(c), MCA.

Dated:

__________________________________________

Signature

State of
County of

This instrument was acknowledged before me on
(date)
By
(name of person)

(Seal)
Notary Signature Line
Notary Printed Name
Notary Public for State of
Residing at:
My Commission Expires:	/	/	20