ORS 93.948 (URPTDA 1) to 93.979 (Relation to Electronic Signatures in Global and National Commerce Act) govern the effect of an instrument used to create a transfer on death deed. The following form may be used to create a transfer on death deed:TRANSFER ON DEATH DEED(ORS 93.948 (URPTDA 1) to 93.979 (Relation to Electronic Signatures in Global and National Commerce Act))NOTICE TO OWNERYou should carefully read all information on this form. You may want to consult a lawyer before using this form.This form must be recorded before your death or it will not be effective.TAX STATEMENTUntil a change is requested, the county clerk shall send tax statements to the following address: _______________IDENTIFYING INFORMATIONOwner or Owners Making This Deed:Printed name: _________Mailing address: _________Printed name: _________Mailing address: _________Legal description of the property:_______________PRIMARY BENEFICIARYI designate the following beneficiary if the beneficiary survives me:Printed name: _________Mailing address, if available:_______________ALTERNATE BENEFICIARY(Optional)If my primary beneficiary does not survive me, I designate the following alternate beneficiary if that beneficiary survives me:Printed name: _________Mailing address, if available:_______________TRANSFER ON DEATHAt my death, I transfer my interest in the described property to the beneficiaries as designated above.Before my death, I have the right to revoke this deed.SPECIAL TERMS(Optional)_______________RETURN OF DEEDAfter recording, the county clerk shall return the deed to: _______________SIGNATURE OF OWNER OR OWNERSMAKING THIS DEEDSignature: _________Date: _________Signature: _________Date: _________State of _________County of _________This instrument was acknowledged before me on ___ (date) by _________. (name(s) of person(s))_______________(Signature of notarial officer)(Seal, if any)_______________Title (and Rank)My commission expires: _________ [2011 c.212 §16]Note: See note under 93.948 (URPTDA 1).