ECONOMIC INTEREST DEED
Transferor(s) Name ___________________________________________________
Address ___________________________________________________________
City_________________________ State____________ Zip___________________
Telephone Number ___________________________
Transferee(s) Name __________________________________________________
Address ___________________________________________________________
City_________________________ State_____________ Zip _________________
Telephone Number ________________________
Date of Transfer __________________________
Interest Transferred _______________________
Underlying (Qualifying) Real Property: Square _____ Suffix _____ Lot _____
Transferor Signature ____________________________________________
Transferee Signature ____________________________________________
Subscribed and sworn to before me this _____ day of ___________, 20_____.
__________________________________
Notary Public
My Commission Expires: ______________
(Notary Seal)
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