Troy Mill Historical Society

                     5890 Troy Mills Rd.      P.O. Box 4        Troy Mills, IA  52344

 

                                               DEED OF GIFT

 

 

Name:_________________________________________Date:______________________

 

Address: ___________________________________________________________________

 

City:  __________________________________State_______________ Zip:  ___________

 

Phone:  ________________________________Cell:  ______________________________

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I hereby irrevocably and unconditionally give, transfer, assign and deliver to the Troy Mills Historical Society of Troy Mills, IA by way of gift, all rights, title, copyright to and interest in the following object(s) which I own:

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Description of Gift____________________________________________________________

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_____________________________________________________________________________

______________________________________________________________________________

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By my signature below I accept the foregoing conditions and acknowledge reading any attached information.

 

This gift is given in memory of ____________________________________________________

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Dated________________________________________________________________________

                                                                         Donor/Agent

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Date Received:  ___________________    Received by _________________________________

 

Signed:  ___________________________    _____________________________  ____________

                        Name                                                Title                              Date

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