For value received, I, _________, of
_______, assign to _______, of ________, as assignee,
all my right, title, and interest in the
estate of ______, deceased, whose last place of residence
was ______, and who died on ______, 20___.
I warrant that the value of property due me
is at least _________ Dollars ($_________), and I agree to
execute on demand any and all documents necessary or
convenient to transfer to assignee all of the interest in
either the real or personal property of descendant to which
I am entitled by virtue of the death.
This assignment is made subject to and on
condition that assignee pay all estate and inheritance taxes
which would have been payable by assignor with respect to
the estate.