Free Consent to Transfer Property (12/86) - Wisconsin

STATE OF WISCONSIN

CONSENT TO TRANSFER PROPERTY

Submit Both Copies With $5.00 Fee to the Wisconsin Department of Revenue

Date Issued by Department

Estate of Address of Decedent at Date of Death (number and street or rural route)

Date of Death City

Decedent's Social Security Number State Zip Code

INSTRUCTIONS: In the space provided below, enter the description and Date of Death value of the property to be transferred along with the name and relationship of the person entitled to receive the property. The Wisconsin Department of Revenue hereby consents to the transfer of the following described personal property of the abovenamed decedent to any surviving joint tenant or to whomever may be entitled to the property by law. NOTICE: This consent is VOID if any property description is entered below the authorized signature stamp.

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RETURN MAILING ADDRESS - Print or type below

Name

For Department Use Only
Address

City State Zip Code

HT-206 (R. 12-86)