GIFTING STATEMENT AND AFFIDAVIT

 I,Name, do hereby declare the following statements are true and correct to the very best of my knowledge. Any and all property(s) or asset(s) of any nature that I transfer and give willingly, as of this date of record, from or of personal ownership or possession to the recipient is intended as a gift without recourse or expectation of recovery. 

I perceive no agreement or expectation between the recipient, and myself as grantor and I expect no profit, benefit, or opportunity of any nature in consideration of the asset or property that I have transferred.  I believe that I am totally within the law, my intent is clear and this date of transfer and notations at time of asset allocation establishes that intent as it pertains to my activities herein described. My intention as of this date, is to gift

Name of  Currency Amount
 

as may apply, up to and in any denominations/amounts/totals of available amounts held or optioned at a future date, as depicted below, to those named person(s) and entities listed and described herein,  Gifted to Gifting name as an individual or Trust, and I do not intend the gift as an investment, or as a payment of anything of any value or nature, and I acknowledge that my gift does not entitle me to any future opportunity or benefit.  

I have sworn in this affidavit to not reassert any rights to the property that I now give freely to another individual. I am a fully informed and consenting adult and I have not been misled in any way. 

I do hereby swear and declare under penalties of perjury that the foregoing statement is true and correct, and are binding upon me to the full extent expressed herein. 

I purchased this currency prior to this date of gift and transfer, executed on or before this day of record.  

Name: ________________________________________

Date: _____________   

State of ___________________ 

County of _________________

On this _____ day of Month 2023 the above-named individual known to the undersigned Notary did declare and affix his signature to this Affidavit of his own free will. ___________________________                                 

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Printed Name of Notary, Notary Public