Act of Donation Form

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ACT OF DONATION
NICHOLLS STATE UNIVERSITY
BE IT KNOWN, that on this Insert Date Number day of Insert Month in the year of Our
Lord two thousand Insert yeart .(2015), Insert Donor Name and Address
PERSONALLY CAME AND APPEARED (hereinafter referred to as “Donor”), who
declared
that
in
accordance
of the educational work
being carried on by the
UNIVERSITY OF LOUISIANA BOARD OF SUPERVISORS, NICHOLLS STATE
UNIVERSITY, herein represented by DR. BRUCE T. MURPHY, duly authorized to
appear herein, (hereinafter referred to as “Donee”), do hereby irrevocably give, grant,
confirm and donate, inter vivos, unto said Donee, the following described property, to
wit:
Insert detailed description of items donated
And now DR. BRUCE T. MURPHY, in his capacity as a representative of the
UNIVERSITY OF LOUISIANA BOARD OF SUPERVISORS on behalf of NICHOLLS
STATE UNIVERSITY, do hereby accept said donation made to the UNIVERSITY OF
LOUISIANA BOARD OF SUPERVISORS on behalf of NICHOLLS STATE
UNIVERSITY and acknowledges due delivery and possession of the above described
property.
Donor estimates the total value of the property herein donated to be the sum of
$Insert amount of donation – please be specific
THUS DONE AND SIGNED this ___________________ day of_________________,
2015, at Thibodaux, Louisiana.
WITNESSES:
____________________________
____________________________
_____________________________
(DONOR)
WITNESSES:
____________________________
____________________________
(DONEE)
Revised March 2015
NICHOLLS STATE UNIVERSITY
_____________________________
Dr. Bruce T. Murphy
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