Form Preparer Details Please specify if you are the current property owner or if you are completing this request on someone else’s behalf. Filing Status *Please Select:I am the owner(s)I am completing this form on behalf of the owner(s)Does the property owner possess the capacity to comprehend and provide informed consent for the notarization process? *Please Select:YesNoTo proceed with Remote Online Notarization (RON), the signer must be fluent in English and free of any condition—such as cognitive impairment, dementia, or sensory disabilities—that would hinder their ability to fully comprehend and consent to this legal act. If the owner requires a non-English speaking notary or has specific accessibility needs, they must arrange for a local notary public who can accommodate them. In such cases, once the document is notarized externally, you may submit the signed deed to us for e-recording. Please note: Any third-party notary fees incurred are the sole responsibility of the property owner.Authorized Representative DetailsFirst NameMiddle NameLast NameRepresentative PhoneRepresentative EmailDoes the property owner possess the cognitive capacity to understand and authorize the notarization process? *Please Select:YesNo Property Ownership & Location Information Please enter the specific details for the real estate asset(s) you wish to address in this Lady Bird Deed. Total number of current titleholders: *Please Select:12345How many properties are being included? (Special: Second property included at no additional cost) *Please Select:12Property Location (#1)Street Address Line 1 *Unit, Suite, or Building Number (if applicable)City *State *Zip Code *County of Record: *Please Select:AlachuaBakerBayBradfordBrevardBrowardCalhounCharlotteCitrusClayCollierColumbiaDeSotoDixieDuvalEscambiaFlaglerFranklinGadsdenGilchristGladesGulfHamiltonHardeeHendryHernandoHighlandsHillsboroughHolmesIndian RiverJacksonJeffersonLafayetteLakeLeeLeonLevyLibertyMadisonManateeMarionMartinMiami-DadeMonroeNassauOkaloosaOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSanta RosaSarasotaSeminoleSt. JohnsSt. LucieSumterSuwanneeTaylorUnionVolusiaWakullaWaltonWashingtonProperty Location (#2)Street Address *Street Address Line 2City *State *Zip Code *County where the property is located: *Please Select:AlachuaBakerBayBradfordBrevardBrowardCalhounCharlotteCitrusClayCollierColumbiaDeSotoDixieDuvalEscambiaFlaglerFranklinGadsdenGilchristGladesGulfHamiltonHardeeHendryHernandoHighlandsHillsboroughHolmesIndian RiverJacksonJeffersonLafayetteLakeLeeLeonLevyLibertyMadisonManateeMarionMartinMiami-DadeMonroeNassauOkaloosaOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSanta RosaSarasotaSeminoleSt. JohnsSt. LucieSumterSuwanneeTaylorUnionVolusiaWakullaWaltonWashington Current Property Owner Details Primary Mailing Address for Official Correspondence:Street Address *Street Address Line 2City *State *Postal / Zip Code * Property Ownership Verification Eligibility Note: Lady Bird Deeds are exclusively available for properties titled to individuals (not LLCs, corporations, or trusts). All listed owners must provide a valid, unexpired government-issued photo ID to process the deed. Does this property currently have an active Florida Homestead Exemption? *A Homestead Exemption signifies that this property is your primary residence in Florida, qualifying you for property tax benefits from your local county.Please Select:NoYes Please enter your full legal name exactly as it appears on your government-issued ID. Please include your full middle name if listed. Owner #1 InformationMarital Status: For Owner #1 *Please Select:SingleMarriedWidowed (death certificate may be required)Deceased (death certificate may be required) Owner Full Name #1 First Name *Middle NameLast Name *Owner E-Mail * #1 *example@example.comOwner Phone Number * #1 *Please enter a valid phone number.Owner #2 InformationMarital Status: For Owner #2 *Please Select:SingleMarriedWidowed (death certificate may be required)Deceased (death certificate may be required) Owner Full Name #2 First Name *Middle NameLast Name *Owner E-Mail #2 *Owner Phone Number #2 *Owner #3 InformationMarital Status: For Owner #3 *Please Select:SingleMarriedWidowed (death certificate may be required)Deceased (death certificate may be required) Owner Full Name #3 First Name *Middle NameLast Name *Owner E-Mail #3 *example@example.comOwner Phone Number #3 *Please enter a valid phone number.Owner #4 InformationMarital Status: For Owner #4 *Please Select:SingleMarriedWidowed (death certificate may be required)Deceased (death certificate may be required) Owner Full Name #4 First Name *Middle NameLast Name *Owner E-Mail #4 *example@example.comOwner Phone Number #4 *Please enter a valid phone number.Owner #5 InformationMarital Status: For Owner #5 *Please Select:SingleMarriedWidowed (death certificate may be required)Deceased (death certificate may be required) Owner Full Name #5 First Name *Middle NameLast Name *Owner E-Mail #5 *example@example.comOwner Phone Number #5 *Please enter a valid phone number. Designate Your Beneficiaries Please provide the identity details of the individual(s) designated to inherit this property upon your passing. Note: All beneficiaries must be at least 18 years of age. Number of Beneficiaries: *Please Select:12345Select Beneficiary Vesting Method: *Please Select:One BeneficiaryJoin Tenants with Rigths of Survivorship (JTWROS)Tenants in Common Joint Tenants with Rights of Survivorship (JTWROS) Each beneficiary holds an equal interest. Upon a beneficiary’s passing, their share automatically vests in the surviving beneficiaries, bypassing probate court. Tenants in Common Each beneficiary holds a distinct, separate interest. If a beneficiary passes away, their share transfers to their own heirs or estate, rather than the other beneficiaries named on the deed. One Beneficiary The designated individual will automatically assume full (100%) ownership of the property upon your passing. Please select «One Beneficiary» as the vesting type. Designated Beneficiary Information Please provide the beneficiary’s full legal name exactly as it appears on their government-issued identification. Include the full middle name if applicable. Beneficiary #1 Full NameFirst Name *Middle NameLast Name *#1 – Age 18+? *Please Select:YesNoBeneficiary #1 AddressStreet Address *Street Address Line 2City *State *Postal / Zip Code *Beneficiary #2 Full NameFirst Name *Middle NameLast Name *#2 – Age 18+? *Please Select:YesNoBeneficiary #2 AddressStreet Address *Street Address Line 2City *State *Postal / Zip Code *Beneficiary #3 Full NameFirst Name *Middle NameLast Name *#3 – Age 18+? *Please Select:YesNoBeneficiary #3 AddressStreet Address *Street Address Line 2City *State *Postal / Zip Code *Beneficiary #4 Full NameFirst Name *Middle NameLast Name *#4 – Age 18+? *Please Select:YesNoBeneficiary #4 AddressStreet Address *Street Address Line 2City *State *Postal / Zip Code *Beneficiary #5 Full NameFirst Name *Middle NameLast Name *#5 – Age 18+? *Please Select:YesNoBeneficiary #5 AddressStreet Address *Street Address Line 2City *State *Postal / Zip Code *Additional Context & Notes:Please use this space to provide any relevant details, specific instructions, or notes for our team regarding your property.How did you discover our services?GoogleFacebookInstagramFriendOther Final Review & Acknowledgment Please carefully verify your information for accuracy. By submitting this form, you acknowledge that you have reviewed your entries and authorize us to proceed with the document preparation. Consent *I certify that the information provided is accurate, complete, and true to the best of my knowledge. 🔒 Your data is handled with strict confidentiality. We utilize industry-standard encryption to protect your information, and it is used exclusively to facilitate your Lady Bird Deed preparation. Submit for Professional Review